Answer posted - For seven years, searing pain with no relie
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Dr. Kartik Singh
Answer posted - For seven years, searing pain with no relief
A glomus tumor was the culprit. The cause is unknown and most glomus tumors occur in people between age 30 and 50. Like Wicker, many patients complain of temperature sensitivity and intense pain in one spot; some scientists speculate that the pain may be caused by nerve fibers that are present in glomus tumors. Pa­thol­ogy report confirmed the diagnosis. The bluish discoloration under her fingernail was the tumor itself. Smaller than the head of a pin; its size apparently eluded detection by the MRI. Doctors recommended that Wicker undergo surgery to remove the tumor, a procedure that would require taking off the nail. The operation cured the problem.

Question asked -
Wicker, now 57, first noticed the pain at the tip of her left index finger in the spring of 2005. She tried her best to ignore the pain, which was fleeting. She had recently been diagnosed with Type 2 diabetes. Several months later the pain intensified. All tests including - an X-ray, an MRI scan and a nerve conduction test, were negative. She tried physical therapy, It did nothing for her finger, but after Wicker developed occasional numbness in her left shoulder. Anti-inflammatories and increasingly strong painkillers, including oxycodone were ineffective. Can you find out the cause?

Clue 1: Carpal tunnel syndrome was not the cause.

Clue 2: An MRI of Wicker’s neck and upper back showed two badly herniated disks.

Clue 3: She had discovered that if cool air touched the finger, the pain level shot up.

Clue 4: The orthopedist suggested she undergo a series of injections in her spine to dull the pain in her finger, which didn’t help.

Clue 5: She tried acupuncture, which also failed.

Original Source:
https://www.washingtonpost.com/national/health-science/for-seven-years-searing-pain-with-no-relief/2014/05/23/cd61541a-cfda-11e3-b812-0c92213941f4_story.html?utm_term=.f15ddba9f550
Dr. D●●●a G●●●●e and 3 others like this
Like
Comment
Share