tinglingand frozen fingers in right hand with pain in upper arm and shoulder.
by Len
(West Kelowna, BC, Canada)
In 2010 I had a severe auto accident and experienced a blackout. Very soon I experienced a lot of pain, headaches etc, mostly from my left side of neck to thee brain and very stiff neck rotations. After months of chiropractic, massage therapy, IMS treatments and physiotherapy the pain continued. In 2012 I went to Dr. Canepa in San Clemente Calif. where I was examined and treated for a severe misalignment of the Atlas and Axis vertebrae. (out by 35% or more) This helped to relieve the severe headaches and other head pain on the left side but what is now still existing in the right shoulder from the right side of neck to shoulder /arm, but did not stop the tremors and shaking in right hand, arm and leg. My Right hand is now curled like a hook and is painful to stretch and straighten out.
I've seen 3 neurologists who all say my symptoms are Parkinson's. but there is no scientific way to actually test for PK. However before the auto accident, I had absolutely no health issues, very active using my right hand for everything and certainly nothing resembling Parkinson's. I have been on sinimet (4/day now)for Parkinson's for a year, but it has done very little to reduce or help control the tremors.
I was right handed but now I have virtually lost the use of my right arm and hand. Raising my right arm over my head often provides relief and short term rest. Having read some of your reports, testimonials, I'm wondering if this is actually TOS? Doctors seem to want to just pass this off as early stage Parkinson's but I'm not fully convinced that this is so.
Can you advise and recommend a trustworthy chiropractor in my area to test for TOS (and Adison's test, and negative upper limb tension)
Hello Len,
It's the fool who makes diagnoses without any examination, or access to the patient, but I'm nevertheless going to take a dip in the water with my oar.
Has anyone mentioned causalgia, or reflex sympthetic dystrophy?
It's a particuarly nasty condition that comes after a peripheral nerve has been injured. Because arteries have nerves, this one, like TOS, also affects the blood supply to the arm, but via a quite different mechanism.
So you are on the right track, but I doubt this is TOS; it wouldn't cause the severe changes in your hand.
I have treated the odd case of causalgia successfully, it's not common, but never at a late stage like this, so I have no idea whether more chiropractic would help.
Stretching out the affected muscles and joints certainly is effective in the early stages. Now it's likely to be very painful and just how much it would help I don't know. On the other hand if you do nothing, it'll probably only get worse.
I hope I'm wrong, and probably am, seeing you have been examined by so many specialists.
The test for thoracic outlet syndrome is Adson's test; testing the pulse in the forearm whilst you contort you neck and take in a deep breath. Use the site search function at C-H to find information on the test. I'm just wondering if causalgia would also cause a positive Adson's test. I'm not sure.
Also relief from raising your arm is not typical of TOS; it would worsen the pain and tingling. What you have is a positive Shoulder abduction relief sign. Use that site search too for SAR. It would be virtually impossible to do the ULTT test on you.
You almost certainly had more than one injury; great that Dr Canepa could help the upper cervical injury, but this one is in your lower neck; in fact it could even be in the brain.
A little question: do you have any jaw joint issues? That too can cause facial pain.
In short, I doubt TOS.
Let me know, would you; nasty for you but your question has aroused my curiosity. Keep to this thread.
Again, hope I'm wrong.
Dr b