Arm Numbness: Causes and Rehabilitation Insights

Q: Arm Numbness: Causes and Rehabilitation Insights

Hello： Based on your description, your symptoms range from subclinical to clinical (intermittent), which we categorize as minor symptoms. <br>If the symptoms persist, we will start with physical therapy and monitor the subsequent response. <br>However, it is concerning that the a

Numbness and tingling in the arm?

About 8-9 years ago, I experienced pain in my left arm and numbness in my left fingers, which led to an MRI examination.
The report indicated disc compression at the C3-4-5-6 levels.
I subsequently underwent rehabilitation therapy and recovered about 70-80%.
My rehabilitation continued intermittently until June of this year, when I was diagnosed with COVID-19.
After recovering, I noticed that my symptoms suddenly became more pronounced, although they still occur sporadically.
Recently, I have also experienced similar symptoms in my right hand.
Additionally, an X-ray examination of my lumbar spine showed mild compression at the L3-4-5-S1 levels, which has caused discomfort in my left leg and foot, and occasionally in my right foot as well.
I would like to know if the transfer of these symptoms to the right side is also due to cervical and lumbar spine compression, or if there might be other neurological issues involved?

Cheng, 40~49 year old female. Ask Date: 2023/10/26

Dr. Lin Ruixiang reply Rehabilitation

Hello: Based on your description, your symptoms range from subclinical to clinical (intermittent), which we categorize as minor symptoms.
If the symptoms persist, we will start with physical therapy and monitor the subsequent response.
However, it is concerning that the affected area is indeed expanding.
If the discomfort is caused by nerve compression from the spine, the sensory distribution (pain or numbness) will follow the dermatomes.
In the case of polyneuropathy, the distribution will follow the areas controlled by the nerves.
These two can be easily differentiated based on clinical symptoms.
Additionally, a preliminary screening can be conducted through electromyography and nerve conduction studies.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2023/10/26

More Info

Understanding arm numbness and its associated symptoms can be complex, especially when there are multiple factors at play, such as previous injuries, degenerative changes in the spine, and recent health events like COVID-19. Based on your description, it seems that you have a history of cervical spine issues, specifically disc herniation at the C3-C6 levels, which has previously caused pain and numbness in your left arm. You also mentioned experiencing similar symptoms in your right arm and discomfort in your legs, which raises important questions about the underlying causes.

Causes of Numbness and Pain
1. Cervical Radiculopathy: The symptoms you describe, particularly the numbness and pain radiating down your arms, are consistent with cervical radiculopathy. This condition occurs when a nerve root in the cervical spine is compressed or irritated, often due to herniated discs or degenerative changes. The fact that you have had previous MRI findings indicating disc compression at C3-C6 supports this diagnosis.

2. Lumbar Radiculopathy: Your lumbar spine findings (L3-L5-S1) suggest that there may also be some degree of nerve root involvement in the lower back, which could explain the discomfort in your legs. Lumbar radiculopathy can cause symptoms that radiate down the legs, often described as pain, numbness, or weakness.

3. Neuropathy: Given the recent onset of symptoms in your right arm and the history of COVID-19, it is also worth considering the possibility of peripheral neuropathy. Viral infections can sometimes lead to nerve inflammation or damage, which might explain the new symptoms in your right arm.

4. Muscle and Joint Issues: The discomfort in your legs could also be related to muscle tightness or joint issues, particularly if you have been less active during your recovery from COVID-19.

Rehabilitation Insights
1. Physical Therapy: Engaging in a structured physical therapy program can be beneficial. A physical therapist can design a rehabilitation program tailored to your specific needs, focusing on strengthening the muscles around your spine, improving flexibility, and enhancing overall function. This may include exercises to improve posture, core stability, and neck and back strength.

2. Pain Management: If you experience significant pain, modalities such as heat therapy, electrical stimulation, or ultrasound may be incorporated into your rehabilitation plan to help alleviate discomfort.

3. Ergonomic Adjustments: Assessing your work and home environments for ergonomic improvements can help reduce strain on your neck and back. This includes proper chair height, monitor placement, and keyboard positioning.

4. Gradual Return to Activity: If you have been less active due to your symptoms, it is important to gradually reintroduce physical activity. Low-impact exercises such as walking, swimming, or cycling can help improve overall fitness without placing excessive strain on your spine.

5. Monitoring Symptoms: Keep a detailed log of your symptoms, noting when they occur, their intensity, and any activities that seem to exacerbate them. This information can be invaluable for your healthcare provider in determining the best course of action.

6. Consultation with Specialists: If your symptoms persist or worsen, consider consulting with a neurologist or an orthopedic specialist. They may recommend further imaging studies or interventions, such as corticosteroid injections or, in some cases, surgical options if conservative measures fail.

Conclusion
In summary, the symptoms you are experiencing in both your arms and legs may be interconnected and could stem from cervical and lumbar spine issues. A comprehensive rehabilitation approach, including physical therapy and pain management strategies, can help you regain function and alleviate discomfort. It is essential to work closely with your healthcare team to monitor your symptoms and adjust your treatment plan as necessary. If you notice any new or worsening symptoms, do not hesitate to seek medical attention.

Similar Q&A

Understanding Sudden Arm Numbness: Causes and Solutions

Hello, doctor. This evening, I suddenly experienced a tingling and painful sensation in the inner side of my left forearm when I straightened it. After a while, the pain subsided, but it recurred during certain movements. This is the first time I've encountered this issue; I...

Dr. Wang Zhaomin reply Rehabilitation
Prolonged poor posture can lead to nerve compression, resulting in numbness and pain. When sitting for long periods while studying, it is important to maintain proper posture and to regularly get up and move around to avoid compression of nerves and other tissues. A proper assess...

Understanding Arm Numbness: Neurological Insights and Recovery Time

Hello Doctor, I am the person who inquired about the numbness in my upper arm a few days ago (#179797). I greatly appreciate your prompt and helpful response! If possible, I would like to ask a few more questions: 1) You mentioned that the issue might be related to spinal cord ...

Dr. Jiang Junyi reply Neurology
Dear Mr. JAM, You mentioned that "certain specific movements cause numbness extending to the little finger." It may be necessary to consider cubital tunnel syndrome, which can lead to compression of the ulnar nerve. Nerve repair requires supplementation of B vitamins, ...

Relieving Hand Numbness and Arm Pain: Causes and Solutions

Hello, I have recently been experiencing numbness in my palms and pain in my arms (without numbness or pain in my shoulders or neck). Sometimes the numbness in my hands is so severe that I have difficulty applying force, and I even struggle to turn the handlebars of my motorcycle...

Dr. Lan Shengxing reply Neurology
Dear Ms. Huang, the potential lesions related to your described issues could range from the cervical nerves to the more peripheral median nerve. It is advisable for you to visit a neurology outpatient clinic for further examination.

Understanding Hand Numbness: Causes and Solutions for Rehabilitation

Hello, Director Chen! Recently, I've experienced sudden numbness in my right palm that lasts for a few seconds and then disappears. I haven't been doing any heavy household chores. Sometimes, after my right hand goes numb, my left hand also experiences numbness. What co...

Dr. Chen Xianchang reply Rehabilitation
Hello Ms. Kiwi: Here are a few suggestions: 1. It may be carpal tunnel syndrome, caused by prolonged overuse of the flexor muscles in the palm, leading to inflammation or swelling that compresses the median nerve; this often results in waking up with numbness during the night. 2....