Dr. Yeh, may I ask you a question?
Hello, doctor.
About 4.5 days ago, I noticed that my left hand feels somewhat strange when holding things; it is not very agile.
Additionally, there is slight pain when I press on the proximal joint of my ring finger near the palm.
However, after two days, the dexterity of my left hand improved somewhat, although there is still mild pain when pressing on the joint of the ring finger, but it is getting better.
The other four fingers do not experience pain when I press on their joints.
Later, I noticed similar symptoms in my right hand, particularly in the proximal joint of the ring finger, which also hurts when pressed.
Using chopsticks feels awkward, and my hand does not feel very nimble.
Moreover, there is pain when I press on the muscles near my elbow.
(I can rotate my wrist without pain, as it is muscle pain.) I can still move both arms, and I can open and close all five fingers on both hands.
Could this be Parkinson's disease, or is it another condition? Could you please let me know? Thank you.
Also, could psychological factors contribute to this situation or cause other underlying issues? Thank you, Dr.
Yeh.
Xiao Zong, 20~29 year old female. Ask Date: 2004/04/05
Dr. Ye Boshou reply Neurology
It seems like the joint pain is not psychogenic; if the pain persists, it is advisable to see an orthopedic specialist.
Reply Date: 2004/04/05
More Info
The symptoms you describe regarding your hand mobility issues raise several important considerations. Based on your account, it seems you are experiencing a combination of reduced dexterity, localized pain in the joints of your fingers, and muscle discomfort in the upper arm. While it is understandable to be concerned about conditions like Parkinson's disease, it is essential to approach this systematically.
Firstly, Parkinson's disease is characterized by a range of motor symptoms, including tremors, rigidity, bradykinesia (slowness of movement), and postural instability. However, the symptoms you describe—specifically the localized pain in the joints and the temporary nature of the reduced dexterity—do not strongly suggest Parkinson's disease. Instead, they may indicate other conditions that could be affecting your hand and arm mobility.
One possibility is that you are experiencing a form of repetitive strain injury or tendinitis, particularly if you have been engaging in activities that require fine motor skills, such as using chopsticks. The pain in the joints, especially in the ring and little fingers, could be due to inflammation of the tendons or ligaments around those joints. This is often exacerbated by repetitive motions or awkward hand positions.
Another consideration is the potential for nerve compression syndromes, such as carpal tunnel syndrome or cubital tunnel syndrome, which can lead to symptoms of pain, tingling, and weakness in the hands. These conditions arise when nerves are compressed at the wrist or elbow, respectively, and can lead to decreased dexterity and discomfort.
Moreover, the muscle pain you mentioned near the elbow could indicate a muscle strain or overuse injury, particularly if you have been using your arms more than usual. This type of pain can sometimes radiate and create a sensation of weakness or reduced mobility in the hand.
In terms of psychological factors, stress and anxiety can indeed manifest physically, leading to muscle tension and discomfort. If you are under significant stress, it could contribute to muscle tightness and pain, which might further affect your hand's functionality.
Given the complexity of your symptoms, it is crucial to consult with a healthcare professional who can conduct a thorough examination and possibly recommend imaging studies or nerve conduction tests. This will help rule out any serious underlying conditions and provide a clearer diagnosis.
In the meantime, consider implementing some self-care strategies. Gentle stretching and strengthening exercises for your hands and arms may help improve mobility and reduce discomfort. Applying heat or cold to the affected areas can also provide relief. If pain persists, over-the-counter anti-inflammatory medications may be beneficial, but it is always best to consult with a healthcare provider before starting any new treatment.
In summary, while your symptoms may not align with Parkinson's disease, they warrant further investigation to determine the underlying cause. A healthcare professional can provide a comprehensive assessment and guide you toward appropriate treatment options.
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