Left Index Finger Numbness: When to See a Neurologist?

Issues with the left index finger?

Hello Doctor, on Monday I worked at an all-you-can-eat barbecue restaurant where I had to frequently change the grill mesh.
My index finger often got pressed by the mesh-changing tool.
After work, I noticed that half of the first joint of my left index finger has been numb (the other half is normal).
It has been five days now, and I haven't seen any improvement.
Should I go to the hospital for this condition? Should I see a neurologist or an orthopedic specialist? Since the clinics are fully booked on Saturday, will it be okay to wait until Monday to see a doctor? Or should I go immediately? I can also go to a hospital further away if necessary.

Ka, 20~29 year old female. Ask Date: 2021/12/25

Dr. Cai Zongzhang reply Neurology

Hello, the above symptoms may be caused by prolonged compression of the index finger.
It is recommended to visit a neurology clinic for an examination.

Reply Date: 2021/12/25

More Info

It sounds like you are experiencing numbness in your left index finger, particularly at the first joint, after a day of work that involved repetitive pressure on your finger. Given that this numbness has persisted for five days without improvement, it is advisable to seek medical attention.
Numbness in the fingers can arise from various causes, including nerve compression, injury, or even systemic conditions. In your case, the repetitive pressure from the grilling equipment could have led to a temporary nerve compression or irritation, particularly affecting the digital nerves that supply sensation to the fingers. This condition is sometimes referred to as "nerve entrapment" or "neuropathy."
When considering whether to see a neurologist or an orthopedic specialist, it is essential to understand the nature of your symptoms. Neurologists specialize in conditions affecting the nervous system, including peripheral nerves, while orthopedic doctors focus on the musculoskeletal system, including bones, joints, and muscles. Since your primary symptom is numbness, which suggests a possible nerve issue, starting with a neurologist would be a prudent choice. They can perform a thorough examination, assess the function of the affected nerve, and determine if further tests, such as nerve conduction studies or electromyography (EMG), are necessary.

If you experience additional symptoms such as weakness, severe pain, or changes in function (like difficulty moving your finger), it is crucial to seek immediate medical attention. These could indicate a more severe issue, such as a significant nerve injury or other underlying conditions that may require prompt intervention.

Regarding your concern about waiting until Monday to see a doctor, if your symptoms are stable and not worsening, it may be acceptable to wait. However, if you notice any progression in your symptoms or develop new symptoms, it would be wise to seek care sooner, even if it means going to a different hospital.

In the meantime, you can take some self-care measures. Resting the affected finger, avoiding activities that exacerbate the numbness, and applying ice may help reduce any inflammation or irritation. Additionally, gentle stretching and mobility exercises for your fingers can promote circulation and may alleviate some discomfort.

In summary, given the duration of your symptoms and their nature, it is advisable to consult a neurologist. They can provide a comprehensive evaluation and guide you on the appropriate next steps. If you experience any worsening of your condition, do not hesitate to seek immediate medical attention. Your health and well-being are paramount, and addressing these symptoms early can lead to better outcomes.

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