Uncontrollable Hand Contraction: When to Seek Neurological Help? - Neurology

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Involuntary hand flexion?


Hello! I have recently experienced involuntary contractions in my right hand, resembling cramps, making it difficult to control my right palm.
I can alleviate this by pulling my right hand with my left hand.
This has occurred twice recently after taking my blood pressure, as the tightening and loosening of the cuff seemed to trigger this condition.
I would like to know which specialist I should see.
Additionally, I have previously experienced a tingling sensation in the fingertips of both hands, which resolves after about 30 minutes.

nana, 30~39 year old female. Ask Date: 2013/03/05

Dr. Lin Rongzhou reply Neurology


Hello, based on your description: In recent months, your right hand has been involuntarily curling inward, resembling a cramp, and you have difficulty controlling your right palm.
You can alleviate this by pulling your right hand with your left hand.
This has occurred twice recently after measuring your blood pressure, as the tightening and loosening of the cuff seems to trigger this condition.
This situation is likely caused by hypocalcemia or muscle spasms due to overexertion.
If this persists, you should consult a neurologist for further evaluation.

Additionally, you have previously experienced a tingling sensation in the fingertips of both hands, which resolves after about 30 minutes.
This is often caused by cold weather, nerve compression (such as during sleep or prolonged work), or vibration (such as from using a power drill or driving).
If symptoms persist, carpal tunnel syndrome should also be considered, and you should see a neurologist for an examination.
I hope this information is helpful to you.
Wishing you good health.

Reply Date: 2013/03/05

More Info


It sounds like you are experiencing some concerning symptoms with your right hand, including uncontrollable contractions and a sensation similar to cramping. These symptoms, especially when they occur suddenly and are accompanied by a loss of control over your hand, warrant a thorough evaluation by a medical professional. Given the nature of your symptoms, it would be advisable to seek help from a neurologist.

Neurologists specialize in diagnosing and treating conditions that affect the nervous system, including the brain, spinal cord, and peripheral nerves. Your symptoms could be indicative of several potential neurological issues, such as focal dystonia, which is characterized by involuntary muscle contractions, or even a more serious condition like a neurological disorder affecting motor control. The fact that you have also experienced numbness in your hands could suggest a broader issue related to nerve function.

When you visit a neurologist, they will likely conduct a comprehensive evaluation, which may include a detailed medical history, a physical examination, and possibly some diagnostic tests. These tests could include:
1. Electromyography (EMG): This test measures the electrical activity of your muscles and can help determine if there is any nerve damage or dysfunction.

2. Nerve Conduction Studies (NCS): This test assesses how well electrical signals travel through your nerves, which can help identify any issues with nerve function.

3. MRI or CT Scans: Imaging studies may be ordered to visualize the brain and spinal cord to rule out any structural abnormalities that could be contributing to your symptoms.

4. Blood Tests: These may be performed to check for metabolic or autoimmune conditions that could affect nerve function.

It’s important to address these symptoms promptly, especially since they have been occurring over the past few months and seem to be worsening. The fact that your symptoms were triggered during blood pressure measurement suggests that they may be related to muscle tension or vascular issues, but a neurologist will be best equipped to determine the underlying cause.

In addition to seeking neurological help, it may also be beneficial to keep a diary of your symptoms, noting when they occur, their duration, and any potential triggers. This information can be valuable for your healthcare provider in making an accurate diagnosis.

Lastly, while waiting for your appointment, you might consider gentle stretching and relaxation techniques to help alleviate some of the muscle tension. However, avoid any aggressive manipulation of your hand that could lead to injury or exacerbate the problem.

In summary, given your symptoms of uncontrollable hand contractions and previous episodes of numbness, it is crucial to consult a neurologist for a thorough evaluation and appropriate management. Early intervention can often lead to better outcomes, so don’t hesitate to seek help.

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