Neck Pain keeping me from Diving

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I am going to preface this by saying that you should consider all kinds of things, and I say that based on my own very similar experience. My story would take forever to relate in detail, so I will give a short description.

My search for a solution started with a neck x-ray and MRI. Those revealed, without question, a number of problems, including fused neck vertebrae, spinal stenosis, and bone spurs interfering with the foramen (openings) through which nerves passed from the spinal cord. I was being treated by a spine specialist, and he did a nerve test in my arm to trace the problem. He said that the spinal issues were what was causing the pain in my arm and the numbness in my hand, especially in the thumb and forefinger. They had me go through months of physical therapy, telling me that spine surgery would be my ultimate solution when I was ready for it.

But I was having enough pain in my wrist and hand to think there might be another problem, and I went to a hand surgeon. He looked at the x-ray and MRI, but he seemed skeptical. After he saw the nerve test he said simply, "They got the wrong nerve. You have carpal tunnel syndrome." He gave me a cortisone shot in the carpal tunnel, and it gave me nearly full relief for almost a year--which was aout the maximum he said I could expect. Then he performed a surgical carpal tunnel release, and I was totally and completely cured of my symptoms. A couple years later, I started having symptoms in my other arm and hand, and I went through the same "cortisone shot first, surgery later" routine. I certainly still have the fused vertebrae and spinal stenosis, but they don't seem to be causing me any problems.

I later learned that the symptoms I had were very typical of carpal tunnel, which is the reason that the hand surgeon was immediately suspicious of the spine surgeon's diagnosis. A key symptom is numbness in the thumb, forefinger, middle finger, and the inside half of the ring finger. Those areas are served by the median nerve, which passes through the carpal tunnel and is affected by a narrowing of that opening. Another symptom was the fact that problems happened at night, and I could relieve them by dangling my arm off the side of the bed.

So the point of this post is that sometimes doctors can get fixated on a diagnosis and miss alternative possibilities. My spine doctor looked for a solution in the the obvious problems in my spine and evidently did not consider the possibility that something else could be going on.
 
I would recommend consulting with a neurologist and maybe a neurosurgeon. You don't want to do anything that's going to aggravate the injury. If the ND5342 means what I think it does, you've probably had plenty of mechanical stress in the area; it could be an old injury that's becoming worse with age, it could be genetic, or it could be a combination. It wouldn't have anything to do with your level of conditioning.

Best regards,
DDM

You may be right although I did not do a lot of hard hat diving as compared to my peers. However who knows what happened during all of those 20 years. Just wish it had started to happen when I was in the military so I could tie it in and get all the benefits of the possible disabilities to come.
 
You may be right although I did not do a lot of hard hat diving as compared to my peers. However who knows what happened during all of those 20 years. Just wish it had started to happen when I was in the military so I could tie it in and get all the benefits of the possible disabilities to come.

Are you a member of the US Navy Diver Facebook page? A lot of people on there have walked this walk already and might be able to help out.

Best regards,
DDM
 
I've always been a big fan of self-healing through proper exercise. I used to have low back pain but since I've been doing my morning warm-up every day, come Hell or high water, I didn't have any for the past 20 years. I have no problem moving heavy furniture; I even did deadlift for years until arthritis in my right knee stopped that. I used to have stiff neck quite often, especially after air travel or long drives, but once I've added neck stretching to my morning routine this was gone for good too. My wife has been complaining about her neck for at least 20 years but once she'd overcome her laziness and started doing Pilates at least 4 times a week, her neck problems were gone for good. So forget surgery and forget chiropractors. This is quite likely something you can fix yourself.
 
I've had neck problems on and off for years - the key thing to remember is that most problems are not the result of that last dive or whatever it was that set it off - that is just the straw that broke the camel's back from long term abuse. I had a pinched nerve that caused problems down my arm to the two outer fingers - confirmed by MRI. It was a workers comp case as it was brought on by poor posture and work station stuff at work - went down the medical path - x-rays - CT Scan - MRI specialists etc. The message I got from the surgeon was surgery is the very very last resort. The insurance company in parallel set up chiropractor appointments in blocks of 10 going every couple of days - you don't want a rack-em and crack-em chiro I prefer ones who work on the muscles first before adjusting - then move on to exercise physiology to strengthen muscles. By the time the medical path was drawing to a close the chiro had fixed the problem and I was doing follow up exercise work.

It's important to work parallel paths a pinched nerve can be very serious with eventually losing function in the nerve a possibility.

You can be in great shape and still cause your self problems if your core muscles are not working properly - your body is very good at compensating for a weak muscle group by over developing another. It works for while but pulls thing out of alignment and eventually causes the problems you are experiencing. Excess wear from actual physical abuse is also possible of course. I have been doing pilates recently and some of the exercises are very taxing the therapists mention they have worked with very strong fit body builders who can barely do some of the exercises. I would suggest working with a chiropractor and exercise physiologist in parallel with the medical stuff and run a mile from any surgeon who dismisses being able to fix your neck with anything other than surgery - it may eventually come to that but they should be prepared to work with others to try to avoid surgery.
 
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