Left Hand Symptoms: Numbness, Weakness, and Tremors - Neurology

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Regarding issues with the left hand?


I have a heavy sensation on the outer side of my left hand, along with a feeling of soreness.
Over the past few days, I've also noticed that my left hand feels clumsy and slow when doing tasks.
My little finger trembles when bent, but it doesn't hurt; sometimes it shakes a lot, and other times it's just a slight tremor (my right hand experiences this occasionally as well).
At times, all five fingers tremble, and I also feel weakness in my left hand.
When typing on the computer, I have the sensation that my last two fingers cannot move.
All of these symptoms are accompanied by a feeling of anxiety.
I would like to ask the doctor what might be going on.

123, 20~29 year old female. Ask Date: 2024/04/20

Dr. Chen Weida reply Neurology


Hello! Your message describes symptoms of tremors in both hands and palpitations.
Are there any other accompanying symptoms? I recommend visiting a neurology clinic to rule out possibilities such as autonomic nervous system dysfunction or hyperthyroidism.
Wishing you good health and safety, thank you.

Reply Date: 2024/04/20

More Info


The symptoms you are experiencing in your left hand, including heaviness, numbness, weakness, and tremors, can be indicative of several underlying conditions. Given your description, it is essential to consider both neurological and musculoskeletal factors that could be contributing to these sensations.

Firstly, the heaviness and numbness in your left hand could suggest a possible nerve compression or irritation. Conditions such as carpal tunnel syndrome, where the median nerve is compressed at the wrist, can lead to symptoms like numbness, tingling, and weakness in the fingers, particularly affecting the thumb, index, and middle fingers. However, since you mentioned that the symptoms also involve the little finger and the outer side of your hand, it may be worth considering ulnar nerve involvement, which can occur at the elbow (cubital tunnel syndrome) or at the wrist (Guyon's canal syndrome). Ulnar nerve compression can lead to symptoms in the little finger and half of the ring finger, as well as weakness in grip strength.

The tremors you are experiencing, especially if they are intermittent and occur in both hands, could be related to a condition known as essential tremor, which is a neurological disorder that causes involuntary shaking. However, tremors can also be associated with anxiety or stress, which you mentioned feeling alongside your other symptoms. It is not uncommon for anxiety to manifest physically, leading to sensations of trembling or shakiness, particularly when one is under stress or feeling overwhelmed.

Additionally, the weakness and the sensation of your fingers being unable to move while typing could indicate a more systemic issue, such as a neurological disorder. Conditions like multiple sclerosis (MS) or even early signs of motor neuron diseases could present with similar symptoms, although these are less common in a 19-year-old. It is crucial to note that while these conditions can cause weakness and tremors, they typically present with a broader range of symptoms and would require a thorough neurological evaluation for diagnosis.

Given the complexity of your symptoms, it is highly recommended that you seek medical attention from a neurologist. A comprehensive evaluation, including a physical examination and possibly imaging studies (like an MRI) or nerve conduction studies, will be essential in determining the exact cause of your symptoms. The neurologist may also assess for any signs of peripheral neuropathy, which can result from various factors, including diabetes, vitamin deficiencies, or autoimmune conditions.

In the meantime, you can take some steps to alleviate your symptoms. Ergonomic adjustments to your workspace, such as ensuring your wrists are in a neutral position while typing, can help reduce strain on the nerves. Regular breaks during prolonged computer use can also be beneficial. Additionally, practicing stress-reduction techniques, such as mindfulness or relaxation exercises, may help manage any anxiety that could be exacerbating your symptoms.

In summary, while your symptoms could stem from various causes, including nerve compression, essential tremor, or anxiety, a thorough evaluation by a healthcare professional is crucial for an accurate diagnosis and appropriate treatment plan. Please do not hesitate to seek medical advice, as early intervention can significantly improve outcomes.

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