<s>[INST] hello doctor ,i am 26 year old,last year i got my mri done and found diagnose with arnold chairy malformation,because of that i having burning sensation in my right hand,no sensation in hand means that dosent allow me to fell warm or cold ,so what is the treatment ,also i am not able to sleep ,every night i have to wake for 3 to 4 times hello doctor,i am 26 year old and my weight is 71,last year i got my mri done and found diagnose with arnold chairy malformation,because of that i having burning sensation in my right hand,no sensation in hand means that dosent allow me to fell warm or cold ,so what is the treatment ,also i am not able to sleep ,every night i have to wake for 3 to 4 times [/INST] Hello, welcome to Chat Doctor thanks for the query since you have lost the sensations of cold and hot it appears to be due to spinal cord problem. It may be due to spinothalamic tract involvement. It can be also thalami disorder. Have you any other associated symptom?  A detail neurological examination is needed for it it's better to consult the nearest neurologist and get evaluated for it take care </s>