Numbness in the Left Hand: Causes and When to See a Doctor - Family Medicine

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Numbness in the left fingers?


Hello Doctor: My husband has recently been experiencing numbness in his left hand, specifically in the ring and little fingers.
Could you please explain why this is happening? Does he need to see a doctor? Is this related to work stress? Thank you for your response! Chiouya

chiouya, 30~39 year old female. Ask Date: 2007/05/07

Dr. Cai Jueren reply Family Medicine


Hello: This situation may be caused by nerve compression.
One possibility is that the ulnar nerve is compressed at the elbow due to prolonged pressure, which is often related to occupations such as athletes or computer typists.
Another possibility is that prolonged neck flexion leads to cervical nerve compression, which is also work-related.
Both of these conditions can improve, but it is crucial to obtain adequate rest and avoid continuous pressure to prevent irreversible nerve damage.
I recommend visiting a neurology department at a hospital; it should not be too serious.
Thank you for your inquiry, and I hope the above information addresses your concerns.
Hualien Hospital, Dr.
Tsai Jue-Ren.

Reply Date: 2007/05/07

More Info


Numbness in the left hand, particularly in the ring and little fingers, can be concerning and may arise from various underlying causes. It is essential to understand that while some causes may be benign, others could indicate more serious health issues that require medical attention.

One common reason for numbness in the ring and little fingers is ulnar nerve compression, often referred to as "cubital tunnel syndrome." This occurs when the ulnar nerve, which runs along the inner side of the elbow and into the hand, becomes compressed or irritated. Symptoms can include numbness, tingling, and weakness in the affected fingers, particularly when the elbow is bent for extended periods, such as when resting the arm on a hard surface or during sleep.
Another potential cause could be cervical radiculopathy, where nerve roots in the cervical spine (neck) are compressed or irritated, leading to symptoms that radiate down the arm. This can happen due to herniated discs, bone spurs, or degenerative changes in the spine. Symptoms may include numbness, tingling, or weakness in the arm and hand, depending on which nerve root is affected.

Peripheral neuropathy is another condition that can lead to numbness in the hands. This condition can result from diabetes, alcohol abuse, vitamin deficiencies (such as B12), or exposure to toxins. It is characterized by damage to the peripheral nerves and can cause a range of symptoms, including numbness, tingling, and pain.

In some cases, repetitive strain injuries from work-related activities, such as typing or using a mouse, can lead to conditions like carpal tunnel syndrome, which primarily affects the thumb, index, and middle fingers but can also cause symptoms in the ring finger.

Regarding your question about whether this could be related to work stress, while stress itself may not directly cause numbness, it can lead to muscle tension and poor posture, which may exacerbate existing conditions like nerve compression.
It is crucial to monitor the symptoms closely. If the numbness persists, worsens, or is accompanied by other symptoms such as weakness, pain, or changes in coordination, it is advisable to seek medical attention. A healthcare provider may perform a physical examination, assess your medical history, and potentially order diagnostic tests such as nerve conduction studies or imaging studies to determine the underlying cause.

In summary, while occasional numbness in the fingers may not be a cause for alarm, persistent or worsening symptoms warrant a visit to a healthcare professional. Early diagnosis and intervention can help prevent further complications and improve quality of life. If you or your husband are experiencing these symptoms, consider scheduling an appointment with a neurologist or a primary care physician for a thorough evaluation.

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