instruction: hi doctor I am a 35 year old male I have been to several doctors neurologist and I have not been told what is wrong and what I can do to fix it my symptoms are for the last ten months when I go to sleep I wake up with one or both of my arms being numb from my elbow down to my pinky and ring finger so I know there is something up with my ulnar nerve this happens when I am asleep on my back which is why I got an mri of my neck to see if it was happening from there when I saw the spine specialist he said my mri was normal for my age this is what the mri report showed c5 ca my disc protrusion mild effacement of thecar sac ap canal diameter 5 my ca my disc osteophyte complex moderate effacement ap canal 5mm ca to umm disc protrusion ap diameter 5 my he looked at the images and said nothing would be happening to the nerve from the neck also I saw a neurologist and they did an egg nerve conduction study eg and mri of the brain they said everything was normal everything I have found online points to ulnar neuropathy or cubital tunnel syndrome I just have not had any doctor confirm what is going on and I do not know anybody personally that has experienced this issue it is disrupting my sleep causing me to wake up multiple times each night my questions are what can I do to fix this physical therapy surgery etc are there long term effects for having this
output: hello sorry about your present health condition usually during sleeping on supine position or sleeping on sitting position with hands side by side may can cause some compression of ulnar nerve lead to temporary signal interference call neuropraxia which is common in all individuals but more in obese people or hypothyearoidism or diabetic or b12 deficiency or hypocalcemia or anemia or hypokalemia conditions so prevent medial rotation of arm while sleeping get it done serum calcium and electrolytes als get done your blood sugar and thyearoid status use vitamin b12 and folic acid tablets tablet pregabalin 75 my is useful at night time if no improvement please review with the above investigations avoid smoking and alcohol consumption because it aggravates the condition rest your arms on pillows by the side