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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Pain And Tingling Sensation In The Hand And Fingers Be Treated?

I fell 4 weeks ago. Hurt my hand. Emergency took X-Rays that came back negative. Gave me a wrist/hand brace to wear. Most of the swelling went down, but I cannot make a fist. Hurts in my fingers, and in the middle of my palm. A few days ago I tried a few gentle exercises, and stretches for a hand that has bruised tendons. That is what the doctor said I possibly have. He told me 4 weeks ago to come back to see him in two months and in the meantime move my hand. So I googled the exercises and stretches, but now my hand hurts worse and now I have pins and needles in my hand and fingers. What should I do?
Mon, 1 Apr 2019
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General Surgeon,  's  Response
Hi,

Hand numbness is usually caused by damage, irritation or compression of one of the nerves or a branch of one of the nerves in your arm and wrist.

Diseases affecting the peripheral nerves, such as diabetes, also can cause numbness, although with diabetes similar symptoms usually occur first in your feet.

However, your symptoms indicate that there is compressive neuropathy which is seen in carpal canal syndrome or cubital syndrome.

You need to do EMG first to confirm diagnosis and then it can be treated with local steroid shots or surgical decompression.

Also, physical therapy may be beneficial.

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

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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How Can Pain And Tingling Sensation In The Hand And Fingers Be Treated?

Hi, Hand numbness is usually caused by damage, irritation or compression of one of the nerves or a branch of one of the nerves in your arm and wrist. Diseases affecting the peripheral nerves, such as diabetes, also can cause numbness, although with diabetes similar symptoms usually occur first in your feet. However, your symptoms indicate that there is compressive neuropathy which is seen in carpal canal syndrome or cubital syndrome. You need to do EMG first to confirm diagnosis and then it can be treated with local steroid shots or surgical decompression. Also, physical therapy may be beneficial. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon