Hand issues?
Hello Doctor: I often feel weakness in my hands and a lack of dexterity in my fingers.
However, there are times when everything feels normal, and it currently does not affect my daily life.
I frequently use my phone, often supporting it with the palms of both hands.
I'm not sure if this has any impact or if it could be related to psychological factors.
Could you please clarify this for me, or suggest which specialty I should prioritize for a consultation? Thank you for taking the time to respond.
Nìngmíng, 30~39 year old female. Ask Date: 2018/10/13
Dr. Jiang Junyi reply Neurology
Hello: Your symptoms may suggest a peripheral nerve compression issue, with carpal tunnel syndrome being quite common.
Diagnosis of peripheral nerve injury can be performed using nerve conduction studies.
Nerve conduction studies involve the use of very fine electrical currents to stimulate the median nerve, allowing for the assessment of the nerve's response and the extent of injury.
Clinicians diagnose carpal tunnel syndrome based on clinical symptoms as well.
Although nerve conduction studies are a good method for diagnosing carpal tunnel syndrome, 10-25% of early-stage patients may not show nerve conduction abnormalities due to mild nerve compression.
It is recommended that you consult a neurologist for discussion and treatment.
Wishing you good health and peace.
Dr.
Jiang from the Department of Neurology at Taoyuan Hospital cares about you.
Reply Date: 2018/10/13
More Info
When experiencing hand weakness and reduced dexterity, it is important to understand the potential causes and when to seek medical help. Your symptoms, which fluctuate between feeling normal and experiencing weakness, can be concerning, especially if they affect your daily life or cause anxiety.
Firstly, it is essential to consider the possible reasons for your symptoms. Hand weakness can stem from various factors, including repetitive strain injuries, nerve compression, or underlying neurological conditions. Given your mention of frequently using your phone and supporting your hands in a specific position, you may be at risk for conditions like carpal tunnel syndrome or other repetitive strain injuries. These conditions occur when the nerves or tendons in the wrist are compressed due to prolonged pressure or awkward positioning, leading to symptoms such as weakness, numbness, or tingling in the fingers.
Additionally, psychological factors such as anxiety can also manifest physically, leading to sensations of weakness or discomfort. This phenomenon is often referred to as psychosomatic symptoms, where emotional distress translates into physical symptoms. If you find that your symptoms are exacerbated by stress or anxiety, addressing these psychological factors through counseling or stress management techniques may be beneficial.
In terms of when to seek help, if your symptoms persist, worsen, or begin to interfere with your daily activities, it is advisable to consult a healthcare professional. A neurologist would be the most appropriate specialist to evaluate your symptoms, as they can conduct a thorough assessment, including a physical examination and possibly nerve conduction studies or electromyography (EMG) to determine if there is any nerve damage or dysfunction.
Moreover, if you experience additional symptoms such as persistent numbness, tingling, pain radiating up your arm, or if you notice muscle atrophy (wasting), these could be signs of a more serious condition that requires immediate attention. Early intervention can be crucial in preventing further complications, especially if a neurological condition is involved.
In the meantime, consider making some ergonomic adjustments to your daily activities. For instance, ensure that your wrist is in a neutral position while using your phone or computer. Taking regular breaks to stretch and move your hands can also help alleviate any strain. Additionally, practicing good posture and using supportive devices, such as wrist rests, can reduce the risk of developing repetitive strain injuries.
Lastly, if you find that your symptoms are significantly affecting your mental health, it may be helpful to speak with a mental health professional. They can provide strategies to manage anxiety and stress, which may, in turn, alleviate some of the physical symptoms you are experiencing.
In summary, while occasional hand weakness may not be alarming, persistent or worsening symptoms warrant a visit to a neurologist. They can help determine the underlying cause and recommend appropriate treatment options. Taking proactive steps to address both physical and psychological aspects of your health can lead to improved well-being and functionality.
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