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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Numbness In My Hands?

Since last August the 3th I fell ill with a rush that started in my feet and my hands. It was very little and very itchy but, as days passed, 2 or 3, it extended rapidly. So I went to the ER of the Glasgow Royal Infirmary and their report was: Attended with rush over hands, feet and back of legs and arms. Imp-vesicular palmoplantar eczema. Discharched with px for eumovate and emollient cream.That was on 05/08/2014 at 17:57 hrs. On 08/08/2014 at 04:30 hrs. went back again to the same facility. Clinical Notes: Vesicular rush for 5 days. No improvement. Felt faint this am. Hands and knees sore. Vesicular rush on hands, thighs, axillae and lower leg. No arthropathy on examination. Normal vital signs. Examination otherwise normal. Home with advice re antihistamine and supportive management. I continued having the same symptoms, that is itching and pain, stiffness and numbness in right hand that was very swollen. Those symptoms were aggravated in am hours, after having slept for one or two hours. On August 11, 2014 I went back home in Spain. As I couldn t sleep and was tired of being in pain, I went to the ER of a private Clinic in Torremolinos. They gave me a shot of Urbazon. That same morning I had an appointment with a dermathologist who took a biopsy from skin of my arms and order lab test. Please see attached file with lab tests results and biopsy results. (Sorry they re in Spanish but I think you can figure it out) On August 19, 2014 I went to the rheumatologist. Her diagnostic: Arthargias + skin lesions probable from a viral process. I continued with the same symptoms and feeling really bad. On August 21, 2014 I went to the general practitioner at the Seguridad Social. He ordered 3 shots. One that same day, next one, next day and the last one on Sunday August 24. Celestone Cronodose 2 ml intramuscular. On Friday August 22 I begun feeling a lot better and I could move my hands for the first time since August the 8th. On Monday August 28 I went back to see the same doctor and he ordered a shot. Trigon Depot 40 mg intramuscular. Now I´m feeling a lot better but the only thing that remains is in my right hand. It is still numb and can´t close the fist. Not enough strength. What should I do? What do you think it is happening in my right hand? Should I visit a neurologist?
Fri, 27 Mar 2015
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Physical Therapist or Physiotherapist,  's  Response
As per your explanation looks like you had a skin infection as well the inflammation on the affected area and that's why there was too much of pain and swelling. As a result of this you was not able to move your hand.
Now as per my suggestion I advise to continue the treatment by doctor with whom you are feeling good. And I am sure he must have given you anti allergic, anti inflammatory, anti fungal or anti biotic drugs as per your report of skin biopsy and other evaluations. Here your problem is you still have numbness feeling in your affected arm and hand. Let me tell you one thing since from past few days you was not moving or using your hand as normally as you was there will be weakness. And numbness could be due to pressure on nerves due to extra find accumulation in affected part, you also call it as swelling. Now here I suggest to wait for some more days if your numbness does not go then do a cervical mri as well nerve conduction test for the nerve coming from cervical and supplying to hands. That the doctor will guide you best to know more where there is a problem still. And then take treatment accordingly.
Take care
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What Causes Numbness In My Hands?

As per your explanation looks like you had a skin infection as well the inflammation on the affected area and that s why there was too much of pain and swelling. As a result of this you was not able to move your hand. Now as per my suggestion I advise to continue the treatment by doctor with whom you are feeling good. And I am sure he must have given you anti allergic, anti inflammatory, anti fungal or anti biotic drugs as per your report of skin biopsy and other evaluations. Here your problem is you still have numbness feeling in your affected arm and hand. Let me tell you one thing since from past few days you was not moving or using your hand as normally as you was there will be weakness. And numbness could be due to pressure on nerves due to extra find accumulation in affected part, you also call it as swelling. Now here I suggest to wait for some more days if your numbness does not go then do a cervical mri as well nerve conduction test for the nerve coming from cervical and supplying to hands. That the doctor will guide you best to know more where there is a problem still. And then take treatment accordingly. Take care