The popularity of imaging technology brings a problem that cannot be ignored, that is, clinicians often use imaging results instead of clinical examination or ignore clinical examination.
Today, a 42-year-old female patient was admitted.
She complained of “soreness in the neck and left upper limb with numbness of the left middle three fingers for one year”.
History: No obvious cause of onset of the disease, with soreness and discomfort in the neck and left upper extremity, aggravated at night, numbness in the middle three fingers, and numbness in the fingers obviously induced by wrist flexion. Wang Dehui, Department of Traditional Chinese Medicine, Changji Branch, The First Affiliated Hospital of Xinjiang Medical University
Physical examination: slight atrophy of the interosseous muscle of the left hand, paravertebral pressure pain of C6-T4, positive left wrist flexion test, negative Adelson’s test, negative brachial plexus pull test, negative snap-top test, negative Hoffman’s sign, biceps tendon reflex ++, triceps tendon reflex ++, radial periosteal reflex ++.
Auxiliary examination: cervical spine four-position film suggested: cervical degenerative changes.
Diagnosis: carpal tunnel syndrome
Treatment: carpal tunnel block
Treatment: upper limb soreness and numbness cured at once, cervical soreness and numbness cured spontaneously after one week
Note: Not only can cervical spondylosis cause upper limb soreness and numbness, but there are many diseases that can cause upper limb soreness and numbness.