Numbness and warmth in the fingertips of the left hand?
Hello, doctor.
Recently, I have been experiencing a tingling sensation in the fingertips of my left hand (particularly in the thumb, index, and middle fingers) after taking a shower with hot water.
I would like to ask you a few questions.
After showering, I start to feel a slight numbness, and after using a hairdryer, this numbness becomes more pronounced, accompanied by warmth and mild pain, almost like an electric shock sensation, lasting for about an hour before subsiding.
Currently, this tingling and warm sensation only occurs in the fingertips of my left hand, and it coincides with my showering.
Could you please explain what might be causing this issue and why it only occurs after bathing? Are there any specific symptoms I should pay attention to? Thank you, doctor! To summarize my daily situation: I am right-handed and spend a considerable amount of time using my phone and computer.
Recently, I have added a new set of exercises for my upper arms and back (the intensity is not high, but I usually shower right after exercising, and I'm not sure if this is related).
My sitting posture is also not very correct.
Shou ma de ren, 20~29 year old female. Ask Date: 2021/06/05
Dr. Jiang Junyi reply Neurology
Hello, Miss: Your symptoms may suggest carpal tunnel syndrome.
You mentioned experiencing hand numbness after using a hairdryer; I wonder if you used your left hand to hold the hairdryer? Carpal tunnel syndrome typically occurs in individuals who perform repetitive wrist movements, such as mechanics, carpenters, typists, and homemakers, particularly affecting the dominant hand, with symptoms worsening due to work activities.
The incidence of carpal tunnel syndrome in women is 3 to 10 times higher than in men.
Additionally, other conditions such as diabetes, hypothyroidism, rheumatoid arthritis, and amyloidosis can also contribute to the development of carpal tunnel syndrome.
The best method for diagnosing carpal tunnel syndrome is through nerve conduction studies.
For treatment: Mild cases of carpal tunnel syndrome can be managed conservatively, which includes avoiding excessive wrist movements, taking anti-inflammatory medications, and wearing wrist splints.
Using a wrist splint can help reduce excessive wrist motion and should be worn continuously for 2 to 4 weeks.
I recommend consulting with a neurologist or a rehabilitation specialist to discuss evaluation and treatment options.
However, due to the current COVID-19 pandemic, it is advisable to wait until the situation stabilizes before going to the hospital for an examination.
Please also ensure to practice self-protection and hygiene before and after your medical visits.
Wishing you good health and safety.
Dr.
Jiang Junyi, Department of Neurology and Neurosurgery, Taoyuan Medical Center, cares about you.
Reply Date: 2021/06/05
More Info
The symptoms you are experiencing in your left hand, particularly the numbness and heat in your fingertips after taking a hot shower, could be indicative of several underlying issues. It's important to consider both the physiological and neurological aspects of your condition, especially since you mentioned that the sensations are localized to your left hand and occur specifically after exposure to heat.
One potential cause of your symptoms could be related to nerve compression or irritation. Conditions such as carpal tunnel syndrome or ulnar nerve entrapment can lead to numbness and tingling in the fingers, particularly if there is any swelling or inflammation in the wrist or elbow. The heat from the shower may exacerbate these symptoms by increasing blood flow and swelling in the affected areas, leading to heightened sensations of numbness or discomfort.
Another possibility is that you may be experiencing a form of peripheral neuropathy, which can be caused by various factors including repetitive strain injuries, diabetes, or vitamin deficiencies. The fact that you spend considerable time using your phone and computer may contribute to repetitive strain on the nerves in your arm and hand, potentially leading to symptoms like those you are describing.
Additionally, the sensation of heat and mild pain you experience after using a hairdryer could suggest a hyperactive response of the nerves in your hand. This could be due to increased sensitivity of the nerves after exposure to heat, which might be a temporary reaction to the warm environment created by the shower and hairdryer.
Given that you also mentioned a recent increase in physical activity, it’s possible that your muscles and tendons are adjusting to the new demands placed on them. If your posture while exercising or sitting is not optimal, it could lead to muscle tension and nerve compression, which might explain the localized symptoms in your left hand.
To address your concerns, here are some recommendations:
1. Posture and Ergonomics: Pay attention to your sitting posture, especially while using your computer or phone. Ensure that your wrists are in a neutral position and that your hands are not excessively flexed or extended.
2. Rest and Ice: If you notice any swelling or discomfort, consider resting your hand and applying ice to reduce inflammation.
3. Stretching and Strengthening: Incorporate gentle stretching and strengthening exercises for your hands and wrists. This can help alleviate tension and improve flexibility.
4. Heat Sensitivity: Be cautious with hot water exposure. If you notice that your symptoms worsen with heat, consider using lukewarm water instead.
5. Consult a Specialist: Since your symptoms are specific and persistent, it would be wise to consult a neurologist or a hand specialist. They can conduct a thorough examination, possibly including nerve conduction studies, to determine if there is any underlying nerve damage or compression.
6. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur, their duration, and any activities that seem to trigger them. This information can be valuable for your healthcare provider.
In conclusion, while your symptoms may be benign and related to posture or nerve irritation, it’s essential to monitor them closely and seek professional evaluation if they persist or worsen. Early intervention can often lead to better outcomes and prevent further complications.
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