Symptoms of Numbness and Eye Discomfort: A Neurology Perspective - Neurology

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The symptoms of numbness in the hands and feet, along with eye strain, may indicate various conditions. It is important to consider factors such as prolonged screen time, poor posture, or underlying medical issues like peripheral neuropathy or eye strain from excessive use of digital devices. If these symptoms persist, it is advisable


Hello Dr.
Huang,
Initially, I experienced fatigue and often felt unwell (about two or three years ago).
Later, I began to have neck pain and continued to feel unwell (about two years ago).
Since last year, I have been waking up in the morning with tingling in my fingers, starting with my left pinky, then spreading to my middle finger, and eventually to my entire left hand, and even my right hand.
Then it progressed to my left foot and then to my right toes.
At its worst, I would wake up at night due to the tingling, which is really uncomfortable.
Additionally, during the day, whenever I feel unwell, my eyes often feel sore, and I also experience poor mental clarity, discomfort in my neck and shoulders, and a tingling sensation in my palms and soles.
I have seen several doctors and underwent physical therapy for a while, but there seems to be no improvement.
I had an MRI of my neck, and according to the doctor, the cervical joints do not compress any nerves; there are just some protrusions, which he said are not serious.
I also had a lateral X-ray of my neck, which did not show any obvious abnormalities, yet I still feel very uncomfortable.
I can feel that the right end of my second cervical vertebra is protruding and painful, and the left end of my seventh cervical vertebra is also protruding and painful.
I am really distressed and cannot find a solution.
Please help me.
What is wrong with me, and how should I be treated? Thank you.

Xiang jiankang, 20~29 year old female. Ask Date: 2000/11/18

Dr. Huang Yingzhe reply Neurology


Honestly, at first glance, cervical myelopathy might be the first condition that comes to mind.
But why would there be discomfort in the eyes as well? I can't think of anything else! (Could it be a brain issue?!) Perhaps we need more results from neurological examinations to make a better guess! Sorry.

Reply Date: 2000/11/18

More Info


Hello! Thank you for sharing your concerns regarding your symptoms of numbness, eye discomfort, and overall fatigue. It sounds like you have been experiencing a complex set of issues that can be quite distressing. Let's break down your symptoms and explore potential underlying causes and treatment options.

Firstly, the symptoms you describe, including fatigue, neck pain, and numbness in your fingers and toes, may suggest a condition related to cervical spine issues. The cervical spine consists of vertebrae that protect the spinal cord and support the head. When there are protrusions or degenerative changes in the cervical discs, they can potentially irritate or compress nearby nerves, leading to symptoms such as numbness, tingling, and pain radiating into the arms and legs.

The fact that you have undergone imaging studies, including MRI and X-rays, which did not show significant nerve compression, is reassuring. However, it is important to note that even minor disc protrusions can sometimes lead to nerve irritation, especially if there is inflammation or muscle tension in the surrounding areas. This could explain the discomfort you feel in your neck and shoulders, which may contribute to your overall sense of fatigue and discomfort.

Your eye discomfort, particularly the sensation of pain and fatigue associated with your other symptoms, could be related to several factors. One possibility is that the tension in your neck and shoulders is causing referred pain to your eyes. Additionally, prolonged periods of discomfort and fatigue can lead to increased strain on the eye muscles, resulting in symptoms such as eye fatigue, discomfort, and even headaches.

It is also worth considering the role of stress and anxiety in your symptoms. Chronic pain and discomfort can lead to increased muscle tension and exacerbate feelings of fatigue and malaise. If you find that your symptoms worsen with stress, it may be beneficial to explore relaxation techniques, such as mindfulness, yoga, or physical therapy focused on stress reduction.

In terms of treatment, here are some options you might consider:
1. Physical Therapy: A physical therapist can work with you to develop a tailored exercise program that focuses on strengthening the muscles supporting your neck and improving flexibility. They can also teach you proper posture and ergonomics to reduce strain on your neck.

2. Pain Management: If you are experiencing significant discomfort, discussing pain management options with your healthcare provider may be helpful. This could include medications, injections, or alternative therapies such as acupuncture.

3. Eye Care: For your eye discomfort, ensure that you are taking regular breaks from screens and practicing good eye hygiene. If you haven’t already, consider consulting an eye care specialist to rule out any underlying eye conditions that may be contributing to your symptoms.

4. Stress Management: Incorporating stress management techniques into your daily routine can help alleviate some of the tension in your body. Consider practices such as deep breathing exercises, meditation, or gentle yoga.

5. Follow-Up with Specialists: If your symptoms persist or worsen, it may be beneficial to seek a second opinion from a neurologist or a pain specialist who can provide further evaluation and management options.

In conclusion, while your symptoms are complex, there are various avenues for exploration and treatment. It is essential to maintain open communication with your healthcare providers and advocate for your health. With the right approach, you can work towards finding relief and improving your quality of life. Thank you for reaching out, and I hope you find this information helpful!

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