hey bob, this, and jane is very right in that the problem could be stemming from anywhere from the c spine where it starts on down that whole arm to the wrist area(usually within a joint area). but that radial nerve is actually on the thumb side tho? the nerve i think jane ment to say was actually the "ulnar' nerve or also called the 'C 8' nerve at the c spine level, which is what innervates the sensory in the pinkie and only one side of that ring finger, tho in some people it CAN actually feel like that whole ring finger is invloved with sensory loss too? it kind of depends upon just how really profound that level of numbness just is.
a really good test to try and find the very exact spot from that c spine on down that whole arm to just exactly where the compression just is would be what is called an EMG/NCV test. this would pinpoint the area where the problem actually is much better than any other just to start? but only if the areas involved with the sensory loss are actively being compressed at the time of the testing. it just has to be actively 'going on' in order to best pinpoint or it may show normal nerve flow velocity? but if this has gotten to the point where it is pretty much a constant now, that test would tell you right away.
i am just wondering if you are suffering ANY actual neck pain at all here too? exactly how do you have to 'hold your neck posistion' while you play? if it is onto any particular side, and ALWAYS has to be held in that particular posistion, then the problem easily could be stemming from c spine given what just could occur over time in doing this? it could cause an impinged nerve up there at your c 8 as a consequence?
getting an MRI of that c spine would show this pretty heavy level of impingement if this is not actually in the elbow but at that c 8 level? the elbow would be the other best more commoh possible here too just because that ulnar nerve IS very vulnerable and runs within the outter side(that "funny bone" when hit, just IS that ulnar nerve)in what is called the 'ulnar crease"?
since this problem sounds from what you have stated to actually start AT the elbow, the most common areas of possible impingement or compression would simply BE either AT that elbow area or up in that c spine? when you have symptoms like you are here, the area of impingement would have to be either 'right at" the area where the sensory is being impacted, or further up from it in the c spine and would not be below your elbow here, tho you could also have some issue going on within that wrist area too? it just would not be THE main source of elbow on down type of loss, ya know what i mean?
but DO see your doc to get this and you evaluated and get him or her to actually send you for at least that EMG or the MRI or both just to get the best overall picture from c spine to the wrist area. hopefully it is nothing huge that is going on and can be fixed with certain non invasive types of therepy. but you DO need to do something since when any nerve is impinged and not recieving any good nerve flow velocity, over time that nerve will die off at the impinged site(impingement not relieved will almost always become worse with time) and stay that way permanently? this just can happen if a nerve, either sensory or motor and esp if there is pain involved, that pain can imprint upon that nerve and never go away. just see what pops up on your test results and that will kind of dictate any next steps depending upon where this is and how badly its being affected too. good luck with this and DO please keep us posted. FB
a really good test to try and find the very exact spot from that c spine on down that whole arm to just exactly where the compression just is would be what is called an EMG/NCV test. this would pinpoint the area where the problem actually is much better than any other just to start? but only if the areas involved with the sensory loss are actively being compressed at the time of the testing. it just has to be actively 'going on' in order to best pinpoint or it may show normal nerve flow velocity? but if this has gotten to the point where it is pretty much a constant now, that test would tell you right away.
i am just wondering if you are suffering ANY actual neck pain at all here too? exactly how do you have to 'hold your neck posistion' while you play? if it is onto any particular side, and ALWAYS has to be held in that particular posistion, then the problem easily could be stemming from c spine given what just could occur over time in doing this? it could cause an impinged nerve up there at your c 8 as a consequence?
getting an MRI of that c spine would show this pretty heavy level of impingement if this is not actually in the elbow but at that c 8 level? the elbow would be the other best more commoh possible here too just because that ulnar nerve IS very vulnerable and runs within the outter side(that "funny bone" when hit, just IS that ulnar nerve)in what is called the 'ulnar crease"?
since this problem sounds from what you have stated to actually start AT the elbow, the most common areas of possible impingement or compression would simply BE either AT that elbow area or up in that c spine? when you have symptoms like you are here, the area of impingement would have to be either 'right at" the area where the sensory is being impacted, or further up from it in the c spine and would not be below your elbow here, tho you could also have some issue going on within that wrist area too? it just would not be THE main source of elbow on down type of loss, ya know what i mean?
but DO see your doc to get this and you evaluated and get him or her to actually send you for at least that EMG or the MRI or both just to get the best overall picture from c spine to the wrist area. hopefully it is nothing huge that is going on and can be fixed with certain non invasive types of therepy. but you DO need to do something since when any nerve is impinged and not recieving any good nerve flow velocity, over time that nerve will die off at the impinged site(impingement not relieved will almost always become worse with time) and stay that way permanently? this just can happen if a nerve, either sensory or motor and esp if there is pain involved, that pain can imprint upon that nerve and never go away. just see what pops up on your test results and that will kind of dictate any next steps depending upon where this is and how badly its being affected too. good luck with this and DO please keep us posted. FB