<s>[INST] I have severe pain in my right arm from my neck to my pinky. my pinky twitches from time to time and my whole hand starts to swell. the pain is mainly in my elbow and down the backside of my forearm but it hurts all over. im going to a dr Tuesday but I was wondering if you could prepare me for what they might say [/INST] Hello, I have studied your case. Due to compression of cervical nerve root there can be pain in your fingers.Also, there can be large disc bulge which can be compressing over spinal cord. For these symptoms analgesic and neurotrophic medication like pregabalin can be started consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like Tens and inferential therapy may give you relief for few days. In case of nerve compression leading to finger weakness you need to decompress nerve surgically. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. I will advise you MRI cervical spine and EMG-NCV [nerve conduction study]. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. </s>