Dizziness and Wrist Numbness: Your Symptoms and Next Steps - Family Medicine

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Dizziness and wrist numbness?


I have been experiencing wrist numbness for a while now, and I initially thought it was due to excessive computer use.
I previously consulted a doctor and underwent some tests, and the doctor prescribed vitamin B, which improved my condition.
However, in the past week, I have started to experience dizziness.
I'm not sure what the issue might be or which specialist I should see.
Thank you!

catherine, 30~39 year old female. Ask Date: 2006/06/09

Dr. Lin Mingxing reply Family Medicine


Dear Dr.
Ming-Hsing Lin, Family Medicine Department, Tainan Hospital, Ministry of Health and Welfare:
There are many causes of dizziness, such as anemia, low blood pressure (orthostatic hypotension), neck stiffness, and inner ear imbalance, among others.
It is advisable to first consult a family medicine physician for an evaluation.
Tainan Hospital is concerned about your health.

Reply Date: 2006/06/09

More Info


Experiencing wrist numbness and dizziness can be concerning, and it's important to understand the potential causes and appropriate next steps. Based on your description, it seems that you have already been proactive in seeking medical attention for your wrist numbness, which is a positive step. The fact that you were prescribed vitamin B suggests that your healthcare provider may have suspected a deficiency or nerve-related issue, as B vitamins are essential for nerve health.

Wrist numbness, particularly if it is associated with prolonged computer use, could be indicative of conditions such as carpal tunnel syndrome or repetitive strain injury. Carpal tunnel syndrome occurs when the median nerve, which runs through the wrist, becomes compressed. Symptoms often include numbness, tingling, and weakness in the hand and wrist. If your symptoms have improved with vitamin B supplementation, it may suggest that there was a deficiency affecting nerve function.

The recent onset of dizziness adds another layer to your symptoms. Dizziness can stem from a variety of causes, including vestibular disorders, low blood pressure, dehydration, anxiety, or even neurological conditions. Given that dizziness can be multifactorial, it is crucial to consider the context of your symptoms. For instance, if the dizziness occurs when you stand up quickly, it might indicate orthostatic hypotension, which is a drop in blood pressure upon standing. Alternatively, if the dizziness is accompanied by other symptoms such as headaches, visual disturbances, or balance issues, it may warrant further investigation.

In terms of next steps, I recommend the following:
1. Consult a Healthcare Provider: Since you are experiencing both wrist numbness and dizziness, it would be advisable to see a healthcare provider who can evaluate both symptoms. A primary care physician can assess your overall health and determine if a referral to a specialist is necessary.

2. Neurologist Consultation: Given the neurological nature of your symptoms (numbness and dizziness), a neurologist may be the appropriate specialist to consult. They can perform a thorough neurological examination and may recommend imaging studies or nerve conduction studies to assess for any underlying conditions.

3. Physical Therapy: If your wrist numbness is related to repetitive strain, a physical therapist can provide exercises and ergonomic advice to alleviate symptoms and prevent further injury.

4. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur, their duration, and any potential triggers. This information can be invaluable for your healthcare provider in diagnosing the issue.

5. Lifestyle Modifications: In addition to seeking medical advice, consider making lifestyle changes that may help alleviate your symptoms. This includes taking regular breaks from computer work, practicing good posture, and ensuring you stay hydrated.

6. Further Testing: Depending on your healthcare provider's assessment, they may recommend blood tests to check for vitamin deficiencies, thyroid function, or other metabolic issues that could contribute to your symptoms.

In summary, while your wrist numbness may be related to computer use and potentially improved with vitamin B, the addition of dizziness necessitates a comprehensive evaluation. Consulting with a healthcare provider, possibly a neurologist, will help clarify the underlying causes and guide you toward appropriate treatment options. Remember, early intervention can often lead to better outcomes, so don't hesitate to seek help.

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