The neurologist asks me to bend my head forward and immediately I feel a shock of sensation travel down my arms into my fingers. It’s kind of a vibration, buzzing, or tingling more than a shooting pain. I have just shown a positive L’Hermitte's sign .
The extra buzzing I felt is called a dysesthesia since the unusual sensation was provoked by bending my head forward, in contrast to a paresthesia which describes spontaneous tingling, buzzing, partial numbness, sharp pains, or electrical shocks. I get those too.
Not everybody experiences the L’Hermitte's symptom in the same way. For some patients, it is described as an intense electric shock which feels like you’ve just shoved a finger or toe into an electrical outlet. For some, it may just be a very subtle tingling in the fingers, legs, or toes. Or for others, the wave of sensation can also travel down the truck or upwards to the head.
I have been asked, &l...
Arthritis - psoriatic
The arthritis may be mild and involve only a few joints, particularly those at the end of the fingers or toes. In some people the disease may be severe and affect many joints, including the spine. When the spine is affected, the symptoms are stiffness, burning, and pain, most often in the lower spine and sacrum.
People who also have arthritis usually have the skin and nail changes of psoriasis. Often, the skin gets worse at the same time as the arthritis.
Signs and tests
During a physical exam, the health care provider will look for:
Skin patches (psoriasis) and pitting in the nails
may be done.
Alternative Names Joint inflammation Symptoms Arthritis causes joint pain, swelling, stiffness, and limited movement. Symptoms can include: Joint pain Joint swelling Reduced ability to move the joint Redness of the skin around a joint Stiffness, especially in the morning Warmth around a joint Signs and tests The health care provider will perform a physical exam and ask questions about your medical history. The physical exam may show: Fluid around a joint Warm, red, tender joints Difficulty moving a joint (called "limited range of motion") Some types of arthritis may cause joint deformity. This may be a sign of severe, untreated rheumatoid arthritis. Blood tests and joint x-rays are often done to check for infection and other causes of arthritis. Your doctor may also remove a sample of joint fluid with a needle and send it to a lab for examination.
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