Persistent Numbness in Left Middle and Ring Fingers: What to Do?

The left middle finger and ring finger are experiencing persistent numbness?

Hello Dr.
Wang: My child participated in a camping activity and maintained a squatting position for an extended period.
After returning home, the middle and ring fingers of the left foot have been persistently numb without pain for four days, with no improvement.
Which specialist should we see, and how should we handle this? Thank you.

Abo, 40~49 year old female. Ask Date: 2021/01/01

Dr. Wang Zhaomin reply Rehabilitation

There are numerous causes for numbness in the toes, and a proper assessment can only be made through an in-person examination.
Online consultations cannot replace an actual visit.
Please seek evaluation from a neurologist, orthopedic specialist, or rehabilitation physician for an accurate diagnosis and appropriate medication or rehabilitation treatment.

Reply Date: 2021/01/01

More Info

Persistent numbness in the left middle and ring fingers, especially after prolonged squatting, can be concerning and warrants a thorough evaluation. Given the context of your child's recent camping activity, it is possible that the numbness could be related to nerve compression or irritation, particularly if the squatting position put pressure on the nerves that supply sensation to the fingers.

Possible Causes
1. Nerve Compression: Prolonged squatting can compress the nerves in the lower back or the arm, leading to numbness in the fingers. The ulnar nerve, which runs along the inner side of the arm and into the hand, is particularly susceptible to compression, especially at the elbow (cubital tunnel syndrome) or wrist (Guyon's canal syndrome).

2. Circulatory Issues: If the blood flow to the fingers was compromised during the squatting position, it could lead to temporary numbness. However, this usually resolves quickly once the position is changed.

3. Musculoskeletal Issues: Strain or injury to the muscles or tendons in the arm or neck could also lead to numbness in the fingers.

Recommended Actions
1. Consult a Physician: It is advisable to see a healthcare provider, preferably a neurologist or an orthopedic specialist, who can assess the situation. They may conduct a physical examination and possibly recommend nerve conduction studies or imaging tests to determine if there is any underlying nerve damage or compression.

2. Rest and Position Change: Encourage your child to avoid positions that may exacerbate the numbness. Resting the affected hand and arm can help alleviate symptoms.

3. Physical Therapy: If a nerve compression issue is diagnosed, physical therapy may be beneficial. A physical therapist can provide exercises to strengthen the muscles around the affected area and improve flexibility.

4. Monitor Symptoms: Keep track of any changes in symptoms. If the numbness worsens, or if there are additional symptoms such as weakness, pain, or changes in color or temperature of the fingers, seek medical attention promptly.

Conclusion
While the numbness in your child's fingers may resolve on its own, it is essential to monitor the situation closely. If symptoms persist beyond a week or worsen, it is crucial to seek medical evaluation to rule out any serious underlying conditions. Early intervention can often lead to better outcomes and prevent potential complications.

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