Which Specialist to See for Hand Muscle Weakness and Cramps? - Family Medicine

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If you are experiencing soreness or cramping in the muscles of your hands, you should consult a specialist in either orthopedics or neurology?


Hello, I have a feeling of weakness and cramping in the muscles and tendons of my hand (I'm not sure if it's tendons or muscles), but there is no pain (it initially started in my upper arm and has lasted for two to three years; I previously received acupuncture.
Recently, it has recurred and seems to have spread close to my wrist).
Additionally, I feel like my carpal tunnel syndrome may be recurring.
Which department should I consult? Also, to prevent my carpal tunnel syndrome from worsening, can I request a splint from the hospital during my visit, and will it be out-of-pocket?

Qiao, 40~49 year old female. Ask Date: 2017/10/18

Dr. Liao Yaopan reply Family Medicine


Hello, regarding the above issue, it is recommended to consult with a neurosurgeon and a rehabilitation specialist.
Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2017/10/18

More Info


When experiencing symptoms such as muscle weakness and cramps in the hands, it is essential to consult the right specialist to ensure accurate diagnosis and effective treatment. Given your description of the symptoms, which include weakness and cramping without pain, it would be advisable to see a neurologist or a rehabilitation specialist (physiatrist). These specialists are well-equipped to assess neuromuscular conditions, including potential issues related to the muscles, nerves, and tendons in your arms and hands.

A neurologist can evaluate for conditions such as carpal tunnel syndrome, which you mentioned, as well as other neurological disorders that may contribute to your symptoms. They may perform tests such as nerve conduction studies or electromyography (EMG) to assess the function of your nerves and muscles. These tests can help determine if there is any nerve compression or damage, which is crucial for diagnosing conditions like carpal tunnel syndrome.

On the other hand, a rehabilitation specialist can help with a comprehensive treatment plan that may include physical therapy, exercises to strengthen the muscles, and strategies to manage your symptoms. They can also provide guidance on ergonomic adjustments to your daily activities, which can help alleviate strain on your hands and wrists.

Regarding your concern about carpal tunnel syndrome, it is characterized by symptoms such as numbness, tingling, and weakness in the hand, particularly affecting the thumb, index, middle, and part of the ring finger. If you are experiencing these symptoms, it is crucial to address them early to prevent further complications.

As for your question about using a wrist splint, it is a common recommendation for managing carpal tunnel syndrome. A splint can help keep your wrist in a neutral position, reducing pressure on the median nerve, especially during sleep or activities that may exacerbate your symptoms. You can certainly ask your healthcare provider about the possibility of using a splint during your visit. Many hospitals and clinics offer splints that can be provided at little to no cost, but this can vary depending on your insurance coverage and the specific policies of the facility. If you need to purchase a splint, they are widely available at pharmacies and medical supply stores, often at a reasonable price.

In summary, I recommend scheduling an appointment with a neurologist or a rehabilitation specialist to evaluate your symptoms. They can provide a thorough assessment and develop a tailored treatment plan to address your hand muscle weakness and cramps. Additionally, discussing the use of a wrist splint during your appointment can be beneficial in managing your symptoms and preventing the progression of carpal tunnel syndrome. Remember, early intervention is key to preventing further complications and improving your quality of life.

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