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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Numbness In The Toes

My question is really me just asking for your opinion on what you think my condition is. Im 18 and I play guitar/piano and basketball. I ve had no injury to my hands ever but about 4 months ago i started to get numbness in both my pinkies a lot, almost everyday which i think is probably because i played the guitar a lot and basketball. But i could feel the numbness run up to my ulnar nerve i think you call it (funny bone?) but that went on for 2 months then i recognize there s a bumb on the right side of my left hands middle knuckle presumably getting biger and sticking out which didn t bother much but the doc i went to said it was a cyst. It isn t a cyst as Im told from a hand surgeon bc my left hands tendons starting sliding off yo the left side which is pushing a bone out further making it impossible to play guitar or basketball. My right hand is no developing the same just slower and now my hands always feel tight and weak and when i stretch i can feel a pull of strain run through my hands to my forearm my knuckles also crack especially the pinky it locks up and my fist are hard to open when clenched. I keep thinking RA but my hand surgeon didn t think so but is sending me to an rheumatologist with blood work.
Thu, 28 Nov 2019
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General Surgeon 's  Response
Hello,

Along with it, those sensory losses, indicate early onset nerve fiber damage, the most likely cause can be due to that jumping event only, along with a formation of neuroma (possible morton's neuroma) due to maybe nerve entrapment.

No, one week is not at all advisable, as it can worsen even further, so you need to get yourself checked out without any further delay.

There's a need to rule out a stress fracture of the toe also. There'll be a need to undergo for X-ray of the feet along with MRI after physical evaluation by an Orthopedician.

You can simply go to your nearest ER/urgent care where you'll not only get yourself promptly examined but also will receive immediate management accordingly.

This is certainly not a manageable situation at home/work, so you'll definitely get off from your work for the time being.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Iven Romic Rommstein, General Surgeon
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Suggest Treatment For Numbness In The Toes

Hello, Along with it, those sensory losses, indicate early onset nerve fiber damage, the most likely cause can be due to that jumping event only, along with a formation of neuroma (possible morton s neuroma) due to maybe nerve entrapment. No, one week is not at all advisable, as it can worsen even further, so you need to get yourself checked out without any further delay. There s a need to rule out a stress fracture of the toe also. There ll be a need to undergo for X-ray of the feet along with MRI after physical evaluation by an Orthopedician. You can simply go to your nearest ER/urgent care where you ll not only get yourself promptly examined but also will receive immediate management accordingly. This is certainly not a manageable situation at home/work, so you ll definitely get off from your work for the time being. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Iven Romic Rommstein, General Surgeon