Doctors/Chiropractors.. Question about a pinched nerve.

TechBoyJK

Lifer
Oct 17, 2002
16,699
60
91
Hi Guys,

About 6 weeks ago I pulled/twisted something in my back. I wasn't doing anything special. I was just getting into my car. It hurt pretty bad, but I wrote it off as having pulled a muscle or something since I had been weight training pretty frequently. I took it easy for a few days, used some icy hot, etc.

The harshest pain went away after a few days, but I was left with what felt like a knot in my upper back just below my neck between my shoulder blades. It never seemed to go away and has only gotten worse. Yesterday morning I noticed it really throbbing.. Or at least, it was just reaching it's worse point yet.

It was hard for me to get out of bed because I had to sit up and doing so just completely crushed my back. It hurt so bad.

Later, I felt like my left arm was tingling.. almost like your leg feels when it falls asleep. I could still move my fingers, but my pinky and index finger were acting really funny. I'm a guitarist so I'm really keen on finger movement and the lower two fingers just felt like they were hardly there. I certainly knew that if I picked up a guitar I would fumble.

I went to a chiropractor yesterday. No referall, just the closest one to where i worked. I work downtown st. louis and there's a pain clinic down the street.

The chiropractor thinks I have pressure in my spine where one of the main nerves in my arms leads out from, and that pressure is causing the pain and interfering with the nerve. He showed me a similar picture as below, and traced where that nerve should come from my spine. When he pressed down on that area by my spine, it hurt like hell. So he was pretty sure he found the problem area.

Arm_with_Median_Nerve.jpg

hand_guyon_canal_anat01.jpg


It would be the lower nerve in the first picture (ulner), which would explain why my arm felt weird and I could really feel it in my pinky and index finger. In the second pic it shows where it leads into the neck, and thats exactly where my back/neck hurts.

He said he should be able to relieve some pressure after a few adjustments which include massage therapy and electrotherapy. I had this work done previously after an accident and had whiplash, and it worked wonders. So I have high hopes that it will help.

He said though that if things don't get better after a few visits, or at least show some improvement and that the therapy is working, I'll need to go get x-rays. He said he's tempted to send me for xrays already but since I'm so close by and my next two visits will be tomorrow and monday, we'll wait until after that. He said he'll need to make a decision on if treatment is working or not fairly quickly because if it doesn't I could potentially damage the nerve.

I have insurance and my copay is $10 per visit.. so please don't thread crap about chiropracty being a crack science.

Question is.. does this sound right? It seems pretty clear cut.. pinched nerve, doc found it, symptoms line up with assessement.. I'm just second guessing simply because several nurse friends were saying the numb arm could be a sign of an oncoming stroke.
 
Last edited:

highland145

Lifer
Oct 12, 2009
43,973
6,336
136
Surprised he doesn't do his own x-rays.

Any better after yesterday's adjustment.



<--- been to a chiro and love it as opposed to haven't been but have an opinion.
 

TechBoyJK

Lifer
Oct 17, 2002
16,699
60
91
Surprised he doesn't do his own x-rays.

Any better after yesterday's adjustment.



<--- been to a chiro and love it as opposed to haven't been but have an opinion.

Downtown office is a satellite office. I'd go to his main office for the xrays or a hospital, whichever is closest.

My back, in general felt better, but the pain itself is still there. I felt some relief but it's already starting to feel bad again.
 
Aug 23, 2000
15,509
1
81
Go to a real doctor. Nerve damage is not something to be going to a chriropracter about. Them twisting and pushing on you can make it a lot worse.
 

Blintok

Senior member
Jan 30, 2007
429
0
0
Similar happened to me last year. a knot in my back that would not go away, pain in shoulder radiating down right arm.

Doc at first thinks arthritis in shoulder. sends me for xrays, shows a bulging disk in neck(C6,7) and bone spur(C4) - was sent to sports medicine specialist. had MRI done.
4 sessions of massage therapy fixed the muscle tension. Been taking 300mg of Gabapentin ever since (helps relieve nerve pain)

see a real doctor. go to real massage therapist
 

Azraele

Elite Member
Nov 5, 2000
16,524
29
91
Go to a doctor. It could be a pinched nerve, or something like a bulging disc. It's not something to mess around with.
 

