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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I see the doctor if hands go numb, turn purple when elbow is bent for a long time since suffering from Raynaud s phenomenon?

For 5 years it have suffered from raynaud s phenomenon in my fingers and toes. More recently my blood supply to my hands decreases when my elbow is bent for a prolonged time, such as when I m writing for a long time. My hands go numb and turn a purple/black colour. My teachers think this may affect me when I m sitting long exams. Should I make a doctors appointment? Thanks.
Sat, 19 Apr 2014
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General & Family Physician 's  Response
Hello
Let me explain you , what is Raynaud's phenomenon , so that you can understand the gravity of situation.
Peripheral vasospasm also occurs secondarily to other organic diseases such as atherosclerosis , collagen diseases--specially scleoderma , Burger's disease, cervical rib etc.
It also follows the use of industrial tools, e.g. chain ,saws,which bibrates at certain frequncies.
Thus in arm , atherosclerotic stenosis of the subclavian artery , scleroderma , Burger's disease or the cervial rib & the scalene syndrome may be responsible.
Treatment is directed primarily to the casual lesions,though conservative treatment is also helpful.
As protection from cold , avoidance of pulp & nail-bed infections & the use odf vasodilator drugs are part of conservative regime that is advised in mild cases.
If not responding to these measures only operation is an option as SYMPATHECTOMY.
So in my opinion at once consult a surgeon or neurologist and get his opinion.
Good luck.
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