Why Your Hands Go Numb After Climbing: Nerve Issues - Neurology

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After climbing, my hands felt numb until the evening?


Hello, I haven't exercised for a while, and today I hiked uphill for an hour.
As a result, my hand gradually became numb, and by the evening, the numbness extended from my palm to my forearm.
Is this normal? Thank you.

KIKI, 20~29 year old female. Ask Date: 2018/08/05

Dr. Jiang Junyi reply Neurology


Hello: Regarding the hand tingling sensation you mentioned related to exercise, the first thing that comes to mind is hyperventilation syndrome.
This condition can lead to decreased carbon dioxide levels in the blood, resulting in an increased pH level.
Consequently, blood flow to the brain may decrease due to vasoconstriction, causing symptoms such as dizziness, numbness (especially around the lips and upper limbs), and weakness.
However, if the symptoms are only present in one limb, it may be worth considering that tissue swelling is compressing the median nerve (which primarily innervates the sensation in the palm), leading to symptoms of carpal tunnel syndrome.
I wonder if you were holding any objects while exercising? I recommend discussing your symptoms with a neurologist for evaluation and treatment.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Medical Center cares about you.

Reply Date: 2018/08/05

More Info


Experiencing numbness in your hands after climbing, especially if you haven't exercised in a while, can be concerning. This sensation is often related to nerve compression or irritation, which can occur due to various factors during physical activities like climbing.


Understanding Nerve Issues
1. Nerve Compression: When you climb, especially if you're gripping tightly or holding onto a structure for an extended period, you may inadvertently compress the nerves in your arms or hands. The most common nerve affected in such scenarios is the median nerve, which runs through the wrist and can become compressed in the carpal tunnel, leading to symptoms like numbness, tingling, or weakness in the hand.

2. Positioning: The position of your arms while climbing can also contribute to nerve compression. If your arms are raised for a prolonged period or if you're leaning on your arms, this can lead to a temporary reduction in blood flow or nerve function, resulting in numbness.

3. Circulation Issues: Climbing can also affect circulation. If your grip is too tight or if you're in a position that restricts blood flow, you may experience numbness. This is often temporary and resolves once you change positions or relieve the pressure.

4. Muscle Fatigue: After a period of inactivity, your muscles may not be accustomed to the exertion required for climbing. Muscle fatigue can lead to tension and tightness, which may contribute to nerve irritation or compression.


Is It Normal?
While some numbness can be normal after physical exertion, especially if you're not used to the activity, it’s essential to pay attention to the duration and severity of the symptoms. If the numbness persists, worsens, or is accompanied by other symptoms such as pain, weakness, or changes in coordination, it may indicate a more serious issue that requires medical evaluation.


Recommendations
1. Rest and Recovery: After climbing, allow your body to recover. If you experience numbness, take breaks during your activity to shake out your hands and arms, and change your grip or position frequently.

2. Stretching and Strengthening: Incorporate stretching and strengthening exercises for your hands, wrists, and forearms into your routine. This can help improve flexibility and reduce the risk of nerve compression.

3. Proper Technique: Ensure that you're using proper climbing techniques. This includes maintaining a relaxed grip and avoiding excessive tension in your arms and hands.

4. Hydration and Nutrition: Staying hydrated and maintaining proper nutrition can also support nerve health and muscle function.

5. Consult a Professional: If numbness continues or if you have concerns about your symptoms, consider consulting a healthcare professional, such as a neurologist or a physical therapist. They can provide a thorough assessment and recommend appropriate treatment or rehabilitation strategies.


Conclusion
In summary, experiencing numbness in your hands after climbing can be a common occurrence, particularly if you are returning to physical activity after a break. While it may be normal, it’s crucial to monitor your symptoms and take preventive measures to avoid potential nerve issues in the future. If symptoms persist or worsen, seeking medical advice is always a prudent step to ensure your health and well-being.

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