Hand Discomfort: Seeking Answers for Neurological Issues

About my hand?

I have been experiencing discomfort in my hand for quite some time.
A few years ago, I suddenly felt a tingling sensation in my left hand, particularly in the area where I grip things.
It became difficult to grasp objects, and sometimes they would slip from my fingers.
While I can still hold things, it often feels like they are about to fall.
This issue primarily affects my fingers and the area above my wrist.
Sometimes, when I eat or try to pick up food, I struggle to grip it properly.
Initially, I thought it might be carpal tunnel syndrome, but it seems not to be the case.

I underwent three electromyography (EMG) tests—two were done externally and one internally on the muscles of one hand.
Fortunately, there were no signs of muscle degeneration or atrophy.
My doctor prescribed various medications, but none have been particularly effective.
Eventually, I was advised to pursue physical therapy and exercise.
I have been attending therapy sessions at a clinic nearby for some time now, including electrical stimulation and infrared therapy for my wrist.
This issue has been quite distressing for me.

Since the onset of this problem, the sensation in my wrist has changed.
Although it may appear normal, I often find myself shaking my hand, and it feels like my tactile perception has altered.
This has been ongoing for about four or five years.
Can you provide me with some guidance on how to approach my doctor again? Is this a rare condition? Is it something that cannot be cured? This is not a congenital issue; it developed later in life.

Chen JR, 20~29 year old female. Ask Date: 2015/07/31

Dr. Lan Shengxing reply Neurology

Dear Xiao Chen, regarding your issue for the past four to five years, you have undergone several electromyography (EMG) tests and had detailed consultations with your physician.
I believe there is not much I can assist you with online.
I can only suggest that you seek another physician and explain your situation to them in detail.
Wishing you all the best, Lan Shengxing.

Reply Date: 2015/07/31

More Info

It sounds like you have been experiencing persistent discomfort in your left hand for several years, which has significantly affected your daily activities. The symptoms you describe, such as difficulty gripping objects, a sensation of weakness, and altered tactile perception, can be quite distressing. Given the duration and nature of your symptoms, it is essential to approach this issue comprehensively.

Firstly, it is important to consider the potential causes of your hand discomfort. While you initially suspected it might be related to repetitive strain, often referred to as "computer hand" or carpal tunnel syndrome, the fact that you have undergone multiple electromyography (EMG) tests without evidence of muscle atrophy or significant nerve damage suggests that the issue may not be purely neurological. However, it is crucial to rule out any underlying conditions that could be contributing to your symptoms.

Conditions such as tendonitis, arthritis, or even issues related to the cervical spine (like a herniated disc) can manifest as hand discomfort and weakness. Tendonitis, for example, can occur due to repetitive motions or overuse, leading to inflammation of the tendons in the wrist and hand. Similarly, arthritis can cause pain and stiffness in the joints, affecting your ability to grip objects. A cervical spine issue could lead to nerve compression, resulting in symptoms that radiate down the arm and into the hand.

Since you have already consulted with doctors and undergone various treatments, including medication and physical therapy, it may be beneficial to seek a second opinion from a specialist, such as a neurologist or an orthopedic surgeon. They can perform a thorough examination and may recommend additional imaging studies, such as an MRI, to assess the condition of your cervical spine and the structures in your wrist and hand.

In addition to medical evaluations, consider discussing your symptoms with a physical therapist who specializes in hand therapy. They can provide tailored exercises to improve strength and flexibility in your hand and wrist, which may alleviate some of the discomfort you are experiencing. Occupational therapy may also be beneficial, as it focuses on improving your ability to perform daily tasks despite your symptoms.

It's also essential to address any lifestyle factors that may contribute to your condition. Ergonomic adjustments to your workspace, such as using a supportive chair, maintaining proper wrist positioning while typing, and taking regular breaks, can help reduce strain on your hands and wrists. Additionally, incorporating regular stretching and strengthening exercises into your routine can promote better hand function.

Lastly, while it may feel discouraging to deal with this issue for an extended period, many conditions affecting the hand and wrist can be managed effectively with the right approach. It is crucial to remain proactive in seeking treatment and advocating for your health. By working closely with healthcare professionals and exploring various therapeutic options, you can find a path toward improvement and regain functionality in your hand.

In summary, your symptoms warrant further investigation to identify any underlying conditions. Seeking a second opinion, considering specialized therapy, and making ergonomic adjustments can all contribute to better management of your hand discomfort. Remember, you are not alone in this journey, and there are resources available to help you navigate your symptoms effectively.

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