Numbness in the hands?
Hello Dr.
Chen: I would like to ask you, when using both hands, my right hand exerts more effort than my left hand, especially with household chores.
Why is it that my left hand often feels numb? Sometimes only my palm is numb, and other times the numbness extends from my palm to my elbow.
Even when I'm not doing anything, it still feels chaotic and numb, and it feels numb even when pouring hot water.
Can rehabilitation improve this condition? Thank you!
Hong Mai Yi, 30~39 year old female. Ask Date: 2007/01/05
Dr. Chen Xianchang reply Rehabilitation
(1) It may be due to nerve root compression or cauda equina syndrome.
(2) Prolonged pressure may lead to muscle atrophy, so early rehabilitation is essential.
(3) Rehabilitation should include physical therapy and ultrasound treatment; if there is still no improvement, surgical intervention should be considered.
Reply Date: 2007/01/05
More Info
Numbness in the hand, particularly when it is localized to one side, can be concerning and may stem from various underlying issues. In your case, where you experience numbness predominantly in your left hand despite using your right hand more frequently, there are several potential explanations to consider.
Firstly, the symptoms you describe could be indicative of nerve compression or irritation. The ulnar nerve, which runs along the inner side of the arm and into the hand, is often a culprit in cases of numbness affecting the little finger and half of the ring finger. This condition, known as ulnar nerve entrapment or cubital tunnel syndrome, can occur when the elbow is bent for prolonged periods, or due to repetitive motions that put pressure on the nerve. Symptoms may include numbness, tingling, and weakness in the affected fingers, and they can sometimes extend up to the elbow.
Another possibility is that the numbness could be related to cervical spine issues. Conditions such as cervical radiculopathy, where a nerve root in the neck is compressed or irritated, can lead to numbness and tingling that radiates down the arm. This is particularly relevant if you have a history of neck pain or if you spend long hours in positions that strain your neck.
Additionally, peripheral neuropathy, which can be caused by diabetes, vitamin deficiencies, or other systemic conditions, may also lead to numbness in the hands. If you have any underlying health conditions, it would be wise to consider these as potential contributors to your symptoms.
Regarding your question about rehabilitation, physical therapy can indeed be beneficial in managing symptoms of numbness. A rehabilitation program may include exercises to strengthen the muscles around the affected area, improve range of motion, and reduce nerve compression. Techniques such as manual therapy, modalities like ultrasound or electrical stimulation, and ergonomic adjustments to your daily activities can also be part of a comprehensive treatment plan.
Self-care strategies can also play a significant role in alleviating symptoms. Here are some recommendations:
1. Posture and Ergonomics: Ensure that your workspace is ergonomically designed to minimize strain on your neck and arms. Adjust your chair and desk height, and use wrist supports if necessary.
2. Frequent Breaks: If you perform repetitive tasks, take regular breaks to stretch and change positions. This can help reduce pressure on the nerves.
3. Gentle Stretching: Incorporate gentle stretching exercises for your neck, shoulders, and arms into your daily routine. This can help alleviate tension and improve circulation.
4. Heat and Cold Therapy: Applying heat or cold packs to the affected area may provide temporary relief from numbness and discomfort.
5. Avoiding Pressure: Be mindful of how you position your arms and elbows, especially when resting them on hard surfaces, as this can exacerbate nerve compression.
6. Consultation with Specialists: If symptoms persist or worsen, it is advisable to consult with a healthcare provider, such as a neurologist or a physical therapist, who can conduct a thorough evaluation and recommend appropriate diagnostic tests, such as nerve conduction studies or imaging, to determine the underlying cause of your symptoms.
In conclusion, while your left hand's numbness may seem puzzling given your right hand's increased workload, it is essential to explore potential nerve-related issues and consider rehabilitation options. With appropriate care and management, many individuals experience significant improvement in their symptoms and overall function.
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