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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Numbness Along With Burning Pain In Right Hand?

I wake up at nights with numbness along with burning pain in my right hand.. It was suggested that I might be sleeping on my hand so I pay careful attention not to do that, matter of fact, I could feel it coming on as as I m trying to fall asleep. This has been going on for about 2 months.. a night here and there I don t have any numbness but it s going on far too long..A few yrs ago when I first experience it (it had stopped on it s own then), I was told about the nerve in back of neck running down to the fingers..What do you think is going on doctor, should I be concerned?
Mon, 28 Sep 2015
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Neurologist 's  Response
I read your question carefully and I understand your concern.

It might have been useful if you had added something on the distribution of the symptoms, whether they included all fingers or only some of them, only the hand or forearm as well, palmar surface or dorsal etc.
Anyway from the present information my primary hypothesis would be a carpal tunnel syndrome, cause by compression of a nerve in the wrist, it is very common. A nerve in the back of the neck is also a possibility, but usually there is some neck pain as well. Anyway the two conditions can easily be differentiated through nerve conduction studies and neck MRI (if distribution and conduction studies indicate carpal tunnel MRI may not be necessary). Neither is a condition to be alarmed, in the sense of life threatening, but you should be checked.

I hope to have been of help.
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What Causes Numbness Along With Burning Pain In Right Hand?

I read your question carefully and I understand your concern. It might have been useful if you had added something on the distribution of the symptoms, whether they included all fingers or only some of them, only the hand or forearm as well, palmar surface or dorsal etc. Anyway from the present information my primary hypothesis would be a carpal tunnel syndrome, cause by compression of a nerve in the wrist, it is very common. A nerve in the back of the neck is also a possibility, but usually there is some neck pain as well. Anyway the two conditions can easily be differentiated through nerve conduction studies and neck MRI (if distribution and conduction studies indicate carpal tunnel MRI may not be necessary). Neither is a condition to be alarmed, in the sense of life threatening, but you should be checked. I hope to have been of help.