Numbness in Fingers: When to See a Neurologist

Q: Numbness in Fingers: When to See a Neurologist

Hello： Based on your symptoms, it is more likely that you are experiencing peripheral nerve compression, commonly known as carpal tunnel syndrome in the hand. <br>However, we cannot rule out the possibility of nerve compression due to a herniated disc or bone spurs. <br>I am not

Numbness in the fingers?

In the past month, I have been experiencing intermittent numbness in my left fingers (sometimes extending to the elbow) more than ten times a day.
However, it improves somewhat after I clench my fist a few times.
My right fingers also have a similar issue, but it occurs only once every two or three days.
Additionally, if I drive for more than half an hour, I experience numbness in my right foot.
What could be the problem, and which specialist should I see?

Weng Xiaojie, 30~39 year old female. Ask Date: 2009/04/23

Dr. Huang Yongquan reply Neurology

Hello: Based on your symptoms, it is more likely that you are experiencing peripheral nerve compression, commonly known as carpal tunnel syndrome in the hand.
However, we cannot rule out the possibility of nerve compression due to a herniated disc or bone spurs.
I am not aware of your age, work type, or history of diabetes, all of which could be related.
I recommend that you come in for an outpatient examination.

Reply Date: 2009/04/23

More Info

Numbness in the fingers can be a concerning symptom, especially when it occurs frequently and affects your daily activities. Based on your description, it seems that you are experiencing intermittent numbness in your left hand, which sometimes extends to the elbow, and similar but less frequent symptoms in your right hand. Additionally, you mentioned experiencing numbness in your right foot after prolonged driving. These symptoms could be indicative of several underlying conditions, and it is essential to understand when to seek medical attention and which specialist to consult.

First and foremost, the numbness you are experiencing could be related to nerve compression or irritation. Common conditions that can cause these symptoms include carpal tunnel syndrome, ulnar nerve entrapment, or cervical radiculopathy. Carpal tunnel syndrome occurs when the median nerve, which runs through the wrist, becomes compressed, leading to numbness and tingling in the fingers. Ulnar nerve entrapment can cause similar symptoms, particularly affecting the ring and little fingers. Cervical radiculopathy, on the other hand, occurs when a nerve in the neck is compressed or irritated, which can lead to numbness that radiates down the arm.

Given the frequency and nature of your symptoms, it is advisable to consult a neurologist. A neurologist specializes in diagnosing and treating conditions related to the nervous system, including peripheral nerve disorders. During your visit, the neurologist will likely conduct a thorough medical history and physical examination. They may also recommend diagnostic tests such as nerve conduction studies or electromyography (EMG) to assess the function of your nerves and muscles.

In addition to consulting a neurologist, it may also be beneficial to see an orthopedic specialist, particularly if your symptoms are related to repetitive strain or injury. An orthopedic doctor can evaluate your musculoskeletal system and provide insights into any structural issues that may be contributing to your symptoms.

It's important to note that lifestyle factors can also play a role in the development of numbness. Prolonged positions, such as holding your arms in a certain way while driving or using your phone, can lead to nerve compression. Ensuring that you maintain good posture and take regular breaks to stretch can help alleviate some of the symptoms.

In summary, the numbness in your fingers and foot warrants a medical evaluation, and a neurologist would be the most appropriate specialist to consult. They can help determine the underlying cause of your symptoms and recommend appropriate treatment options. Early intervention is crucial, as addressing nerve issues promptly can prevent further complications and improve your quality of life. If you experience any additional symptoms, such as weakness, pain, or changes in coordination, be sure to mention these to your healthcare provider, as they can provide valuable information for diagnosis and treatment.

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