Numbness in the fingers, followed by the development of calluses?
Hello, Doctor.
Last week, after welcoming a newborn and frequently holding the baby, I started experiencing a tingling sensation in my right thumb, index, and middle fingers on the third day.
By the fifth day, the same symptoms appeared in those three fingers on my left hand.
On the sixth day, I visited a neurosurgeon who advised me to increase my vitamin B12 intake.
However, on the eighth day, the originally tingling fingers began to feel like they were developing calluses, and soaking them in warm water provided some relief.
Additionally, I have noticed a slight tingling sensation in my right eyelid.
Should I be concerned about a vascular issue? Thank you, Doctor, for taking the time to clarify this!
Mr. Wu, 30~39 year old female. Ask Date: 2016/12/03
Dr. Lai Zhaokang reply Neurosurgery
First of all, congratulations on the arrival of your baby!
1.
Your description suggests that the first possibility is carpal tunnel syndrome, which occurs when the median nerve is compressed at the wrist.
You can try wrist exercises, heat therapy, and using a wrist brace.
Additionally, medication and physical therapy may be beneficial.
It is also recommended to return to the clinic for an evaluation to determine if a nerve conduction study is necessary for a definitive diagnosis.
2.
Regarding the slight numbness in your right eyelid, it is advised to return to the clinic to see a neurologist, neurosurgeon, or ophthalmologist for proper evaluation.
The neurosurgeon to consult is Dr.
Lai Chao-Kang.
Reply Date: 2016/12/03
More Info
Hello! Thank you for sharing your concerns regarding the numbness and calluses in your fingers, particularly after frequently holding your newborn. It’s understandable to be worried, especially when experiencing unusual sensations in your hands and fingers. Let’s break down your symptoms and explore potential causes and recommendations from a neurological perspective.
Understanding Your Symptoms
1. Numbness in Fingers: The numbness you are experiencing in your right thumb, index, and middle fingers could be attributed to several factors. Given that you have been holding your newborn frequently, it is possible that you have developed some form of nerve compression or irritation. This can occur due to prolonged pressure on the nerves in your wrist (such as in carpal tunnel syndrome) or in your arm.
2. Calluses: The development of calluses on your fingers may be a result of increased friction or pressure from holding the baby. Calluses form as a protective response of the skin to repeated friction or pressure, which can occur when gripping objects tightly or for extended periods.
3. Eye Symptoms: The slight numbness in your eyelid could be related to a variety of factors, including fatigue, stress, or even a mild neurological issue. However, it is less common for eye symptoms to be directly related to hand numbness unless there is a broader neurological condition at play.
Potential Causes
- Nerve Compression: As mentioned, holding your baby may have led to compression of the median nerve (in the case of carpal tunnel syndrome) or other nerves in the arm. This can cause numbness and tingling in the fingers.
- Vitamin B12 Deficiency: The suggestion to increase your Vitamin B12 intake is relevant, as a deficiency can lead to neurological symptoms, including numbness and tingling in the extremities. However, it is essential to consider other potential causes as well.
- Circulatory Issues: While less likely, it’s worth noting that circulatory problems can lead to numbness. If blood flow is restricted, it can cause sensations of numbness or tingling.
Recommendations
1. Monitor Symptoms: Keep track of your symptoms. If the numbness persists or worsens, or if you experience additional symptoms (such as weakness, pain, or changes in vision), it is crucial to seek further medical evaluation.
2. Ergonomics: Pay attention to how you are holding your baby. Try to change positions frequently to avoid prolonged pressure on your arms and hands. Using supportive pillows or cushions can help alleviate pressure.
3. Vitamin B12: If you suspect a deficiency, consider dietary sources rich in Vitamin B12 (such as meat, dairy, and fortified cereals) or discuss supplementation with your healthcare provider.
4. Physical Therapy: If nerve compression is suspected, a physical therapist can provide exercises and strategies to relieve pressure on the nerves and improve hand function.
5. Follow-Up: If symptoms do not improve or if you develop new symptoms, follow up with a neurologist or your primary care physician for further evaluation. They may recommend nerve conduction studies or imaging if necessary.
Conclusion
Your symptoms of finger numbness and the development of calluses are likely related to the physical demands of holding your newborn. While Vitamin B12 deficiency is a possibility, it is essential to consider other factors such as nerve compression or ergonomic issues. Monitoring your symptoms and making adjustments to how you hold your baby can help alleviate discomfort. If symptoms persist, do not hesitate to seek further medical advice. Your health and well-being are important, especially during this exciting time with your new child.
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