Tingling hand (initially mainly thumb and forefinger)
Tingling hand (initially mainly thumb and forefinger but now in all fingers)
I am an otherwise fit healthy 36 year old non-smoking male.
In October 2013 I moved house. My move involved a great deal of heavy lifting which I did a great deal of myself. In fact, as I had some friends helping me, I deliberately took up the heaviest boxes myself. Some of which my wife said she packed for 2 people to carry. I carried nearly all of these myself. During the end of the day I started stepping down from the tailgate of the truck without properly lowering it. So, in effect, I was dropping a short distance while carrying boxes. At the very end of the day my leg started to give way under me with the strain.
Shortly after this move I noticed a numb patch on my left arm and tingling in my left hand. The tingling was located in the thumb, and forefinger in the main with numb patched on my wrist and over my thumb too. I assumed it was as a result of my heavy lifting and waited 6 weeks for it to go away. It didn't disappear.
6 weeks later I visited my GP who x-rayed my neck (all fine), took bloods (all fine) and then sent me to a neurological consultant.
The neurological consultant conducted a Nerve Conduction Study Test which came back normal for a test for Carpal Tunnel Syndrome and the nerves along my arm. The test results were all normal, however, the way the arm nerve test was carried out seemed to be conducted by a junior doctor/trainee who seemed unsure of herself as the senior nurse was constantly 'badgering' her to get things right. I am therefore uncertain of the reliability of these results in my mind. (This is not a gripe, but an observation of the way the test was conducted)
Slowly the numb patch on my arm receded and has now gone. The numbness on my wrist has gone and the numbness over my thumb has mainly disappeared with the odd reoccurrence.
However, the numbness and tingling in my fingers continues. It comes and goes in intensity. At best the symptoms are slight pins and needles at the end of my finger tips. At their very best they are nearly 100% fine, but not quite. They were very good after I went on holiday last summer, but quickly returned. They have also recently been very good, but have suddenly gone backward as well. I am in a cycle of 'its getting better' then - 'oh no, it isn't'.
Lifting seems to make the symptoms worse. At first, when I looked down, (chin on chest) the tingling in the thumb and forefinger would get worse. That is still the case today as I type now, but less so than at first. When I run, after 30 mins of running, my symptoms worsen. After 45 mins running I know that they will be 'bad again'
Recently I have noticed some tingling in the ring and little finger with a recent 'bad' time. However, this has been the first time it had ever gone to my little finger and is virtually never tingling. Sometimes I find it hard to differentiate the tingle in my ring and index finger, but it is definitely primarily worse in my thumb and forefinger.
Heat pads on my neck seem to make it worse and I have noticed that the cold seems to help my symptoms. So, a walk in the cold, relieves the tingling in my hand. Walking seems to help it too.
Thank you for your help - it is really appreciated as this is starting to get me down as I have no diagnosis and no prospect of knowing how to help myself, or indeed, even if I can.
Hello Giles, So, you've had this for 18 months now. I'd like you to start with three tests please.
1. Turn your head to the left, and then look up. Ask your wife to stand behind you, place both hands on your head and GENTLY press down. What happens? Please be as specific as you can in all your answers. A wonderful, concise report that you wrote, by the way.
2. Look up the Upper Limb Tension Test by using the search function at Chiropractic Help. Do the test with your wife's help.
3. Does placing your hand on your head, or working above your head, relieve or aggravate the tingling? Do this when it's very prominent, say after a 45 minute run.
Keep to this thread please.
Comments for Tingling hand (initially mainly thumb and forefinger)
1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.
2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.
3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree.
Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.
4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.
He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.
5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.
6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.
7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.
8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.
9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.
10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.
11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.
12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.
13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback
since working above his head. Trapped nerve tests are negative but he
has advanced degenerative joints of Luschka; after just two treatments
he is 50 percent better. Can we reach 90?
And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.
Greetings, Dr B. You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.
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