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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Do I Experience Numbness, Tingling Sensation And Severe Pain In The Right Hand?

I have numbness, tingling, shooting and severe pain in my hands especially my right hand. The worse time is when I wake up during the night. The pain wakes me up - usually wake up at least 3 times a night. I get up and do stretching exercises when possible if I m hurting too bad I just get up. I average about 5 hrs of sleep. I am retired so I can sleep some during the day. I don t have diabetes but have fibermyalgia and dermatomyositis.
Fri, 24 Aug 2018
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Orthopaedic Surgeon,  's  Response
Hello,

Is tingling and numbness affecting all fingers or only thumb and adjacent two fingers? if all fingers are involved likely cause is cervical nerve compression. if only outer three fingers are involved likely cause is carpel tunnel syndrome. Two investigation needed to confirm diagnosis are 1.Nerve Conduction velocity studies of both upper limbs and 2. Mri of cervical spine. They will differentiate between above two conditions. Treatment of carpel tunnel syndrome is exercises with pregalin x at night and if not relieved local steroid injection. Treatment of nerve compression vary depending on severity of nerve compression. Please consult neurophysician for detailed clinical Examination.

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Why Do I Experience Numbness, Tingling Sensation And Severe Pain In The Right Hand?

Hello, Is tingling and numbness affecting all fingers or only thumb and adjacent two fingers? if all fingers are involved likely cause is cervical nerve compression. if only outer three fingers are involved likely cause is carpel tunnel syndrome. Two investigation needed to confirm diagnosis are 1.Nerve Conduction velocity studies of both upper limbs and 2. Mri of cervical spine. They will differentiate between above two conditions. Treatment of carpel tunnel syndrome is exercises with pregalin x at night and if not relieved local steroid injection. Treatment of nerve compression vary depending on severity of nerve compression. Please consult neurophysician for detailed clinical Examination. Hope I have answered your query. Let me know if I can assist you further.