53yrs female diabetic, hypertensive. All general blood parameters found within range after routine check up.
Diagnosed with cervical radiculopathy at C6C7 pain radiating from neck to shoulder then to bicep region.
Visited multiple neurologist and performed NCV, Xray , MRI like tests many times.
But every time every neurologist suggest pregabalin/Gabapentin and some pain killers.
Please suggest some treatment for it , preferably non surgical. Patient is suffering since a long time but no doctor is able to provide relief.
I woke up with my left arm and left leg being heavier than my right for atleast 5 mins at 3am in the morning. Its been 5 days since. I could move my limbs but they were extremely stone heavy than right. No tingling or numbness just heavy. I was horrified. I have had a Brain MRI 3 years ago due to anxiety symptoms. It was normal back then. I have had strange symptoms like palm sized pressure in the left side top of my head which happened atleast 7 times last year and then completely stopped. The last pressure episode happened at nov 2025 when I woke up in the morning and suddenly had palm size pressure in the same area with my left index finger and left thumb tingling. It never happened since. However 5 days I had my left leg and arm feeling like it was being pulled stronger by gravity when I woke up randomly at 3am. I am only 22. I have been taking bisoprolol 2.5mg for 3 years due to severe anxiety. That medicine keeps my bp at 104/73, HR at 73 on rest. So far, it's always after sleep.
Doctor, when I practice mindfulness, I am completely unable to achieve cognitive detachment or the witness state. My awareness gets immediately immersed in incoming thoughts. Could this be related to an altered stimulus filtering mechanism or something like a sensory gating deficit? What is your opinion on this, Doctor?
My prolactin was around 150 twice measured at 10 days gap
Doctor suggested to go for MRI pituatary
Findings in my MRI report
"There is an ovoid nodule measuring 6.6 x 8.8 x 5.7 mm (AP x TR x CC) seen in
pituitary gland on left side, which appears isointense on T1, heterogeneously
hyperintense on T2, hypoenhancing on early phase of dynamic contrast images
and intense homogeneous contrast enhancement on delayed images of dynamic
study. Pituitary stalk is deviated towards right side. Imaging findings are
suggestive of pituitary microadenoma. Serum prolactin estimation is suggested"
Now Doctor has suggested me Cabergolin 0.25mg twice a week
Is this good?? Does it have side effects?? Who should avoid this??
I felt a lil dizzy i think next day of consumping it
I also have PCOS other than this
Osteophytes and mild disc dessication.
Perineural cysts in proximal sacral spinal canal at the level of $2 vertebra.
Mild facet joint arthropathy at l5-$1 level.
Subtle posterocentral disc protrusion at L4-L5 and L5-$1 levels causing mild anterior thecal sac indentation however there is no obvious impingement of nerve roots.
AP spinal canal (thecal sac) diameter:
L1-L2- 13.4mm L2-L3-11.8mm
L3-L4 -11.5mm L4-L5-10.5mm L5-S1-10mm
Spondylotic degenerative changes in form of loss of cervical lordosis, multilevel small marginal endplate osteophytes and disc dessication.
Posterior disc osteophytic complexes from C3-C4 to C6-C7 levels causing mild anterior thecal sac indentation and mild narrowing of spinal canal.
Few small perineural cysts are seen in bilateral neural foramina at multiple levels.
At C4-C5 & C5-C6 levels, there is mild narrowing of right neural foramen with possible mild impingement of exiting nerve root.
