Experiencing Numbness in Left Hand: When to See a Specialist? - Neurology

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Numbness and tingling in the left hand without pain?


For the past couple of weeks, I have been experiencing intermittent sensations of tingling and numbness in my left hand, but no pain.
When I tilt my head back to the left, I feel that the muscles on that side are tighter compared to the right.
I am concerned about potential long-term effects.
Which specialty should I consult? Thank you!

Xiao Li, 50~59 year old female. Ask Date: 2013/10/29

Dr. Huang Yongquan reply Neurology


It could be cervical nerve compression or carpal tunnel syndrome.
It is recommended to rest more and pay attention to posture.
You may consider visiting a rehabilitation specialist or a neurologist for examination and treatment.

Reply Date: 2013/10/29

More Info


Experiencing numbness in your left hand can be concerning, especially when it occurs intermittently and is accompanied by sensations of tightness or discomfort in the neck. Given your symptoms, it is essential to seek medical attention to determine the underlying cause and receive appropriate treatment.

Based on your description, the numbness in your left hand could be attributed to several potential issues. One common cause is nerve compression, which can occur due to various factors such as poor posture, repetitive strain injuries, or conditions like carpal tunnel syndrome. In your case, the tightness in your neck may suggest that the cervical spine could be involved, potentially leading to nerve root compression that affects the sensation in your arm and hand.

When deciding which specialist to consult, you have a few options. A neurologist would be a suitable choice, as they specialize in diagnosing and treating conditions related to the nervous system. They can perform a thorough neurological examination and may recommend tests such as nerve conduction studies or electromyography (EMG) to assess the function of the nerves and muscles in your arm and hand.

Alternatively, you could also consider seeing a physical medicine and rehabilitation specialist (physiatrist) or an orthopedic doctor specializing in the upper extremities. These specialists can evaluate musculoskeletal issues and may provide treatments such as physical therapy, which can help alleviate symptoms related to nerve compression or muscle tightness.

In addition to seeking medical advice, there are some self-care measures you can take to help manage your symptoms. Maintaining good posture, especially when sitting or using a computer, can help reduce strain on your neck and upper back. Regular stretching and strengthening exercises for your neck and shoulder muscles may also be beneficial. If you notice that certain activities exacerbate your symptoms, try to modify or limit those activities.

It is important not to ignore these symptoms, as prolonged nerve compression can lead to more severe issues, including permanent nerve damage. Early intervention can often lead to better outcomes and may prevent the development of chronic pain or functional limitations.

In summary, given your symptoms of numbness in the left hand and associated tightness in the neck, it is advisable to consult a neurologist or a specialist in physical medicine and rehabilitation. They can provide a comprehensive evaluation and recommend appropriate diagnostic tests and treatment options. Taking proactive steps now can help ensure that you address any underlying issues before they lead to more significant problems.

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