MiniDoom

Diamond Member
Jan 5, 2004
5,305
0
71
x-rays won't show a herniated disc since it's cartilage and not bone. You'll need an MRI for that. It can probably be diagnosed with some simple motions of your limbs and maybe head or neck...
 

TechBoyJK

Lifer
Oct 17, 2002
16,699
60
91
x-rays won't show a herniated disc since it's cartilage and not bone. You'll need an MRI for that. It can probably be diagnosed with some simple motions of your limbs and maybe head or neck...

Yea, the chiro said something about an MRI after the xray.. Basically, do some simple treatments first, which include massage therapy, electrotherapy, adjustments, etc. and if I don't see results quick.. get an xray.. if xray doesn't find anything, get an mri.

Also, the pain clinic has an in house MD, and he was sitting in on the diagnosis. I'm still planning on hitting up my primary care physician. I really need to change doctor's though, since I'm still going to the guy in the town I used to live in, and it's really a hassle to get out there.
 

BoomerD

No Lifer
Feb 26, 2006
65,627
14,015
146
I'm a long-time believer in chiropractic, but there are just some things that they can't fix. A GOOD chiropractor will refer you for an MRI after a couple of adjustments if things aren't improving, and depending on the results of the MRI, may even refer you to a neurosurgeon for evaluation.

In addition to herniated lumbar disks, I have a bulging disk at C6-C7. Once in a while, it flares up. I get "roving pain" in my arm, my pinky, ring, and middle finger get "tingly" like when your hand "goes to sleep," and there's not much relief to be had. My chiro sent me to a neurosurgeon when it first happened. We discussed a discectomy, but I wasn't too keen on the idea, so he sent me for a couple of epidurals. Got zero relief from that, so I've lived with it for almost 10 years. Fortunately, the flare-ups don't happen very often, and thanks to Amitriptyline, they usually don't last very long either.
 

Pantlegz

Diamond Member
Jun 6, 2007
4,627
4
81
Go to a real doctor. Nerve damage is not something to be going to a chriropracter about. Them twisting and pushing on you can make it a lot worse.

You know whats funny, I went to my dr with a similar problem. After not using it for a few months and the pain coming and going for about a year. She told me to just not use it if i can help it. Best of all she refused to give me an MRI said it was a waste of time and money. After about a month of me complaining she perscribed PT which was a huge waste of time after a month or 2 of PT did nothing I decided to have my masseuse work on my arm a little. long story short 3 months of dr visits and I don't even know how much money < 5 min deep massage in the right area. I know this isn't always the case but sometimes dr's are a waste of time.
 
Aug 23, 2000
15,509
1
81
You know whats funny, I went to my dr with a similar problem. After not using it for a few months and the pain coming and going for about a year. She told me to just not use it if i can help it. Best of all she refused to give me an MRI said it was a waste of time and money. After about a month of me complaining she perscribed PT which was a huge waste of time after a month or 2 of PT did nothing I decided to have my masseuse work on my arm a little. long story short 3 months of dr visits and I don't even know how much money < 5 min deep massage in the right area. I know this isn't always the case but sometimes dr's are a waste of time.

You need a better doctor then.
Chiropractors are in the same league as "natural" healers, acupuncture, and witch doctors.
Anyone with college credits can become a Chiropracter. It takes real skill, knowledge and understanding to even be considered for entrance into medical school.

Chiropracters and massage therapists ect only treat symptoms. They don't fix the actual cause of the problem.
 

Pantlegz

Diamond Member
Jun 6, 2007
4,627
4
81
You need a better doctor then.
Chiropractors are in the same league as "natural" healers, acupuncture, and witch doctors.
Anyone with college credits can become a Chiropracter. It takes real skill, knowledge and understanding to even be considered for entrance into medical school.

Chiropracters and massage therapists ect only treat symptoms. They don't fix the actual cause of the problem.

