Numbness and Pulsating Pain in the Back and Hand

Back numbness and intermittent hand pulse pain?

Hello Doctor: I occasionally experience a tingling sensation in the upper middle part of my right back.
It’s not painful, but it feels numb, especially when I am focused on a task (in a concentrated state).
This sensation has been present for the past few years.
Additionally, I sometimes feel a sudden, mild pain at the pulse point of my right hand.
It’s not very pronounced, more like a brief sensation as if blood is suddenly rushing through.
This occurs less frequently, often when I am doing household chores (like washing dishes or hanging laundry) and my hand is turned at a certain angle.
Doctor, what could be wrong with my body? How can I resolve this? Thank you, Doctor!

Shang Quan, 30~39 year old female. Ask Date: 2021/06/02

Dr. Hong Yuanbin reply Internal Medicine

Hello, regarding the back pain, it is likely caused by muscle tension or injury due to posture.
I recommend avoiding prolonged sitting and getting up to walk around approximately every 30 minutes; this should help improve the condition.
As for the hand discomfort, it may be a normal physiological phenomenon or early changes associated with carpal tunnel syndrome.
I suggest avoiding positions that exacerbate hand discomfort and applying mild heat.
If the discomfort persists, please consult a neurologist.
Thank you for your inquiry.

Reply Date: 2021/06/02

More Info

Based on your description of experiencing numbness in your upper right back and occasional pulsating pain in your right hand, it is essential to consider several potential causes and treatment options.

Understanding Your Symptoms
1. Numbness in the Back: The sensation of numbness in your upper back, especially when you are focused on a task, could be related to several factors. One possibility is that you may be experiencing a form of nerve compression or irritation. This can occur due to poor posture, especially if you are sitting or standing in a way that puts pressure on the nerves in your neck or upper back. Conditions such as thoracic outlet syndrome, where nerves or blood vessels are compressed in the space between your collarbone and first rib, could also be a contributing factor.

2. Pulsating Pain in the Hand: The sudden, brief pain in your right hand, described as a pulsating sensation, might be related to vascular changes or nerve irritation. This could be due to repetitive movements or awkward positions while doing household chores, which can lead to conditions like carpal tunnel syndrome or other forms of repetitive strain injuries.

Potential Causes
- Nerve Compression: Conditions such as herniated discs or spinal stenosis can compress nerves that travel from the spine to the arms, leading to numbness and tingling sensations.

- Poor Posture: Extended periods of poor posture can lead to muscle tension and nerve compression, particularly in the neck and upper back.

- Repetitive Strain Injury: Activities that involve repetitive motions, such as washing dishes or hanging clothes, can lead to inflammation and irritation of the tendons and nerves in the wrist and hand.

Recommended Actions
1. Posture Correction: Pay attention to your posture during daily activities. Ensure that your workspace is ergonomically designed to minimize strain on your back and arms. When standing or sitting, keep your shoulders relaxed and avoid slouching.

2. Stretching and Strengthening Exercises: Incorporate stretching exercises for your neck, shoulders, and upper back to relieve tension. Strengthening exercises for the muscles around your shoulder blades can also help support your posture and reduce nerve compression.

3. Frequent Breaks: If you are engaged in activities that require repetitive motions, take regular breaks to stretch and change positions. This can help alleviate any build-up of tension in your muscles.

4. Physical Therapy: Consider consulting a physical therapist who can provide a tailored exercise program to address your specific symptoms. They can also teach you proper body mechanics to prevent further injury.

5. Medical Evaluation: If your symptoms persist or worsen, it is crucial to seek a thorough evaluation from a healthcare professional. They may recommend imaging studies, such as an MRI or X-ray, to assess for any underlying conditions that may be causing your symptoms.

6. Pain Management: If you experience significant discomfort, over-the-counter pain relievers or anti-inflammatory medications may provide temporary relief. However, consult with a healthcare provider before starting any medication.

Conclusion
Your symptoms of numbness and pulsating pain could be indicative of underlying issues related to nerve compression or repetitive strain. By addressing posture, incorporating stretching and strengthening exercises, and seeking professional guidance, you can work towards alleviating your symptoms. If the issues persist, further medical evaluation will be necessary to rule out any serious conditions. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek help if needed.

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