Itching in the arm without sensation?
Hello Doctor: Recently, when I scratch my left arm, I often feel little sensation, as if there is a thick layer of skin in between, but there is no numbness.
I am very worried that there might be something wrong with my body.
Could you please explain why this situation occurs?
C, 20~29 year old female. Ask Date: 2017/11/17
Dr. Jiang Junyi reply Neurology
Hello, based on your description, if there are sensory abnormalities in the peripheral nerves, the first consideration should be nerve compression.
I wonder if you have a habit of carrying a backpack on one shoulder? If the symptoms worsen, it may be necessary to consider other autoimmune or metabolic diseases.
I recommend that you consult a neurologist to discuss examination and treatment.
Wishing you good health and peace.
Best regards, Dr.
Tao.
Reply Date: 2017/11/17
More Info
Feeling a lack of sensation when scratching your arm can be concerning, and it’s understandable that you might be worried about what this could mean for your health. Based on your description, it seems like you are experiencing a phenomenon known as "diminished tactile sensation" or "hypoesthesia." This condition can manifest as a reduced ability to feel touch, temperature, or pain in a specific area of the body.
There are several potential causes for this sensation. One common reason could be related to nerve compression or damage. For instance, if a nerve that supplies sensation to your arm is compressed or injured, it may not transmit sensory information effectively. This can happen due to various reasons, such as repetitive strain injuries, prolonged pressure on the nerve (like sleeping in an awkward position), or even conditions like carpal tunnel syndrome or cubital tunnel syndrome, which affect the nerves in the arm.
Another possibility is that your symptoms could be related to peripheral neuropathy, a condition that affects the peripheral nerves and can lead to numbness, tingling, or a loss of sensation. Peripheral neuropathy can be caused by a variety of factors, including diabetes, vitamin deficiencies, alcohol abuse, or certain medications. It’s also worth noting that systemic conditions, such as multiple sclerosis or autoimmune diseases, can lead to sensory disturbances.
Additionally, psychological factors can sometimes play a role in how we perceive sensations. Conditions such as anxiety or depression can alter sensory processing, leading to feelings of detachment or a lack of sensation in certain areas of the body. This is often referred to as somatic symptom disorder, where psychological distress manifests as physical symptoms.
Given your concerns, it’s essential to consult a healthcare professional for a thorough evaluation. A neurologist would be particularly well-suited to assess your symptoms. They may recommend tests such as nerve conduction studies or electromyography (EMG) to evaluate the function of your nerves and muscles. Blood tests might also be conducted to check for underlying conditions like diabetes or vitamin deficiencies.
In the meantime, there are a few strategies you can consider to help manage your symptoms. Ensuring that you maintain good posture and avoid positions that put pressure on your nerves can be beneficial. Gentle stretching and strengthening exercises may also help improve nerve function and reduce discomfort. If your symptoms are related to anxiety or stress, engaging in relaxation techniques such as mindfulness, meditation, or yoga could be helpful.
In summary, the sensation of not feeling anything when scratching your arm can arise from various causes, including nerve compression, peripheral neuropathy, or psychological factors. It’s crucial to seek medical advice to determine the underlying cause and receive appropriate treatment. Remember, you are not alone in this experience, and with the right support, you can find relief and regain your sense of touch.
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