Left-Sided Numbness: Symptoms and Concerns - Neurology

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Numbness in the left hand and foot?


Hello, Dr.
Yeh.
Since February 10, I have been experiencing stiffness and pain in my shoulders and neck upon waking up.
Starting February 23, I noticed some tingling in my left middle finger, and in the past two weeks, I've also felt some tingling in my left foot.
In the last week, I've started to experience a bit of a prickling sensation.
Yesterday afternoon, my left shoulder and neck were very sore, and I felt an unusual sensation on the left side of my head.
It's not exactly a headache, but it feels uncomfortable.
When typing, I notice that my left hand feels somewhat less responsive.
The rehabilitation doctor prescribed medication to relax the nerves and advised me to take it for two weeks.
If the symptoms persist, I should return for further evaluation.
However, I am still a bit concerned and would like to understand more.
Why are the symptoms only on the left side? Could this be a sign of a stroke or is there any other examination I should consider? (I weigh 51 kg, am 168 cm tall, and have no history of cardiovascular disease.)

Lu Xing Zhe ABC, 30~39 year old female. Ask Date: 2007/03/23

Dr. Ye Boshou reply Neurology


Hello: Based on your age, you are not considered to be in a high-risk group for stroke.
Additionally, stroke symptoms typically occur suddenly and rarely worsen progressively.
It is recommended that you visit a neurology outpatient clinic to check for any cervical spine issues.
Thank you!

Reply Date: 2007/03/23

More Info


It sounds like you are experiencing a range of concerning symptoms that primarily affect the left side of your body, including numbness, tingling, and discomfort in your shoulder, neck, and hand. Given the nature of your symptoms, it's understandable that you are worried about potential underlying issues, including the possibility of a stroke or other neurological conditions.

Firstly, the symptoms you describe—numbness and tingling in the left hand and foot, along with shoulder and neck pain—could be indicative of several conditions. One possibility is a cervical spine issue, such as a herniated disc or cervical radiculopathy, which can compress nerves that lead to sensations of numbness or tingling in the arms and legs. Poor posture, especially if you spend long hours sitting or sleeping in a position that puts pressure on your neck or back, can exacerbate these issues.

Another potential cause could be thoracic outlet syndrome, where the nerves or blood vessels between your collarbone and your first rib are compressed, leading to symptoms in the arm and hand. Additionally, peripheral neuropathy, which can result from various factors including vitamin deficiencies, diabetes, or other systemic conditions, might also explain the numbness and tingling.

Your concern about a stroke is valid, especially given that stroke symptoms can include sudden numbness or weakness on one side of the body. However, stroke symptoms typically appear suddenly and are often accompanied by other signs such as confusion, difficulty speaking, or severe headache. Since your symptoms have developed gradually over time, it may be less likely that they are related to a stroke, but it is essential to rule out this possibility through appropriate medical evaluation.

The fact that you have been prescribed medication to relax the nerves suggests that your healthcare provider is considering a neurological component to your symptoms. It is crucial to follow up with your doctor if your symptoms persist or worsen, as they may recommend further diagnostic tests such as MRI or CT scans to assess for any structural issues in the cervical spine or brain.

In the meantime, there are several self-care strategies you can implement to help alleviate your symptoms. These include:
1. Posture Correction: Ensure that your workspace is ergonomically friendly. Adjust your chair, desk, and computer screen to promote good posture and reduce strain on your neck and shoulders.

2. Regular Breaks: If you are sitting for extended periods, take regular breaks to stand, stretch, and move around. This can help relieve pressure on your spine and improve circulation.

3. Neck and Shoulder Exercises: Gentle stretching and strengthening exercises for your neck and shoulders can help alleviate tension and improve mobility. Consider consulting a physical therapist for a tailored exercise program.

4. Heat Therapy: Applying heat to your neck and shoulders can help relax tight muscles and improve blood flow.

5. Mindfulness and Relaxation Techniques: Stress can exacerbate muscle tension and discomfort. Practices such as yoga, meditation, or deep breathing exercises may help reduce stress and improve your overall well-being.

6. Follow-Up Care: Keep in close contact with your healthcare provider, especially if your symptoms do not improve with the prescribed treatment. They may need to adjust your medication or explore other diagnostic avenues.

In summary, while your symptoms are concerning, they may not necessarily indicate a stroke or severe neurological condition. However, it is essential to remain vigilant and seek further evaluation if your symptoms persist or worsen. Taking proactive steps to improve your posture and manage stress can also contribute to your overall recovery.

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