Hand Numbness and Elbow Tightness: Possible Neurological Issues

Numbness in the palm and tightness in the elbow?

Hello Doctor: A few weeks ago, I suddenly felt numbness in my left hand and left foot.
After a while, only a slight numbness remained in my left palm, along with a tight sensation in the middle of the elbow joint when I bend my left arm.
Based on this description, could you help identify what the issue might be? Thank you!
PS: 1.
I have a long history of sitting in front of a computer, and I hear a sound when I rotate my neck.
When I tilt my head to the left or right, I feel tightness internally.
There was also a period when I experienced pain in my left shoulder.
2.
I have a problem with autonomic nervous system dysregulation.
I also have a cough and a tight sensation in the area of the nasal bridge.

josephy, 40~49 year old female. Ask Date: 2016/07/02

Dr. Jiang Junyi reply Neurology

Hello, based on your description of sudden neurological symptoms, it is important to first rule out central nervous system disorders such as stroke or encephalitis, especially when both upper and lower limbs are affected.
If you have a history of hypertension, hyperglycemia, or hyperlipidemia, further examination is even more crucial.
I recommend consulting a neurologist to discuss evaluation and treatment options.
Wishing you good health and peace.
Dr.
Tao, Neurology, cares about you.

Reply Date: 2016/07/02

More Info

Based on your description of symptoms, including left hand and foot numbness, a tingling sensation in the left palm, and tightness around the elbow joint, it is essential to consider several potential neurological issues that could be contributing to these sensations.
Firstly, the numbness and tingling you are experiencing in your left hand could be indicative of a peripheral nerve issue, such as carpal tunnel syndrome or ulnar nerve entrapment. Carpal tunnel syndrome occurs when the median nerve, which runs through the wrist, becomes compressed, leading to symptoms like numbness, tingling, and weakness in the hand. Ulnar nerve entrapment, often referred to as cubital tunnel syndrome, occurs when the ulnar nerve is compressed at the elbow, which can cause similar symptoms in the ring and little fingers, as well as weakness in grip strength.

The tightness you feel around your elbow may also suggest that the muscles and tendons in that area are strained or that there is some inflammation. This could be due to repetitive strain from prolonged computer use, which can lead to muscle imbalances and tension in the neck and shoulder area, further exacerbating nerve compression.

Your history of autonomic nervous system dysregulation may also play a role in how your body responds to stress and tension. Stress can lead to muscle tightness and exacerbate existing conditions, potentially contributing to the sensations you are experiencing. The tightness in your neck when rotating your head could indicate cervical spine issues, such as cervical radiculopathy, where nerve roots are compressed as they exit the spinal column, leading to symptoms in the arms.

Given your symptoms and history, it would be advisable to consult with a neurologist or an orthopedic specialist who can perform a thorough examination, including a neurological assessment and possibly imaging studies like an MRI or nerve conduction studies. These tests can help determine if there is any nerve compression or damage, as well as assess the overall health of your cervical spine.

In the meantime, consider implementing ergonomic adjustments to your workstation to reduce strain on your neck and arms. Regular breaks to stretch and move can also help alleviate tension. Physical therapy may be beneficial to strengthen the muscles around your neck and shoulders and improve posture, which can help relieve pressure on the nerves.

Lastly, managing stress through relaxation techniques, such as mindfulness or yoga, may also help alleviate some of the symptoms related to autonomic nervous system dysregulation. It’s important to address both the physical and psychological aspects of your symptoms for a comprehensive approach to your health.

In summary, while your symptoms may suggest potential neurological issues related to nerve compression or strain, a thorough evaluation by a healthcare professional is necessary to determine the exact cause and appropriate treatment.

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