Hand Tremors and Numbness: When to Seek Medical Advice - Neurology

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Tremors and numbness in the hands?


Hello, Dr.
Lan! I would like to ask you about my left hand, which trembles involuntarily.
Sometimes, when I clench my fist tightly, the shaking becomes more pronounced.
For example, when I use my left hand to drink water, the cup shakes.
Additionally, if pressure is applied to my little finger, it becomes numb.
What kind of tests do I need to undergo? Should I see a doctor?

Xiao Fang, 30~39 year old female. Ask Date: 2015/10/17

Dr. Lan Shengxing reply Neurology


Dear Xiao Fang, essential tremor generally worsens during exertion, which is different from the numbness in the little finger.
The numbness is due to peripheral nerve compression.
Both of these symptoms should be evaluated by a specialist in neurology.

Reply Date: 2015/10/17

More Info


Hello! Thank you for your question regarding the involuntary tremors and numbness in your left hand. It’s understandable to be concerned about these symptoms, especially when they interfere with daily activities like holding a cup of water.
Involuntary hand tremors can be caused by a variety of factors, including neurological conditions, muscle disorders, or even anxiety. The fact that your tremors worsen when you exert force, such as when you grip tightly, could suggest a few possibilities. One common condition that could cause these symptoms is essential tremor, which is a neurological disorder characterized by rhythmic shaking, especially during voluntary movements. Another possibility is that you might be experiencing symptoms related to carpal tunnel syndrome, particularly since you mentioned numbness in your little finger when pressure is applied.

Given the complexity of your symptoms, it is advisable to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include a physical examination and a review of your medical history. They might also recommend specific tests, such as:
1. Nerve Conduction Studies (NCS): This test measures how well electrical signals move through your nerves and can help identify any nerve damage or compression, such as in carpal tunnel syndrome.

2. Electromyography (EMG): This test assesses the electrical activity of your muscles and can help determine if there are any issues with the muscle itself or the nerves that control it.

3. MRI or CT Scans: If there is a suspicion of structural issues, imaging studies may be ordered to visualize the brain, spine, or other areas that could be contributing to your symptoms.

4. Blood Tests: These can help rule out metabolic or systemic conditions that might be causing your symptoms, such as thyroid dysfunction or vitamin deficiencies.

In the meantime, you can take some steps to manage your symptoms. Avoiding activities that exacerbate the tremors, such as gripping tightly or lifting heavy objects, may help. Additionally, practicing relaxation techniques, such as deep breathing or mindfulness, can sometimes reduce anxiety-related tremors.

It’s important to note that while some tremors can be benign, others may indicate a more serious underlying condition. Therefore, it is crucial to consult with a healthcare provider who can guide you through the diagnostic process and recommend appropriate treatment options based on the findings.

In summary, I strongly encourage you to seek medical advice as soon as possible. Early intervention can often lead to better outcomes, especially if there is an underlying condition that needs to be addressed. Your health and well-being are paramount, and a healthcare professional will be best equipped to help you navigate this situation. Thank you for reaching out, and I wish you the best in finding relief from your symptoms!

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