Thank all of you for the help, very much; you've helped ease my mind a bit, and given me some more stuff to look at and pass along to her when she next goes to the doctor.
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Originally Posted by glenntaj
Often, these presentations are the result of the "double crush" effect. A nerve pathway that is already weakened through diabetic ischemic compromise is then compressed by some other force--such as a bulging disc in the spine pressing on a nerve root--and the combined effect symptomologically is more than the "sum of the parts".
Given the area, I think she needs some imaging of the cervical spine, and possibly the shoulder. Compressive neuropathies are very common in those areas anyway (as they are at the wrist and at the elbow, as you've mentioned), and people with impaired glucose tolerance tend to be more sensitive to them.
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This is very, very useful, thank you. I'd done a little bit of research after Jo*mar mentioned a c-spine MRI (which I hadn't heard of before), and am now thinking that a C-7/T-1 herniation or something like that seems like a likely explanation, since it seems like it would also explain why the ulnar entrapment seemed so likely before, and it's less common which explains why her neurologist may not have thought of it...what you say about its possibly combining with the effects of the diabetes supports that and makes a lot of sense.
Anyway, thanks all for letting me ramble/answering my questions. You guys seem to have a really good, supportive community here. I'm impressed.
