Nerve Injuries from Exercise: Causes and Solutions - Neurology

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Motor nerve injury


Hello Dr.
Jiang, I have been practicing with dumbbells and doing Zumba aerobic dance for over six months.
Recently, I have started to experience numbness from my left arm to my fingers, especially when exercising with dumbbells.
Initially, I only felt this during exercise, but now it persists even after I finish working out.
After some time, the sensation disappears.
However, I have also started to feel it in my legs.
Could this be due to overexertion or incorrect exercise techniques? What treatment do you recommend? Thank you.

Wei, 50~59 year old female. Ask Date: 2020/03/11

Dr. Jiang Junyi reply Neurology


Hello, based on your description, it may be necessary to consider cervical nerve root compression.
Generally, the human body has seven cervical vertebrae and eight pairs of spinal nerves.
Prolonged poor posture with the head down can lead to curvature, narrowing, and deformation of the cervical spine, causing the intervertebral discs to compress the nerves that control the shoulders between the fourth and fifth vertebrae, resulting in neck and shoulder pain.
If the nerve roots of the fifth and sixth vertebrae are compressed, it can cause symptoms of numbness, tingling, and weakness in the upper arms and fingertips.
Your symptoms may indicate compression of the C6-C7 cervical nerves.
It is advisable to consult with a rehabilitation specialist or a neurologist/neurosurgeon for further evaluation and treatment.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Medical Center cares about you.

Reply Date: 2020/03/11

More Info


Understanding nerve injuries related to exercise, particularly in the context of activities like weightlifting and Zumba, is crucial for maintaining a healthy and effective workout routine. The symptoms you describe—numbness and tingling in your left arm and fingers during and after exercise—can be indicative of several underlying issues, including nerve compression, overuse injuries, or even improper technique.


Potential Causes
1. Nerve Compression: One of the most common causes of numbness and tingling during exercise is nerve compression. This can occur if you are using improper form while lifting weights, particularly if you are straining or holding your arm in an awkward position. For instance, if you are lifting weights overhead or performing exercises that require significant shoulder mobility, the brachial plexus (a network of nerves that innervates the arm) can become compressed.

2. Overuse Injuries: Engaging in repetitive motions, especially in activities like Zumba or weightlifting, can lead to overuse injuries. These injuries may not only affect muscles but can also impact the nerves, leading to symptoms like numbness and tingling. If you have recently increased the intensity or duration of your workouts, this could contribute to the symptoms you are experiencing.

3. Circulation Issues: Sometimes, the way you position your body during exercise can impede blood flow to your extremities. This can lead to temporary numbness or tingling, which usually resolves once you change positions or take a break.

4. Underlying Conditions: While less common, underlying medical conditions such as diabetes, multiple sclerosis, or cervical spine issues can also manifest as numbness and tingling during physical activity. If these symptoms persist or worsen, it is essential to consult a healthcare professional.


Recommendations for Treatment and Prevention
1. Evaluate Your Technique: Consider having a qualified trainer assess your form during exercises, especially those involving weights. Proper technique can significantly reduce the risk of nerve compression and overuse injuries.

2. Modify Your Routine: If you suspect that certain exercises are exacerbating your symptoms, consider modifying your routine. This might involve reducing the weight you are lifting, changing the types of exercises you perform, or incorporating more rest days into your schedule.

3. Incorporate Stretching and Strengthening: Regular stretching and strengthening exercises for the shoulders, neck, and upper back can help alleviate tension on the nerves and improve overall mobility. Focus on exercises that promote flexibility and strength in these areas.

4. Rest and Recovery: Ensure you are allowing adequate recovery time between workouts. Overtraining can lead to cumulative injuries, so listen to your body and take breaks when needed.

5. Consult a Healthcare Professional: If your symptoms persist despite making adjustments to your routine, it is advisable to consult a healthcare professional. They may recommend physical therapy, imaging studies, or other interventions to address any underlying issues.

6. Monitor Symptoms: Keep a journal of your symptoms, noting when they occur, their duration, and any activities that seem to trigger them. This information can be valuable for healthcare providers in diagnosing the issue.


Conclusion
In summary, the numbness and tingling you are experiencing during and after exercise could be due to nerve compression, overuse injuries, or circulation issues. By evaluating your technique, modifying your routine, incorporating stretching and strengthening exercises, and allowing for adequate recovery, you can help mitigate these symptoms. However, if the problem persists, seeking professional medical advice is crucial to rule out any serious underlying conditions. Remember, maintaining a balanced approach to exercise is key to long-term health and fitness.

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