Left Hand Finger Coordination Issues While Typing: Possible Causes - Neurology

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Left hand finger coordination issues while using the keyboard?


In the past two months, I have experienced a slight resistance sensation in my left hand fingers, particularly the index and middle fingers, when using the keyboard.
While typing, my left hand unconsciously bends the other four fingers, leaving only the left index finger to press the keys.
When I try to open my fingers to type, the resistance sensation reappears, making keyboard use very difficult.
However, I have no issues with my left hand when performing other tasks.
I am completely unsure of the cause and would appreciate any insights into possible reasons.

Gongchengshi, 20~29 year old female. Ask Date: 2022/10/26

Dr. Cai Zongzhang reply Neurology


Hello: The symptoms mentioned are indicative of neurological dysfunction, and there could be various potential lesions.
It is recommended to visit a neurology outpatient clinic for examination.

Reply Date: 2022/10/26

More Info


The symptoms you are experiencing with your left hand while typing could be attributed to several potential causes, primarily involving neurological or musculoskeletal issues. The fact that you only experience these problems while typing and not during other activities suggests that the issue may be related to the specific movements or positions required for typing.

One possible explanation is a condition known as focal dystonia, which is a neurological movement disorder. In focal dystonia, certain muscles contract involuntarily, leading to abnormal postures or movements. In your case, the involuntary bending of your fingers except for the index finger while typing could indicate that the muscles controlling those fingers are not functioning in a coordinated manner. This could be exacerbated by the repetitive nature of typing, which places stress on the muscles and tendons involved.

Another potential cause could be related to nerve compression or irritation. Conditions such as carpal tunnel syndrome, where the median nerve is compressed at the wrist, can lead to symptoms like weakness, tingling, or a feeling of resistance in the fingers. Although carpal tunnel syndrome typically affects the thumb, index, and middle fingers, it can also lead to generalized weakness in the hand, which might explain the difficulty you have when trying to extend your fingers while typing.

Additionally, you might be experiencing a form of muscle fatigue or overuse syndrome. If you have recently increased your typing activities or changed your typing technique, your muscles may not be accustomed to the new demands, leading to discomfort and coordination issues. This is particularly relevant if you have been typing for extended periods without adequate breaks.

Stress and anxiety can also play a role in muscle tension and coordination. If you have been under increased stress lately, it could lead to muscle tightness and a feeling of resistance when trying to perform fine motor tasks like typing. This is often referred to as "psychomotor agitation," where anxiety manifests physically, affecting your ability to control your movements.

Given these possibilities, it is advisable to consult a healthcare professional, particularly a neurologist or an occupational therapist, who can perform a thorough evaluation. They may conduct physical examinations, assess your hand movements, and possibly recommend imaging studies or nerve conduction tests to rule out any underlying conditions.

In the meantime, consider implementing some ergonomic adjustments to your typing setup. Ensure that your keyboard is at a comfortable height and that your wrists are in a neutral position while typing. Taking regular breaks to stretch your fingers and hands can also help alleviate some of the tension you are experiencing.

In summary, the coordination issues you are facing with your left hand while typing could stem from a variety of causes, including focal dystonia, nerve compression, muscle fatigue, or stress-related tension. A professional evaluation will be crucial in determining the exact cause and guiding you toward appropriate treatment or management strategies.

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