What is the cause of upper back pain with radiation and numbness down the right arm for 2 weeks after completing a steroid (corticosteroid) course?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: March 26, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Research

You should seek medical attention promptly for your upper back pain with radiation and numbness down your right arm, as these symptoms suggest possible nerve compression or cervical radiculopathy. While you've completed a steroid course, persistent symptoms require further evaluation. In the meantime, you can take over-the-counter pain relievers like ibuprofen (400-600mg every 6-8 hours with food) or acetaminophen (500-1000mg every 6 hours) for pain management, as suggested by general medical knowledge. Apply ice for 15-20 minutes several times daily to reduce inflammation, followed by gentle heat after 48-72 hours. Avoid activities that worsen symptoms and maintain good posture. The radiating pain and numbness indicate potential nerve involvement from a herniated disc, bone spur, or spinal stenosis in your cervical spine, which is supported by studies such as 1. A healthcare provider can properly diagnose your condition through physical examination and possibly imaging studies, then recommend appropriate treatment which might include physical therapy, different medications, or in some cases, further interventions if conservative measures fail. Some key points to consider in the diagnosis and management of cervical radiculopathy include:

  • The use of magnetic resonance imaging or computed tomographic myelography to confirm neurologic compression, as mentioned in 1
  • The potential benefits of a multimodal approach to treatment, including cervical collars, traction, medications, physical therapy, and selective nerve blocks, as discussed in 1
  • The importance of considering the patient's overall clinical presentation and medical history in determining the best course of treatment, as highlighted in 2 It is essential to consult with a healthcare provider to determine the underlying cause of your symptoms and develop an effective treatment plan, as the cause of upper back pain with radiation and numbness down the right arm can be complex and multifaceted, and may require a comprehensive approach to management.

References

Research

Imaging the back pain patient.

Physical medicine and rehabilitation clinics of North America, 2010

Related Questions

What is the diagnosis for a patient with right lower back pain, given the presence of mild degenerative changes, ossific spurring, facet arthrosis, and mild degenerative disc disease in the lumbar spine, as seen on a lumbar spine X-ray (XR)?
What is the clinical presentation and conservative management for a 39-year-old male patient with advanced multilevel degenerative disc disease (DDD) and uncovertebral arthropathy at C3-C7?
What is the best course of treatment for a 49-year-old male patient with chronic neck pain radiating to the left arm and causing tingling sensations in the left hand?
What tests should be ordered for a 49-year-old male presenting with back pain, hematuria, diarrhea, and hematochezia?
What is the next appropriate step for a 30-year-old female with neck and right arm pain, numbness, and tingling in the middle finger, and a positive Spurling test?
What is the workup for daily morning vomiting?
What are the follow-up instructions after a hemithyroidectomy with a benign nodule on histopathology (histo)?
What is the cause of upper back pain with radiating pain down the right (R) arm for 2 weeks, after completing a course of muscle relaxers and steroids (corticosteroids)?
What is the significance of a benign soft tissue mass and a small nodule of unknown nature in a patient with a history of partial nephrectomy for chromophobe renal cell carcinoma?
What is the role of Identification (ID), Investigation, and Intervention in post-fracture care?
What is the treatment plan for orthostatic hypotension in a 33-year-old female?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.