You’ve developed a strange little numbness and tingling in the fingers of your left hand. It doesn’t really hurt, but it’s just.... odd. Maybe the tingling goes away on its own and you don’t think about it again. Or maybe it sticks around and even starts to slowly grow so that now your forearm is numb, too. Do you call the doctor? For some tingling fingers.... There are many possible causes of numb fingers. Let’s assume that you didn’t just break your fingers; because if you had, you’d be in the emergency room seeking medical attention. The numbness could be caused by (but less frequently) frostbite, leprosy, or rare genetic disorders, such as Haim-Munk syndrome or hereditary neuropathy with liability to pressure palsies . Do you have diabetes? Pernicious anemia? Hypothyroidism? Peripheral vascular disease? Lupus? Raynaud’s syndrome? Guillaine-Barre syndrome? Cervi...
Neuropathy - distal median nerve
Pain in the wrist or hand that wakes you up at night
May be severe Pain may be felt in other areas, for example in the upper arm (this is called referred pain)
Sensation changes in the thumb and pointer (index), middle, and part of the ring fingers, such as:
Weakness of the hand that causes you to:
Drop things Have difficulty grasping objects
Signs and tests
Your doctor will examine your wrist and ask questions about your medical history. The examination may show decreased sensation in the thumb side of the hand. This is called the "radial" side. There may be weakness of the thumb and difficulty using it to pinch.
Tests that reveal distal median nerve dysfunction may include:
Nerve conduction tests
Tests are ...
Neuropathy - axillary nerve
over part of the outer shoulder
Shoulder weakness , especially when lifting the arm up and away from the body
Signs and tests
Your health care provider will examine your neck, arm, and shoulder. Weakness of the shoulder may cause difficulty moving your arm.
The deltoid muscle of the shoulder may show signs of muscle atrophy .
Tests that may be used to evaluate axillary nerve dysfunction include:
and nerve conduction tests -- will be normal right after the injury; should be performed several weeks after the injury or symptoms start
or x-rays of the shoulder
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