Why Do My Ring and Pinky Fingers Feel Numb After Anesthesia? - Orthopedics

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Numbness in the hands?


After undergoing general anesthesia and manual relaxation, experiencing numbness in the ring and little fingers three days later could be due to several reasons.
One possibility is compression or irritation of the ulnar nerve, which can occur during surgery or positioning.
Another reason might be related to postoperative swelling or inflammation affecting nerve function.
It is advisable to consult a healthcare professional for a thorough evaluation and appropriate management.

Jiang, 30~39 year old female. Ask Date: 2015/12/07

Dr. Chen Yongxue reply Orthopedics


The letter is unclear regarding what is meant by "manual general anesthesia." However, the numbness in the fourth and fifth fingers you described corresponds to the distribution of the ulnar nerve.
This symptom is commonly seen when the ulnar nerve is compressed at the elbow.
Additionally, it may also occur due to compression at the wrist.
An electromyography (EMG) test should be performed to confirm the diagnosis.
Thank you.

Reply Date: 2015/12/07

More Info


The numbness or tingling sensation in your ring and pinky fingers following anesthesia can be attributed to several factors, primarily involving the ulnar nerve, which is responsible for sensation in these fingers. This condition is often referred to as ulnar nerve neuropathy or ulnar nerve entrapment.

During surgery, especially if you were positioned in a way that put pressure on your arms or elbows, the ulnar nerve can become compressed. This nerve runs along the inner side of the elbow and down to the hand, and it is particularly vulnerable to pressure in certain positions. If the nerve is compressed, it can lead to symptoms such as numbness, tingling, or weakness in the areas it supplies, which includes the ring and pinky fingers.

In your case, the onset of symptoms three days post-anesthesia suggests that the nerve may have been compressed during the procedure or in the immediate recovery period. It is not uncommon for patients to experience such symptoms after surgery, especially if they were under general anesthesia and required positioning that could have affected nerve pathways.

Additionally, factors such as swelling from the surgical site, inflammation, or even the use of certain medical devices (like IV lines) can contribute to nerve compression. The recovery process can also lead to changes in how the body responds to nerve signals, which may manifest as temporary numbness or tingling.

To address these symptoms, it is advisable to consult with a healthcare professional who may recommend a nerve conduction study or electromyography (EMG) to assess the function of the ulnar nerve. These tests can help determine if there is ongoing nerve compression or damage that requires intervention.

In the meantime, there are several strategies that may help alleviate symptoms:
1. Positioning: Avoid positions that put pressure on the elbow or wrist. Keeping the arm in a neutral position can help reduce nerve compression.

2. Gentle Exercises: Engaging in gentle stretching and range-of-motion exercises can promote blood flow and reduce stiffness, which may help alleviate symptoms.

3. Heat Therapy: Applying heat to the affected area can help relax muscles and improve circulation, potentially reducing nerve irritation.

4. Physical Therapy: A physical therapist can provide tailored exercises and treatments to help relieve symptoms and improve function.

5. Medication: Over-the-counter anti-inflammatory medications may help reduce swelling and discomfort.

If symptoms persist or worsen, further evaluation by a neurologist or orthopedic specialist may be necessary to explore additional treatment options, which could include corticosteroid injections or, in some cases, surgical intervention to relieve nerve compression.

In summary, the numbness in your ring and pinky fingers after anesthesia is likely related to ulnar nerve compression, which can occur due to positioning during surgery or other factors. Monitoring your symptoms and consulting with a healthcare provider for appropriate evaluation and management is essential for recovery.

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