Weakness in the Right Hand After a Fall: When to Seek Help - Orthopedics

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Regarding slight weakness in the right hand?


Hello doctor, I recently had a fall.
I slipped and my body fell to the left, pulling the chair down with me.
After getting up, my right knee and the palm of my right hand hurt slightly, but it wasn't severe pain.
I applied some ointment, and after a while, the pain subsided, so I didn't pay much attention to it and continued to rest and apply the ointment.
However, I have now noticed that my right hand feels slightly weaker compared to my left hand.
Could this be related to the fall? I can perform all movements without pain, but my right hand feels a bit difficult to exert force.
Should I just rest for a few more days, or would it be better to visit a clinic to see a doctor?

Xiao Yao, 20~29 year old female. Ask Date: 2021/08/06

Dr. Shi Guozheng reply Orthopedics


It is possible to rest for a few days to observe the situation.
If there is no improvement, then seek medical attention.

Reply Date: 2021/08/06

More Info


After a fall, experiencing weakness in one hand can be concerning, and it is essential to understand the potential causes and when to seek medical attention. In your case, you mentioned that you fell and subsequently noticed some weakness in your right hand compared to your left, although you do not experience pain during movements. This situation could indeed be related to your fall, but several factors need to be considered.

Firstly, weakness in the hand can arise from various injuries, including soft tissue damage, nerve compression, or even muscle strain. When you fell, the impact might have caused some degree of trauma to the muscles, tendons, or ligaments in your right hand or forearm. Even if you do not feel pain, there could be underlying issues such as a mild sprain or strain that could lead to temporary weakness.

Another possibility is that the fall may have caused some nerve irritation or compression. The radial, median, and ulnar nerves are responsible for the motor function and sensation in the hand. If any of these nerves were affected during the fall, it could result in weakness or difficulty in performing certain movements. For instance, if the radial nerve is compromised, you might find it challenging to extend your wrist or fingers.

It is also important to consider that sometimes, after an injury, the body may subconsciously favor one side, leading to a temporary decrease in strength or coordination in the affected hand. This phenomenon can occur even if there is no significant injury to the muscles or nerves.

Given that you have been experiencing this weakness for a while, it would be prudent to seek medical advice. While resting and applying topical treatments may help alleviate minor discomfort, they may not address the underlying issue causing the weakness. A healthcare professional can perform a thorough examination, including a physical assessment and possibly imaging studies, to determine if there is any significant injury that requires intervention.

In terms of rehabilitation, if the weakness persists, a physical therapist can design a tailored exercise program to strengthen the affected muscles and improve coordination. They can also provide modalities such as ultrasound or electrical stimulation to promote healing and reduce any lingering symptoms.

In summary, while it is possible that the weakness in your right hand is a result of your fall, it is essential to have a professional evaluation to rule out any serious injuries. If the weakness continues or worsens, or if you start to experience pain, numbness, or tingling, it is advisable to seek medical attention promptly. Early intervention can prevent further complications and facilitate a quicker recovery.

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