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Numbness In Wrist, Can't Grasp Objects, Tendons In Arm Is
Posted on
Thu, 6 Jun 2019
Thu, 6 Jun 2019
Answered on
Last reviewed on
Question : Numbness in wrist, can't grasp objects, tendons in arm is tight, has been getting horrible cramps in arms, legs, eye twitching and swollen hand and wrist. and can't lift hand up
Brief Answer:
Paraesthesia and weakness UL?Radiculopathy.
Detailed Answer:
Hi.
Welcome to Ask a doctor.
I am Dr Ajeet XXXXXXX
There may be multiple differential diagnosis of your complaints of cramps,twitching,tremors, weakness and parasthesia.
If I receive such patient in my hospital,I immediately procure a plain CT Head(NCCT) to rule out a stroke.Stroke may present as a facial deviation,slurred speech or arm weakness.
Let me know if you have any risk factor like heavy smoking,alcoholism,hypertension,diabetes,family history,obesity or sedentary life?
Signs of UMN lesion include weakness, hyperreflexia and increased tone.
Signs of LMN lesions include weakness, atrophy,hyporeflexia or absent reflexes.
Once UMN lesion has been ruled out by a brain scan,I would go for a MRI of cervial and thoracic spine(Plain and contrast s.o.s)
It will rule out prolapsed inter vertebral disc(PIVD) and compression radiculopathy.
If any Intervertebral disc is partially or completely prolapsed,the disc bulge obliterates the foramina through which the spinal nerves comes out.
This would cause pinching of nerves and sensory and motor deficits thereby.
This can be substantiated by Nerve conduction study and electrophysiological studies.
You also need to test for serum calcium, serum vitamin D3, serum electrolytes, blood sugar fasting and PP(to rule out diabetic radiculopathy),VDRL, HIV, PTH (Parathyroid),serum TSH, X-ray cervical spine (to rule out cervical rib),serum vitamin B12 levels and CPK enzyme levels to rule out the causes which have a similar symptomatology.
Hope that I have answered your quary.Please get back,if you have any doubts.
Stay healthy.
Regards.
Paraesthesia and weakness UL?Radiculopathy.
Detailed Answer:
Hi.
Welcome to Ask a doctor.
I am Dr Ajeet XXXXXXX
There may be multiple differential diagnosis of your complaints of cramps,twitching,tremors, weakness and parasthesia.
If I receive such patient in my hospital,I immediately procure a plain CT Head(NCCT) to rule out a stroke.Stroke may present as a facial deviation,slurred speech or arm weakness.
Let me know if you have any risk factor like heavy smoking,alcoholism,hypertension,diabetes,family history,obesity or sedentary life?
Signs of UMN lesion include weakness, hyperreflexia and increased tone.
Signs of LMN lesions include weakness, atrophy,hyporeflexia or absent reflexes.
Once UMN lesion has been ruled out by a brain scan,I would go for a MRI of cervial and thoracic spine(Plain and contrast s.o.s)
It will rule out prolapsed inter vertebral disc(PIVD) and compression radiculopathy.
If any Intervertebral disc is partially or completely prolapsed,the disc bulge obliterates the foramina through which the spinal nerves comes out.
This would cause pinching of nerves and sensory and motor deficits thereby.
This can be substantiated by Nerve conduction study and electrophysiological studies.
You also need to test for serum calcium, serum vitamin D3, serum electrolytes, blood sugar fasting and PP(to rule out diabetic radiculopathy),VDRL, HIV, PTH (Parathyroid),serum TSH, X-ray cervical spine (to rule out cervical rib),serum vitamin B12 levels and CPK enzyme levels to rule out the causes which have a similar symptomatology.
Hope that I have answered your quary.Please get back,if you have any doubts.
Stay healthy.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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