Thumb Numbness After Drawing: Causes and When to See a Doctor - Neurosurgery

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Numbness at the tip of the right thumb has persisted for two days after drawing for two days?


Hello: Recently, I've become fascinated with coloring books, specifically those that involve using colored pens.
I usually spend about 2-3 hours on a page the first day, taking longer when coloring flowers, and then I can complete a page in about 1-2 hours the next day.
However, on the third morning, I noticed a tingling sensation at the tip of my right thumb.
It feels like a lack of blood flow, but I can still bend it normally.
When I press on it, it feels numb, and if a friend flicks my finger, I also feel pain.
This numbness has persisted for a day and a night now, and it's the second night.
I'm quite worried that this might be abnormal.
I plan to stop coloring for now and would like to know what might be causing this condition.
Is there something wrong with me that I might not be aware of? Should I see a doctor? If so, which specialty should I consult? Could you please inform me of the common causes of such symptoms? Thank you!

Matcha, 30~39 year old female. Ask Date: 2015/08/02

Dr. Zhang Junwei reply Neurosurgery


The most likely cause is prolonged drawing, which puts pressure on the fingers and affects blood circulation and nerves, leading to numbness.
Typically, resting for two to three days will result in improvement.

Reply Date: 2015/08/02

More Info


Thumb numbness, especially after prolonged activities like drawing, can be concerning and may arise from several underlying causes. Given your description, it seems that the numbness in your right thumb has persisted for more than a day, which warrants attention. Here are some potential causes and considerations regarding your symptoms:

Possible Causes of Thumb Numbness
1. Nerve Compression: One of the most common reasons for numbness in the fingers, including the thumb, is compression of the nerves. This can occur due to repetitive motions or prolonged positions that put pressure on the nerves. For instance, if you were holding your drawing materials in a way that compressed the median nerve (which runs through the wrist and into the hand), it could lead to symptoms similar to carpal tunnel syndrome.

2. Poor Circulation: If your hand was in a position that restricted blood flow, it could cause a temporary sensation of numbness or tingling. This is often described as a "pins and needles" feeling and can occur if you were resting your arm awkwardly while drawing.

3. Tendonitis or Overuse Injury: Engaging in repetitive activities, such as drawing for extended periods, can lead to inflammation of the tendons in the wrist or hand, resulting in discomfort and numbness. This condition is often referred to as tenosynovitis.

4. Cervical Radiculopathy: Sometimes, issues in the neck, such as a herniated disc or bone spurs, can compress the nerves that travel down the arm, leading to numbness in the fingers. This is less likely if the numbness is isolated to the thumb, but it is still a possibility.

5. Vitamin Deficiencies: Deficiencies in certain vitamins, particularly B vitamins, can lead to nerve issues and numbness. If your diet has been lacking in these nutrients, it could be a contributing factor.


When to See a Doctor
Given that your symptoms have persisted for more than 24 hours, it is advisable to consult a healthcare professional. Here are some signs that indicate you should seek medical attention:
- Persistent Numbness: If the numbness does not improve or worsens over time.

- Weakness: If you experience weakness in your thumb or hand, making it difficult to grip or perform tasks.

- Pain: If the pain becomes severe or is accompanied by other symptoms such as swelling or redness.

- Changes in Sensation: If you notice changes in sensation in other fingers or parts of your hand.


Which Specialist to See
You should consider seeing a primary care physician first, who can evaluate your symptoms and determine if a referral to a specialist is necessary. Depending on the findings, you may be referred to:
- Neurologist: For nerve-related issues.

- Orthopedic Surgeon: If there are concerns about structural problems in the wrist or hand.

- Physical Therapist: For rehabilitation and exercises to relieve symptoms.


Conclusion
In summary, thumb numbness after drawing could be due to nerve compression, poor circulation, overuse injuries, or other factors. Since your symptoms have persisted, it is important to consult a healthcare professional for a thorough evaluation. They can provide a proper diagnosis and recommend appropriate treatment options to alleviate your symptoms and prevent further issues. In the meantime, resting your hand and avoiding activities that exacerbate the numbness may be beneficial.

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