The dr I go to is one of the better ones around I know from both experience and talking to people. The PT I went to was through the local hospital and is considered better than the only other option locally. But to be honest neither of their "solutions" were going to work for me. My other through was going to a sports dr but I decided to give the massage a shot.

I'd agree to some extent anyway that there isn't much regulation when it comes to chiros/massage therapists but getting a good one can work wonders. I get a deep tissue massage at least once a month, only once on the arm though, and the difference it makes is unreal. If you don't think they work talk to almost any athlete that competes seriously at any level.

I am by no means saying that dr's don't' know what they're talking about go see a chiro instead. I'm just saying sometimes alternative methods can work.
 

eits

Lifer
Jun 4, 2005
25,015
3
81
www.integratedssr.com
pm me this guy's name... i might know him, seeing as how i serve the greater st. louis area.

by the way, i x-ray every patient before treating them to make sure it's nothing more serious. in my opinion, he should have done the same.

always make sure you see a trusted chiropractor... get referrals from people. don't go to just anyone. it's your body and your money... you gotta go to someone trusted. just for future reference.

kinda hurt you didn't call me, though.
 

Zebo

Elite Member
Jul 29, 2001
39,398
19
81
I got something like this playing racquetball about 4 years ago. Thought I was having a damn heart attack, but of course heart attacks don't last 3 weeks until I went to the hospital. While playing I felt something tear in my back not painful though then pain running down my arm, when i put my head all the way back looking at sky and sometimes running up front was progressively more bothersome. Anyway I went to hospital on advice of family doctor $12,000 tests and 18 hrs later they sent me away with muscle relaxers. Took about 3 months to fully heal little bitty torn muscle.
 

angminas

Diamond Member
Dec 17, 2006
3,331
26
91
I had something like that happen to me before. Nerve pressure can absolutely explain numbness or tingling in the fingers. I've had my neck adjusted and felt a zap down the entire length of my arm. Unhappy nerves can do all sorts of weird things.

Don't listen to the ridiculous anti-chiropractic (or pro-chiropractic) extremists. Use your skull.
 

Mark R

Diamond Member
Oct 9, 1999
8,513
16
81
It would be sensible to see a doctor that specialises in spinal disorders or a specialist in sports medicine.

The symptoms you describe do sound like they could be spinal nerve irritation or compression. The sudden onset would fit with a disc protrusion.

An X-ray wouldn't be an unreasonable test to make sure that there isn't a bone problem, e.g. severe arthritis or some other bone disorder. However, it is unlikely to be helpful, as X-ray can't show discs (which are the parts that tend to cause the problems). The other problem, is that this sounds like a nerve problem at the base of the neck (C8) which is an area that is not easily seen on X-ray, due to the shoulders getting in the way - although this can be got around to some extent.

As long as the symptoms aren't getting worse, just simple rest may be all that is needed - as if you rest a bulging disc which is compressing a nerve, it can retract and heal. Failing that an MRI may be the next step to confirm the presence of the disc and its severity, as this may help decide on whether any other kind of treatment is warranted.
 

SparkyJJO

Lifer
May 16, 2002
13,357
7
81
When you really yank something it can take a few times to fully correct it and time to let it heal up.

Chiropracters and massage therapists ect only treat symptoms. They don't fix the actual cause of the problem.

Bullcrap.

The real ones DO treat the cause of the problem - misalignment putting pressure on nerves is definitely a cause. Yes, there are times that they can't treat it - my dad had a bad disc in his neck, all the chiro could do was keep things in alignment to reduce the pain until he could have surgery done to fix it fully. But there is a lot of back, neck, arm pain that is all related to misalignment of the spine putting pressure on the nerves.

I've gone to the chiropractor when I had some lower back discomfort and when checked, my pelvis was twisted a bit. Was evident by my one leg appearing "shorter" than the other by a quarter inch. He worked the pelvis back where it belongs, evening the legs out, and after a couple days the general discomfort went away fully. What would your "fix" for that kind of thing be? Have a surgeon chop at it or something like that? :rolleyes:
 
Last edited: