Numbness in the hands after intense exercise?
Hello doctor, I usually play soccer regularly.
Generally, I don't have any issues, but if I play more intensely on a given day (for example, during a match), my fingers on both hands start to feel numb after the activity and this sensation lasts until I go to bed.
It only goes away when I wake up the next day.
Besides the numbness in my hands, I don't have any other problems.
This situation has been present since I started playing soccer, and it has been several years now.
What could be the possible cause of this? Do I need to seek further medical attention or undergo any tests?
Qiao Zhi, 20~29 year old female. Ask Date: 2022/05/21
Dr. Jiang Junyi reply Neurology
Dear Mr.
George,
You mentioned that "after a day of intense kicking (such as during a match), my fingers on both hands start to feel numb." I would like to know if your numbness has a band-like distribution.
We need to rule out the possibility of cervical nerve compression.
When cervical degeneration compresses the nerves between the sixth and seventh cervical vertebrae, it can lead to symptoms of numbness, pain, and weakness in both hands.
If the numbness is more generalized throughout the limbs, we may need to consider hyperventilation, which can lead to decreased carbon dioxide levels in the blood and an increase in pH, a condition known medically as "respiratory alkalosis." This can trigger systemic reactions and symptoms, with common manifestations including vasoconstriction and decreased blood calcium levels.
The reduced blood flow to the brain due to vasoconstriction can result in dizziness, numbness (especially around the lips and upper limbs), and weakness.
I recommend that you consult with a rehabilitation specialist or a neurologist for further evaluation and treatment.
Thank you for your inquiry, and feel free to discuss any related questions!
Wishing you good health and peace,
Dr.
Chien-Yi Jiang
Taoyuan Hospital
Reply Date: 2022/05/21
More Info
Tingling in the fingers after intense physical activity, such as playing soccer, can be attributed to several potential causes, primarily related to nerve compression or circulation issues. Given that you have experienced this sensation consistently over the years, it is important to consider both the mechanics of your body during play and any underlying conditions that may contribute to this symptom.
One common reason for tingling in the fingers during or after intense physical activity is nerve compression. This can occur due to the position of your arms and hands while playing. For instance, if you are frequently using your arms to shield the ball or make quick movements, you may inadvertently compress nerves in your neck or shoulder area, particularly the brachial plexus, which is a network of nerves that sends signals to your arm and hand. This compression can lead to sensations of tingling or numbness in the fingers.
Another possibility is that the tingling is related to circulation issues. During intense exercise, blood flow is redirected to the muscles that are working hard, which can sometimes lead to temporary reduced blood flow to the extremities, including the fingers. If you are gripping the ball tightly or maintaining a certain posture for extended periods, this could also contribute to reduced circulation and the resulting tingling sensation.
Additionally, repetitive strain injuries can develop over time, especially in athletes. If you have been playing soccer for many years, it is possible that you have developed some form of repetitive strain injury that affects the nerves or muscles in your arms and hands. Conditions such as carpal tunnel syndrome, where the median nerve is compressed at the wrist, can also cause tingling in the fingers, although this is typically more associated with activities that involve repetitive wrist flexion.
Given that this tingling has been a consistent issue for several years, it would be wise to consult a healthcare professional, particularly a sports medicine specialist or a neurologist. They can perform a thorough examination, which may include physical assessments and possibly imaging studies, to determine if there is any underlying nerve compression or other issues that need to be addressed.
In the meantime, consider the following recommendations to help manage your symptoms:
1. Warm-Up and Stretch: Ensure you are properly warming up before games and stretching your arms and hands afterward. This can help reduce tension in the muscles and nerves.
2. Adjust Your Technique: Pay attention to your arm and hand positioning during play. If you notice that certain movements consistently lead to tingling, try to adjust your technique to alleviate pressure on your nerves.
3. Take Breaks: If you are playing for extended periods, take short breaks to shake out your hands and arms, allowing for better circulation.
4. Strengthening Exercises: Engage in exercises that strengthen the muscles in your arms and shoulders, which can help support proper posture and reduce the risk of nerve compression.
5. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet, as dehydration and nutrient deficiencies can also affect nerve function.
In conclusion, while tingling in the fingers after intense soccer matches can be common, especially with repetitive movements, it is essential to monitor the situation. If the tingling persists or worsens, seeking medical advice is crucial to rule out any serious conditions and to receive appropriate treatment.
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