Numbness and Weakness in Your Hands: Causes and Concerns - Neurology

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Numbness in both hands?


Since last week, I have been experiencing occasional tingling sensations in my left or right hand, with varying durations.
If I press on the inner side of my upper arm, it also feels sore and somewhat weak.
However, these symptoms usually do not last long, with the longest duration being one afternoon.
What could this be? Is it serious?

Huang, 10~19 year old female. Ask Date: 2007/04/25

Dr. Ye Boshou reply Neurology


Muscle soreness and tendinitis are most likely due to frequent activities such as working on a computer.
Other conditions, such as carpal tunnel syndrome, may also be possible.
Currently, it seems there is no major issue, but if symptoms persist, it is advisable to consult a neurologist for an evaluation.

Reply Date: 2007/04/25

More Info


Numbness and weakness in the hands can be concerning symptoms, and it’s understandable to feel anxious about them. Based on your description, it seems like you are experiencing intermittent numbness and weakness in your hands, particularly on the left side, along with some discomfort when pressing on the inner side of your arm. These symptoms can arise from a variety of causes, and it's essential to consider both neurological and musculoskeletal factors.

One common cause of numbness and weakness in the hands is nerve compression or irritation. This can occur due to conditions such as carpal tunnel syndrome, where the median nerve is compressed as it passes through the wrist. Symptoms often include numbness, tingling, and weakness in the thumb, index, and middle fingers. Another possibility is ulnar nerve entrapment, which can cause similar symptoms in the ring and little fingers. Both conditions can be exacerbated by repetitive motions or prolonged positions that put pressure on the nerves.

Another potential cause could be cervical radiculopathy, where a nerve root in the neck is compressed or irritated, leading to symptoms that radiate down the arm. This can happen due to herniated discs, degenerative disc disease, or other spinal issues. If the symptoms are accompanied by pain that travels from the neck to the arm, this could be a factor to consider.

Muscle strain or overuse can also lead to feelings of weakness and discomfort. If you've been engaging in activities that require repetitive hand or arm movements, this could lead to muscle fatigue or strain, resulting in temporary weakness and discomfort. Additionally, poor posture, especially if you tend to hunch over or maintain awkward positions for extended periods, can contribute to muscle tension and nerve compression.

Given your symptoms, it’s crucial to monitor them closely. If the numbness and weakness persist, worsen, or are accompanied by other concerning symptoms such as significant pain, changes in coordination, or loss of function, it would be advisable to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include a physical examination, imaging studies, or nerve conduction studies, to determine the underlying cause of your symptoms.

In the meantime, there are several strategies you can employ to help alleviate your symptoms. Practicing good ergonomics while working or engaging in activities can reduce strain on your hands and arms. Taking regular breaks to stretch and move can also help prevent muscle fatigue and nerve compression. If you notice that certain positions or activities exacerbate your symptoms, try to modify them to see if that helps.

In summary, while numbness and weakness in the hands can be alarming, they can stem from various causes, ranging from nerve compression to muscle strain. It’s essential to pay attention to your symptoms and consult a healthcare provider if they persist or worsen. Taking proactive steps to manage your posture and activity levels can also be beneficial in reducing discomfort. Remember, you are not alone in feeling anxious about these symptoms, and seeking help is a positive step toward understanding and addressing your concerns.

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