Dealing with Numbness: Finding the Right Doctor for Rare Conditions

Excessive fatigue from work has caused numbness in my hands, making it difficult to sleep and perform tasks?

Due to long-term heavy lifting and lack of sleep, my hands have started to feel numb, which prevents me from sleeping.
The numbness is so severe that I can't do anything and can only force myself to sleep.
Dr.
Chen, which doctor at Chang Gung Memorial Hospital is the best for treating my mother? I really appreciate your help.

Azi, 30~39 year old female. Ask Date: 2007/05/22

Dr. Chen Shunsheng reply Rare Disease

Peripheral nerve-related conditions include the following possibilities, arranged by frequency of occurrence:
1.
Carpal Tunnel Syndrome: This condition occurs when the median nerve is compressed as it passes through the carpal tunnel at the wrist.
It is commonly seen in occupations that involve repetitive wrist movements, such as workers or athletes.
Symptoms include numbness in the palmar surface of the first to fourth fingers (half of the fourth finger), which worsens when gripping objects.
Tapping over the carpal tunnel or flexing the hand may provoke the numbness.
In severe cases, atrophy of the thenar muscles may occur.
It can affect one or both hands.
2.
Ulnar Nerve Dysfunction: This is most commonly caused by compression of the ulnar nerve as it passes through the ulnar groove at the elbow, which can result from occupational factors, posture, or trauma.
Symptoms include numbness in the fourth (half) and fifth fingers.
Tapping over the ulnar groove may elicit numbness.
In severe cases, atrophy of the muscles of the little finger and the interossei of the hand, as well as some forearm muscles, may occur.
It can affect one or both sides simultaneously.
3.
Cervical Radiculopathy: This condition is caused by compression of the cervical nerve roots due to cervical spine degeneration or intervertebral disc herniation.
Symptoms include:
- C6 nerve root involvement: Numbness and pain in the first to third fingers.
- C7 nerve root involvement: Numbness and pain in the third and fourth fingers.
- C8 and T1 nerve root involvement: Numbness and pain in the fourth and fifth fingers and the inner side of the arm.
Corresponding muscle groups may also experience atrophy and weakness.
As for what you need to do:
A.
Please consult a neurologist for a clinical neurological examination and diagnosis.
B.
Undergo nerve conduction studies and electromyography to confirm the clinical diagnosis.
C.
If cervical radiculopathy is suspected, further imaging studies such as cervical X-rays may be necessary.
D.
Treatment will depend on the diagnosis.
E.
You may consult a neurologist specializing in neuromuscular diseases at Chang Gung Memorial Hospital.
Wishing you a speedy recovery!

Reply Date: 2007/05/22

More Info

Dealing with numbness, especially when it stems from long-term physical strain such as heavy lifting and lack of sleep, can be quite challenging. It’s essential to find the right medical professional who can accurately diagnose and treat the underlying causes of your symptoms. In your case, it sounds like your mother is experiencing significant discomfort that is affecting her quality of life.
First and foremost, it’s important to understand that numbness can be caused by a variety of factors, including nerve compression, poor circulation, or even systemic conditions such as diabetes or vitamin deficiencies. Given the history of heavy lifting, it’s possible that your mother may be experiencing nerve compression, particularly in the neck or lower back, which can lead to numbness in the arms or legs.
When seeking medical help, I recommend starting with a neurologist or an orthopedic specialist. Neurologists specialize in disorders of the nervous system and can conduct tests to determine if there is nerve damage or compression. Orthopedic specialists can evaluate musculoskeletal issues, including those related to the spine, which may be contributing to her symptoms.
At Chang Gung Memorial Hospital, you might consider consulting with Dr. Huang Chih-Cheng, who specializes in peripheral nerve disorders. He has a good reputation for treating patients with similar symptoms and can provide a comprehensive evaluation. It’s also advisable to bring along any previous medical records, imaging studies, or notes on her symptoms to help the doctor understand her condition better.

In addition to seeing a specialist, there are several steps you can take to help manage her symptoms at home. Encourage her to practice good ergonomics while lifting heavy objects, ensuring she uses her legs rather than her back to lift. Regular stretching and strengthening exercises can also help alleviate some of the pressure on her nerves. If she is experiencing significant discomfort, over-the-counter pain relief medications may provide temporary relief, but it’s crucial to consult with a healthcare provider before starting any new medication.

Furthermore, lifestyle changes such as improving sleep hygiene can also make a significant difference. Encourage her to establish a regular sleep schedule, create a comfortable sleeping environment, and avoid stimulants like caffeine close to bedtime.
Lastly, if her symptoms persist or worsen, it’s essential to follow up with her healthcare provider. Persistent numbness can sometimes indicate a more serious underlying condition that requires immediate attention.
In summary, finding the right doctor is crucial for effectively managing your mother’s numbness. A neurologist or orthopedic specialist at Chang Gung Memorial Hospital would be a good starting point. Alongside professional medical advice, implementing lifestyle changes and practicing good ergonomics can help alleviate her symptoms. Remember, it’s important to advocate for her health and ensure she receives the care she needs.

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