Numbness in the Ring and Pinky Fingers: Causes and Self-Care Tips - Neurosurgery

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Numbness in the ring finger and little finger?


Hello doctor, I started feeling numbness in my little finger and ring finger yesterday.
Today, in addition to the numbness in those fingers, I also feel a sensation of numbness in the palm below them and along the inner side of my arm.
I'm not sure what the cause is or what self-treatment options I might have.
Thank you!

Ms. Shi, 30~39 year old female. Ask Date: 2018/05/22

Dr. Lai Zhaokang reply Neurosurgery


Hello: It may be ulnar nerve neuropathy or another condition.
You can start by applying a warm compress to the affected area and performing arm swinging exercises.
If there is no improvement after one week, please consult a neurosurgeon.
Best wishes from Dr.
Lai Chao-Kang, Neurosurgeon.

Reply Date: 2018/05/22

More Info


Numbness in the ring and pinky fingers, as well as the inner side of the forearm, can be concerning and may indicate a few underlying issues. The symptoms you describe suggest that you might be experiencing ulnar nerve entrapment, commonly known as cubital tunnel syndrome. This condition occurs when the ulnar nerve, which runs along the inner side of the elbow and down to the hand, becomes compressed or irritated.

Possible Causes:
1. Ulnar Nerve Compression: This is the most common cause of numbness in the ring and pinky fingers. It can happen due to prolonged pressure on the elbow, such as leaning on it for extended periods, or due to repetitive movements that strain the elbow.


2. Cervical Radiculopathy: Sometimes, nerve issues can originate from the neck. A herniated disc or bone spur can compress nerves that lead to symptoms in the arm and hand.

3. Diabetes or Other Systemic Conditions: Conditions like diabetes can lead to peripheral neuropathy, which may cause numbness in various parts of the body, including the fingers.

4. Injury: A recent injury to the elbow or wrist could also lead to nerve compression or irritation.


Self-Care Tips:
While it is essential to consult with a healthcare professional for a proper diagnosis and treatment plan, there are several self-care strategies you can try to alleviate your symptoms:
1. Rest: Avoid activities that exacerbate your symptoms, especially those that involve repetitive elbow flexion or pressure on the elbow.

2. Ergonomic Adjustments: If your work involves prolonged sitting or repetitive tasks, consider adjusting your workspace. Use ergonomic tools that promote better posture and reduce strain on your arms.

3. Stretching and Strengthening Exercises: Gentle stretching of the wrist and forearm muscles can help relieve tension. Strengthening exercises for the forearm can also be beneficial. However, avoid any movements that cause pain.

4. Cold Compress: Applying a cold pack to the affected area can help reduce inflammation and numbness. Make sure to wrap the ice in a cloth to avoid direct contact with the skin.

5. Avoiding Pressure: Be mindful of how you position your arms during activities. Avoid resting your elbows on hard surfaces for long periods.

6. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation if needed.

7. Posture Awareness: Maintain good posture while sitting and standing. Keeping your shoulders back and your neck aligned can help reduce nerve compression.


When to Seek Medical Attention:
If your symptoms persist or worsen, or if you experience additional symptoms such as weakness in the hand, loss of coordination, or significant pain, it is crucial to seek medical attention. A healthcare professional may recommend physical therapy, medications, or in some cases, surgical intervention to relieve nerve compression.

In summary, while self-care strategies can provide temporary relief, understanding the underlying cause of your symptoms is essential for long-term management. Consulting with a healthcare provider will ensure that you receive a comprehensive evaluation and appropriate treatment tailored to your specific condition.

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