Managing Neck Pain and Hand Tremors: When to See a Neurologist

Q: Managing Neck Pain and Hand Tremors: When to See a Neurologist

Hello： If you experience hand numbness after lifting objects, it may be necessary to consider carpal tunnel syndrome. <br>This condition typically occurs in individuals who perform repetitive wrist movements, such as mechanics, carpenters, typists, and homemakers, particularly af

Tremors and neck and shoulder pain issues?

Hello, Doctor! I would like to ask you about my condition.
Due to long-term computer use and carrying heavy books, I experienced shoulder and neck pain three months ago and visited an orthopedic clinic.
The doctor diagnosed me with shoulder tendonitis, and I followed the treatment plan, taking medication and undergoing rehabilitation, but I only experienced short-term improvement.
Since February of this year, I have corrected my computer posture and reduced the weight of my backpack, but it seems that my shoulder and neck pain have not improved significantly.
Additionally, I have noticed that my left hand shakes and feels numb after lifting things (this occurs only on the left side).
I would like to know your advice and whether I should see a neurologist.
Thank you! 🙏

CC, 20~29 year old female. Ask Date: 2021/03/21

Dr. Jiang Junyi reply Neurology

Hello: If you experience hand numbness after lifting objects, it may be necessary to consider carpal tunnel syndrome.
This condition typically occurs in individuals who perform repetitive wrist movements, such as mechanics, carpenters, typists, and homemakers, particularly affecting the dominant hand, with symptoms exacerbated by work activities.
Other conditions, including diabetes, hypothyroidism, rheumatoid arthritis, and amyloidosis, can also lead to carpal tunnel syndrome.
Mild cases of carpal tunnel syndrome can be managed conservatively, with treatment options including avoiding excessive wrist movements, taking anti-inflammatory medications, and wearing wrist braces.
Using a wrist brace can help reduce excessive wrist motion and should be worn continuously for 2-4 weeks.
For severe cases of carpal tunnel syndrome or patients who do not respond well to conservative treatment, surgical intervention may be necessary to release the ligament in the carpal tunnel to alleviate pressure on the median nerve.
It is advisable to consult with a neurologist or a rehabilitation specialist for discussion and treatment.
Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Medical Center, cares for you.

Reply Date: 2021/03/21

More Info

It sounds like you are experiencing a combination of neck pain and hand tremors, which can be quite distressing. Given your history of shoulder and neck issues, as well as the recent development of symptoms in your left hand, it is important to consider a few factors before deciding on the next steps.

Firstly, the neck pain you are experiencing could be related to muscle strain or inflammation, especially since you mentioned that you have been using the computer extensively and carrying a heavy backpack. These activities can lead to poor posture, which may contribute to muscle tension and discomfort in the neck and shoulders. However, the fact that you are also experiencing tremors and numbness in your left hand raises some concerns that warrant further investigation.

Tremors and numbness can be indicative of nerve involvement, particularly if they are unilateral (affecting only one side of the body). In your case, the left hand symptoms could suggest that there may be compression or irritation of the nerves that originate from the cervical spine (neck area) or possibly a peripheral nerve issue. Conditions such as cervical radiculopathy, carpal tunnel syndrome, or even thoracic outlet syndrome could be potential causes of your symptoms.

Since you have already sought treatment from an orthopedic specialist and have undergone some rehabilitation, it may be beneficial to consult with a neurologist. A neurologist specializes in diagnosing and treating conditions related to the nervous system, including nerve compression syndromes and other neurological disorders. They can perform a thorough evaluation, which may include a neurological examination, imaging studies (such as MRI or CT scans), and possibly nerve conduction studies to assess the function of the nerves in your arm and hand.

In addition to seeing a neurologist, it may also be helpful to continue with physical therapy focused on improving your posture and strengthening the muscles around your neck and shoulders. Sometimes, a multidisciplinary approach that includes both physical therapy and neurological evaluation can yield the best results.

Furthermore, if you notice any worsening of your symptoms, such as increased weakness in your hand, loss of coordination, or changes in sensation, it is crucial to seek medical attention promptly. These could be signs of a more serious underlying condition that requires immediate intervention.

In summary, given your ongoing neck pain and the emergence of tremors and numbness in your left hand, it is advisable to see a neurologist for a comprehensive evaluation. They will be able to determine the underlying cause of your symptoms and recommend appropriate treatment options to help alleviate your discomfort and improve your quality of life.

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