Stiffness and Numbness in Limbs: Causes and Treatments - Internal Medicine

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The hands and feet may experience stiffness and numbness?


I have been experiencing stiffness and numbness in my hands and feet to the point where I cannot perform tasks.
I have undergone surgery that was deemed necessary, and I have also had two nerve conduction studies, both of which showed no issues.
The doctor mentioned that the consequences are due to excessive alcohol consumption in my youth.
I previously took Micapone for a while, but it was ineffective.
Later, a doctor at Kaohsiung's Ruan General Hospital prescribed me Ritalin.
Is this the correct approach? Thank you.

Chen Yizhen, 40~49 year old female. Ask Date: 2024/03/22

Dr. Zeng Guosen reply Internal Medicine


If someone experiences stiffness and numbness in their limbs, it is important to consider joint disorders, neurological issues, circulatory problems, deficiencies in certain nutrients, or other rare conditions.
It is advisable to first consult a neurologist or a cardiologist, and then follow the physician's recommendations to gradually identify the underlying issue.
Only after identifying the problem can one determine the appropriate medication for treatment.
Thank you for your question.

Reply Date: 2024/03/22

More Info


Stiffness and numbness in the limbs can be distressing symptoms that significantly impact daily life. Understanding the underlying causes and exploring appropriate treatments is essential for managing these conditions effectively.

From your description, it seems that you have undergone surgical interventions and nerve conduction studies, which have not revealed any significant issues. The suggestion from your doctor that excessive alcohol consumption in your youth may have contributed to your current symptoms is plausible. Chronic alcohol use can lead to a variety of neurological issues, including peripheral neuropathy, which is characterized by numbness, tingling, and stiffness in the limbs. This condition arises due to nerve damage caused by the toxic effects of alcohol, nutritional deficiencies (especially vitamin B12), and other metabolic disturbances.

In terms of treatment, it is crucial to address both the symptoms and the underlying causes. You mentioned that you have tried medications like Micobal and later received a prescription for Ritalin (likely referring to methylphenidate). While Ritalin is primarily used to treat attention deficit hyperactivity disorder (ADHD), it may also have some off-label uses for certain types of neuropathic pain, but it is not typically a first-line treatment for numbness or stiffness.
Here are some potential avenues for managing your symptoms:
1. Physical Therapy: Engaging in physical therapy can help improve mobility and reduce stiffness. A physical therapist can design a tailored exercise program that focuses on stretching and strengthening the affected muscles, which may alleviate some of the stiffness and improve overall function.

2. Nutritional Support: If alcohol consumption has led to nutritional deficiencies, particularly in B vitamins, it may be beneficial to consult with a nutritionist. Supplementing with B vitamins, especially B12, can sometimes help improve nerve function and reduce symptoms of neuropathy.

3. Medications: While Ritalin may not be the most appropriate choice, there are other medications specifically designed to treat neuropathic pain, such as gabapentin or pregabalin. These medications can help manage pain and discomfort associated with nerve damage.

4. Lifestyle Modifications: Reducing alcohol intake and adopting a healthier lifestyle can have a positive impact on your overall health and may help mitigate some of the symptoms. Regular exercise, a balanced diet, and adequate hydration are essential components of a healthy lifestyle.

5. Alternative Therapies: Some individuals find relief through alternative therapies such as acupuncture, massage therapy, or chiropractic care. These modalities may help alleviate stiffness and improve circulation, potentially leading to symptom relief.

6. Regular Follow-ups: Since your symptoms have persisted despite previous interventions, it may be beneficial to seek a second opinion from a neurologist or a specialist in pain management. They can provide further evaluation and possibly recommend additional diagnostic tests to rule out other potential causes of your symptoms.

In conclusion, while your current treatment regimen may not be yielding the desired results, there are various strategies you can explore to manage stiffness and numbness in your limbs. It is essential to work closely with your healthcare providers to find the most effective approach tailored to your specific situation. Regular monitoring and adjustments to your treatment plan can lead to improved outcomes and a better quality of life.

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