Muscle Cramps in Fingers During Daily Activities - Neurology

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The issue of experiencing cramps in the fingers while working with them in a bent position?


In the past month, I have experienced muscle cramps in my fingers when using a toothbrush to brush my teeth, and also while washing dishes.
Using dental floss causes even more severe cramps in my fingers.
Occasionally, even when I'm not working, my fingers cramp up, and sometimes I notice a muscle indentation in the palm beneath my little finger during these cramps.
My toes also cramp when I move them, but most of the time, the cramps occur in my fingers when they are bent or in use.
Recently, I have been taking Prednisolone 5 mg for asthma treatment for almost a month.
I'm not sure if this is coincidental, but these symptoms started appearing about a week after I began the medication.
I consulted a pulmonologist about this issue, and the doctor prescribed a sedative, but I do not have any sleep issues.
During the day, I am still working and am concerned about safety, so I hesitate to take the medication.
I do not understand what might be causing these symptoms and would appreciate any clarification from a physician.

Guo Yihuo, 60~69 year old female. Ask Date: 2022/06/28

Dr. Jiang Junyi reply Neurology


Hello Mr.
Kuo,
You mentioned that your toes sometimes cramp during movement, and that most of the time, cramps occur when your fingers are bent or in use.
Recently, you have been taking Prednisolone 5 mg for asthma treatment for about a month.
Cramps are typically caused by muscle spasms, which can result from the accumulation of lactic acid metabolites, vascular spasms, or calcium deficiency, leading to increased cellular excitability.
If cold stimulation is added, cramps can occur more easily.
Some medications, such as corticosteroids, can reduce calcium absorption.
Insufficient vitamin D intake can further hinder calcium absorption.

I recommend ensuring adequate hydration to prevent dehydration, as dehydration can lead to muscle hypoxia and various minor issues.
Stretching and appropriately extending your body can effectively alleviate cramping pain.
It would be advisable to consult a neurologist for further examination and discussion.
Thank you for your inquiry, and feel free to reach out with any related questions! Wishing you good health and happiness.
Dr.
Jiang Junyi, Taoyuan Medical Center

Reply Date: 2022/06/28

More Info


Muscle cramps in the fingers, especially during daily activities such as brushing teeth or washing dishes, can be quite uncomfortable and concerning. Your symptoms, which include cramping in the fingers and occasional cramping in the toes, may be influenced by several factors, including medication, muscle fatigue, and possibly underlying conditions.

Firstly, it's important to consider the medication you mentioned, Prednisolone, which is a corticosteroid used to treat various conditions, including asthma. While corticosteroids can be effective in managing inflammation and immune responses, they can also lead to side effects, including muscle weakness and cramps. This is particularly true if there are changes in electrolyte balance, as corticosteroids can affect the levels of potassium and calcium in the body, both of which are crucial for proper muscle function. If you started experiencing cramps after beginning this medication, it could be a contributing factor.

Muscle cramps can also occur due to overuse or fatigue, especially if you are engaging in repetitive motions with your hands. Activities that require gripping or fine motor skills, like using a toothbrush or dental floss, can lead to muscle fatigue, resulting in cramps. If you have been using your hands more than usual or in a way that your muscles are not accustomed to, this could explain the cramping.

Dehydration and electrolyte imbalances are common causes of muscle cramps as well. Ensure you are drinking enough fluids throughout the day, especially if you are active or in a warm environment. A balanced diet rich in fruits, vegetables, and whole grains can help maintain proper electrolyte levels. Foods high in potassium (like bananas and oranges) and magnesium (like nuts and leafy greens) can be particularly beneficial.

Another consideration is your posture and ergonomics during daily activities. Poor hand positioning or excessive strain on the fingers can lead to muscle cramps. Pay attention to how you hold your toothbrush or perform other tasks. Adjusting your grip or using tools designed to reduce strain can help alleviate some of the discomfort.

If the cramps persist or worsen, or if you experience additional symptoms such as weakness, numbness, or persistent pain, it would be wise to consult a healthcare professional. A thorough evaluation can help rule out any underlying conditions, such as nerve compression syndromes (like carpal tunnel syndrome) or other neuromuscular disorders.

In the meantime, here are some strategies you can try to manage your symptoms:
1. Stretching and Strengthening Exercises: Gentle stretching of the fingers and hands can help alleviate tension. Strengthening exercises can also improve muscle endurance and reduce the likelihood of cramps.

2. Warm Compresses: Applying warmth to the affected areas can help relax the muscles and reduce cramping.

3. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet rich in essential nutrients.

4. Rest: If you notice that certain activities trigger cramps, consider taking breaks or modifying how you perform those tasks.

5. Consultation: If symptoms persist, consider discussing your concerns with a neurologist or a physical therapist who can provide targeted advice and treatment options.

In summary, while muscle cramps in the fingers can be a common occurrence, especially with certain medications and repetitive activities, it is essential to monitor your symptoms and make necessary adjustments to your routine. If the issue continues, seeking professional medical advice will be crucial in identifying and addressing any underlying causes.

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