Hand Numbness and Pain: When to Seek Neurological Help

Hand numbness and pain?

I used to experience hand numbness, but it would go away after a while.
Recently, however, the numbness has extended from my fingertips to my entire palm and even to my elbow (it's numb to the point of pain), and it radiates from my shoulder to my back.
I wake up at night due to the pain from the numbness.
My legs also experience numbness and pain, but it's not as severe.
Riding a bike causes my entire body to feel numb and painful.
While working, I have to lift heavy objects, but I don't feel numbness or pain during work.
However, when I eat or ride a bike, the numbness and pain start from my fingertips and quickly escalate.
Which specialty should I consult, and how should this be addressed?

Qian, 30~39 year old female. Ask Date: 2016/01/27

Dr. Gao Chunde reply Neurology

Issues related to cervical spine nerves can be evaluated and diagnosed by either a neurosurgeon or a neurologist.

Reply Date: 2016/01/27

More Info

Experiencing hand numbness and pain can be concerning, especially when it starts to interfere with daily activities and sleep. Based on your description, it seems that the numbness and pain are not only limited to your hands but also extend to your shoulders, back, and even your legs. This pattern of symptoms suggests that there may be an underlying neurological issue that warrants further investigation.

When to Seek Neurological Help
1. Persistent Symptoms: If you notice that the numbness and pain are becoming more frequent or persistent, it is essential to seek medical attention. Symptoms that last longer than a few minutes or occur regularly should not be ignored.

2. Progressive Symptoms: If the intensity of the numbness and pain is increasing, or if you are experiencing new symptoms such as weakness, coordination problems, or changes in sensation, it is crucial to consult a healthcare professional.

3. Impact on Daily Life: Since you mentioned that the symptoms are affecting your sleep and daily activities, such as eating and riding a bike, this is a significant indicator that you should seek help. Quality of life is essential, and persistent pain or numbness can lead to further complications if left untreated.

4. Associated Symptoms: If you experience additional symptoms such as dizziness, difficulty speaking, or visual disturbances, you should seek immediate medical attention, as these could indicate a more serious condition.

Possible Causes
The symptoms you describe could be related to several conditions, including:
- Cervical Radiculopathy: This occurs when a nerve in the neck is compressed or irritated, leading to pain, numbness, or weakness that radiates down the arm.

- Carpal Tunnel Syndrome: This condition is caused by compression of the median nerve as it travels through the wrist, leading to numbness and pain in the hand.

- Peripheral Neuropathy: This is a result of damage to the peripheral nerves, which can cause pain, numbness, and weakness, often in the hands and feet.

- Thoracic Outlet Syndrome: This condition occurs when blood vessels or nerves in the space between your collarbone and your first rib are compressed, leading to pain and numbness in the arms.

Recommended Actions
1. Consult a Neurologist: Given the complexity of your symptoms, it would be beneficial to see a neurologist. They can perform a thorough examination, including a neurological assessment, and may recommend tests such as electromyography (EMG) or nerve conduction studies to evaluate nerve function.

2. Physical Therapy: Depending on the diagnosis, physical therapy may be recommended to strengthen the muscles around the affected nerves and improve mobility. A physical therapist can also provide exercises to alleviate symptoms and prevent further injury.

3. Lifestyle Modifications: Consider making adjustments to your daily activities. For instance, if you are lifting heavy objects, ensure you are using proper techniques to avoid straining your neck and shoulders. Ergonomic adjustments to your workspace may also help reduce symptoms.

4. Medication: Over-the-counter pain relievers or anti-inflammatory medications may provide temporary relief. However, it is essential to discuss any medication with your healthcare provider, especially if you have other health conditions.

5. Follow-Up: Keep track of your symptoms and follow up with your healthcare provider regularly to monitor any changes. This will help in adjusting your treatment plan as necessary.

In conclusion, while occasional hand numbness may not be alarming, the persistence and progression of your symptoms warrant a thorough evaluation by a neurologist. Early intervention can lead to better outcomes and help you regain control over your daily activities and quality of life.

Similar Q&A

Understanding Hand Numbness: When to Seek Neurological Care

1. A couple of days ago, I suddenly experienced numbness in my palm when reaching for something, which has persisted for two days. The numbness occurs whenever I extend my right hand outward, but it does not happen when I reach towards my body’s center. If my palm is facing up, t...

Dr. Gao Chunde reply Neurology
1. The location of the numbness corresponds to the area of the median nerve, but it is difficult to determine whether the cause is compressive or inflammatory, as well as whether the lesion is in the forearm or wrist. Generally, the most common condition is carpal tunnel syndrome...

Managing Computer-Related Nerve Issues: When to Seek Help

I have a background in computer science, and after long periods of typing on the computer, I am currently experiencing numbness and tingling in both hands. I previously visited a doctor for massage therapy, which helped for a few months, but it seems to have recurred. Which type ...

Dr. Ye Boshou reply Neurology
First, check for carpal tunnel syndrome or simple tendonitis. It is advisable to consult a neurologist for an examination and to ensure adequate rest.

Understanding Hand Numbness: When to Seek Medical Help and Treatment Options

Hello Dr. Ding: I work in computer graphic design and have to use the computer for long hours every day. Recently, over the past month, I have noticed that all five fingers on my left hand are experiencing numbness (especially the middle three fingers). Whenever I exert force wit...

Dr. Ding Xianwei reply Neurosurgery
Hello: Please schedule an appointment with the neurosurgery outpatient clinic for evaluation by a specialist. Wishing you good health.

Understanding Hand Weakness and Numbness: When to See a Specialist

Hello Doctor, I have been experiencing issues with my hand for several years. Whenever I perform actions like wringing a towel or tying my hair, my right wrist sometimes becomes immobile for a period of time. It feels as if the tendons inside are about to snap. Recently, I starte...

Dr. Jiang Junyi reply Neurology
Hello: You mentioned that the action of twisting a towel to tie your hair has caused symptoms such as numbness and weakness in your wrist. From the perspective of potential causes, this may be related to compression of the median nerve. However, you also mentioned experiencing nu...