<s>[INST] I am a 47 year old woman and pretty fit having playing netball for 30 years and only giving up due to my ailment. I have an extra rib - which until January 2009 gave me no trouble. I also had a prolapse disc at C6/C7 which with self therapy corrected itself after 8 months. Unfortnately I now have C4/C5 problem coupled with the extra which I am told is giving me the terrible pain i have been in sinceJanuary 2009. I have pinching sensation in my right arm just above my elbow and numbess in my right index finger along with weakness in my right hand. I am right handed. I am told the removal of the extra rib will highly likely cure the problem. I have had two MRI scans and two facet joint injections - which didnt work ! Your advice would be appreciated as I wish to try and get rid of this problem or at least take away the pain. [/INST] Hi, It seems to be ulnar nerve neuralgia, get your NCV study done, till then take cover gabapentin 400 mg and nortriptyline 10mg in night, hot fomentation. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon </s>