Finger Numbness: When to See a Neurosurgeon - Neurosurgery

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Hello! Thank you for your question regarding finger numbness and the potential need to see a neurosurgeon. Based on your description, it seems you have experienced numbness in your left middle and ring fingers after an injury from a rotating object. This type of injury can lead to nerve compression or damage, which may explain the symptoms you are experiencing now, especially when gripping objects for extended periods.


When to See a Neurosurgeon
You should consider seeing a neurosurgeon or a neurologist if you experience any of the following:
1. Persistent Numbness or Tingling: If the numbness in your fingers persists or worsens over time, it is essential to seek medical advice. This could indicate ongoing nerve compression or damage.

2. Weakness: If you notice weakness in your hand or fingers, such as difficulty gripping objects or performing tasks that require fine motor skills, this is a significant concern.

3. Pain: If you experience pain that radiates from your fingers up your arm or any other unusual sensations, this could be a sign of nerve involvement.

4. Changes in Sensation: Any changes in sensation, such as increased sensitivity or a feeling of heaviness in your fingers, warrant further evaluation.

5. Impact on Daily Activities: If the numbness interferes with your daily activities or quality of life, it is advisable to seek medical attention.


Diagnostic Steps
When you visit a neurosurgeon or neurologist, they will likely perform a thorough examination, which may include:
- Neurological Examination: Assessing your reflexes, strength, and sensory responses.

- Electromyography (EMG): This test measures the electrical activity of muscles and can help determine if there is nerve damage.

- Nerve Conduction Studies (NCS): These tests measure how well electrical signals travel through your nerves and can identify areas of compression or damage.

- Imaging Studies: Depending on the findings, an MRI or CT scan may be ordered to visualize any structural issues in the neck or arm that could be affecting the nerves.


Treatment Options
Treatment will depend on the underlying cause of your symptoms. Here are some common approaches:
1. Physical Therapy: A physical therapist can help you with exercises to strengthen your hand and improve flexibility, which may alleviate some symptoms.

2. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and pain. In some cases, corticosteroids may be prescribed to reduce swelling around the nerves.

3. Surgery: If conservative treatments do not relieve symptoms and there is significant nerve compression, surgical intervention may be necessary to relieve pressure on the affected nerves.

4. Ergonomic Adjustments: Making changes to how you grip objects or using tools designed to reduce strain on your hands can also be beneficial.


Conclusion
In summary, given your history of injury and the symptoms you are experiencing, it is advisable to consult with a neurosurgeon or neurologist. They can provide a comprehensive evaluation and recommend appropriate diagnostic tests and treatments. Early intervention is crucial in preventing further nerve damage and improving your quality of life. Don't hesitate to seek help, as addressing these symptoms promptly can lead to better outcomes. Wishing you the best in your health journey!