Post-Rehabilitation Hand Numbness: Causes and When to Seek Help - Orthopedics

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After completing rehabilitation, the hand experiences numbness?


I previously sought treatment for a sports injury, and after the third rehabilitation session, my hand started to feel numb and painful.
The clinic said this was because my body was more sensitive due to the initial rehabilitation.
They then only recommended machine therapy and stopped manual therapy, stating that it would improve within a month.
However, it has already been a week, and whenever I exert myself even a little, my hand becomes weak or even numb.
Should I be concerned about what the doctor said, or is there something I should do to protect myself? Naturally, I haven't gone back (out of fear).
Thank you! I don't have much medical history, but I suspect this could be a result of overly vigorous manipulation.
I'm unsure about the severity of the situation—should I go to the hospital for an evaluation immediately, or should I let it heal gradually?

Xiao Mei, 20~29 year old female. Ask Date: 2013/04/03

Dr. Ye Qingnian reply Orthopedics


Hello: It is recommended to visit the hospital for a check-up.
Wishing you good health.

Reply Date: 2013/04/03

More Info


Post-rehabilitation hand numbness can be a concerning symptom, especially after an injury and subsequent rehabilitation. It is essential to understand the potential causes of this numbness and when to seek medical help.
Firstly, numbness and tingling in the hands can arise from several factors, particularly after physical therapy or rehabilitation. One common cause is nerve compression or irritation, which can occur if the rehabilitation exercises are too intense or improperly executed. This can lead to conditions such as carpal tunnel syndrome or thoracic outlet syndrome, where nerves are compressed in the wrist or shoulder area, respectively. Another possibility is that the rehabilitation process may have exacerbated an underlying condition, such as a previous injury or inflammation in the area, leading to symptoms like numbness or weakness.

In your case, since you mentioned that the numbness and weakness in your hand occur after exertion, it could indicate that your muscles or nerves are not yet fully recovered from the initial injury. The sensitivity of your body to rehabilitation exercises, as noted by your clinic, suggests that your nervous system may be reacting to the stress of the rehabilitation process. This is not uncommon, especially in individuals who are undergoing physical therapy for the first time after an injury.

It is crucial to monitor your symptoms closely. If the numbness persists, worsens, or is accompanied by other symptoms such as severe pain, weakness that affects your daily activities, or changes in your ability to grip objects, it is advisable to seek medical attention. A healthcare professional can conduct a thorough evaluation, which may include physical examinations, nerve conduction studies, or imaging tests to determine the underlying cause of your symptoms.

In the meantime, here are some steps you can take to protect yourself and potentially alleviate your symptoms:
1. Rest and Recovery: Allow your hand to rest, especially after activities that exacerbate the numbness. Avoid repetitive motions or heavy lifting that could strain your hand and wrist.

2. Gentle Stretching: Engage in gentle stretching exercises for your hands and wrists. This can help improve circulation and reduce tension in the muscles and nerves.

3. Ergonomic Adjustments: If you are using your hands for prolonged periods (e.g., typing or using tools), ensure that your workspace is ergonomically designed to minimize strain on your hands and wrists.

4. Ice Therapy: Applying ice to the affected area can help reduce inflammation and numbness. Use an ice pack wrapped in a cloth for 15-20 minutes at a time.

5. Consult a Specialist: If your symptoms do not improve, consider consulting a physical therapist or a hand specialist who can provide tailored rehabilitation exercises and techniques to address your specific needs.

6. Follow-Up with Your Doctor: If you have concerns about the severity of your symptoms, do not hesitate to reach out to your healthcare provider. They can help determine if further evaluation or a change in your rehabilitation plan is necessary.

In conclusion, while post-rehabilitation numbness can be a common occurrence, it is essential to listen to your body and seek help if symptoms persist or worsen. Early intervention can prevent further complications and aid in a more effective recovery.

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