Dealing with Sleep Disruptions: When to See a Rehabilitation Specialist - Rehabilitation

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Sleep disturbances


For the past two weeks, I have been waking up in the middle of the night due to numbness in my left palm.
After waking up, I have to pat and rub it to regain sensation, and this happens more than three times before dawn.
This is quite bothersome.
Should I see a rehabilitation specialist for this issue? Thank you!

Xiangyang, 30~39 year old female. Ask Date: 2007/10/28

Dr. Chen Xianchang reply Rehabilitation


Hello Sir: Thank you for your inquiry.
Here are my responses and recommendations:
1.
Based on the symptoms, it is possible that you have carpal tunnel syndrome.
Given your young age, the likelihood of diabetic neuropathy is low.

2.
I recommend visiting a rehabilitation specialist for a physical examination and nerve conduction studies.
If there is severe compression, and you experience actual muscle atrophy in the thumb, surgery may be considered first, followed by wearing a wrist brace and undergoing rehabilitation.
If the compression is mild, then rehabilitation should be prioritized.

3.
You should avoid actions that involve bending the wrist with force, and try to use larger joints for tasks and lifting, such as using your shoulders, and avoid carrying heavy objects with your hands.

Finally, I wish you peace and happiness.

Reply Date: 2007/10/28

More Info


When it comes to sleep disruptions, particularly those that involve physical sensations such as numbness or tingling in the hands, it is essential to consider both the neurological and orthopedic aspects of the issue. Your experience of waking up multiple times at night due to numbness in your left hand could indicate a condition that warrants further evaluation by a healthcare professional.

The symptoms you describe—waking up with a numb hand that requires movement or tapping to regain sensation—could be indicative of several underlying issues. One common cause is carpal tunnel syndrome, which occurs when the median nerve is compressed as it travels through the wrist. This condition can lead to numbness, tingling, and weakness in the hand, particularly during sleep when the wrist may be flexed or compressed. Other potential causes could include cervical radiculopathy, where nerve roots in the neck are compressed, or peripheral neuropathy, which can result from various factors including diabetes, vitamin deficiencies, or other systemic conditions.

Given that these symptoms have persisted for two weeks and are affecting your sleep quality, it would be advisable to consult a healthcare provider. A rehabilitation specialist, such as a physical therapist or an occupational therapist, could be beneficial in assessing your symptoms and providing appropriate interventions. They can help determine if your symptoms are related to a musculoskeletal issue, nerve compression, or another condition.
In addition to rehabilitation specialists, you may also want to consider seeing a neurologist. A neurologist can perform a more comprehensive evaluation, including nerve conduction studies or electromyography (EMG), to assess the function of your nerves and muscles. This can help identify any underlying neurological conditions that may be contributing to your symptoms.

In the meantime, there are some self-care strategies you can implement to help alleviate your symptoms. These include:
1. Adjusting Sleep Position: Ensure that your sleeping position does not put pressure on your arms or wrists. Using a supportive pillow can help maintain a neutral position for your neck and arms.

2. Wrist Splints: Wearing a wrist splint at night can help keep your wrist in a neutral position, reducing pressure on the median nerve.

3. Gentle Stretching: Incorporating gentle stretching exercises for your wrists and hands during the day can help improve flexibility and reduce tension.

4. Ergonomic Adjustments: If you spend a lot of time at a desk or using a computer, ensure that your workstation is ergonomically set up to minimize strain on your wrists and arms.

5. Regular Breaks: Take regular breaks during activities that require repetitive hand movements to reduce strain.

6. Consultation: If symptoms persist or worsen, do not hesitate to seek medical advice. Early intervention can often lead to better outcomes.

In summary, your symptoms of waking up with a numb hand could be due to several factors, and it is advisable to seek a professional evaluation. A rehabilitation specialist can provide valuable insights and treatment options, but a comprehensive assessment by a neurologist may also be necessary to rule out any serious underlying conditions. Prioritizing your sleep quality and addressing these symptoms promptly will be crucial for your overall well-being.

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