Palm Pain: Causes and When to Seek Help - Neurology

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Tingling in the palm?


Hello doctor, this week I started experiencing a tingling pain in my right palm, specifically in the area extending from my thumb downward.
Could you please tell me if there is something wrong with my body, or is this just temporary?

Ken, 20~29 year old female. Ask Date: 2022/11/30

Dr. Peng Shiwei reply Neurology


Based on your symptoms, both neurological and tendon issues could be monitored further, or you may consider consulting a neurologist or a rehabilitation specialist.

Reply Date: 2022/11/30

More Info


Palm pain, particularly in the area extending from the thumb downwards, can be attributed to several potential causes. Understanding these causes is crucial for determining whether the pain is temporary or indicative of a more serious underlying condition.
One common cause of pain in this area is carpal tunnel syndrome. This condition occurs when the median nerve, which runs through the wrist and into the hand, becomes compressed. Symptoms often include pain, tingling, or numbness in the thumb, index, middle, and part of the ring finger. If you find that your symptoms worsen at night or after prolonged use of your hand, this could be a sign of carpal tunnel syndrome.

Another possibility is De Quervain's tenosynovitis, which is an inflammation of the tendons on the thumb side of the wrist. This condition can cause pain on the thumb side of the wrist and may radiate into the palm. It is often exacerbated by repetitive hand movements, such as gripping or pinching.

Tendonitis or inflammation of the tendons in the hand can also lead to pain in the palm. This can occur due to overuse or strain from activities that require repetitive motion.
In some cases, pain in the palm can be related to arthritis, particularly osteoarthritis or rheumatoid arthritis, which can cause joint pain and swelling in the hands. If you have a history of joint issues or if you notice swelling or stiffness in your fingers or joints, this could be a contributing factor.

Additionally, nerve compression or irritation in the neck or upper back can lead to referred pain in the hand. Conditions such as cervical radiculopathy, where a nerve in the neck is compressed or irritated, can cause symptoms that radiate down the arm and into the hand.

Given that your symptoms have just started this week, it is essential to monitor them closely. If the pain persists, worsens, or is accompanied by other symptoms such as weakness, swelling, or changes in sensation, it is advisable to seek medical attention. A healthcare professional can perform a physical examination, assess your medical history, and may recommend imaging studies such as X-rays or an MRI to determine the underlying cause of your pain.

In the meantime, consider some self-care measures. Resting your hand, applying ice to the affected area, and avoiding activities that exacerbate the pain can help. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may also provide relief.

In summary, while your palm pain could be temporary, it is essential to pay attention to the symptoms and seek medical advice if they persist or worsen. Early intervention can help prevent potential complications and ensure appropriate treatment.

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