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I Have Pain And Mild Stiffness For The Last 4
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I think this could be carpal tunnel but the neurologist did do both emg and ncs on that muscle and found nothing. But troubles started after my visit with the neurologist, so i am not sure what to make of it. The finger and the thenar muscles twitch sometimes, but again all random. I used to get numbness in my hands when asleep like couple of months ago but not anymore. I do have pain (on a scale of 10 i would say 2 but bumps up to 4 when i use my hand a lot, especially while playing games on phone or using a controller).
I have circled the region in black where i get the pain and also where I feel if there's atrophy or not or just a dent. The 3rd image is also about my right hand.
Also, attached image of my left hand for reference.
Thanks
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I think this could be carpal tunnel but the neurologist did do both emg and ncs on that muscle and found nothing. But troubles started after my visit with the neurologist, so i am not sure what to make of it. The finger and the thenar muscles twitch sometimes, but again all random. I used to get numbness in my hands when asleep like couple of months ago but not anymore. I do have pain (on a scale of 10 i would say 2 but bumps up to 4 when i use my hand a lot, especially while playing games on phone or using a controller).
I have circled the region in black where i get the pain and also where I feel if there's atrophy or not or just a dent. The 3rd image is also about my right hand.
Also, attached image of my left hand for reference.
Thanks
Probably carpal tunnel syndrome.
Detailed Answer:
Hello and thanks for the query here at "Ask a Doctor" service.
I have read your new query, I saw the pictures of your hands that you uploaded too.
I see atrophy of your thenar muscles of the right hand compared to the left hand.
I assume that this was not present to the moment of the evaluation by the Neurologist.
In my opinion, the atrophy and the pain after the hand use are caused by carpal tunnel syndrome.
For a correct evaluation, an EMG and nerve conduction study should be repeated and compared to the last one.
Discuss with your Neurologist for these issues.
Hope you found the answer helpful.
Let me know if I can assist you further.
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/62546.jpg)
Probably carpal tunnel syndrome.
Detailed Answer:
Hello and thanks for the query here at "Ask a Doctor" service.
I have read your new query, I saw the pictures of your hands that you uploaded too.
I see atrophy of your thenar muscles of the right hand compared to the left hand.
I assume that this was not present to the moment of the evaluation by the Neurologist.
In my opinion, the atrophy and the pain after the hand use are caused by carpal tunnel syndrome.
For a correct evaluation, an EMG and nerve conduction study should be repeated and compared to the last one.
Discuss with your Neurologist for these issues.
Hope you found the answer helpful.
Let me know if I can assist you further.
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/62546.jpg)
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I am seeing a neck specialist in 2 weeks time, will he able to look at my hand and see if there’s any atrophy or not?
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I am seeing a neck specialist in 2 weeks time, will he able to look at my hand and see if there’s any atrophy or not?
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Answered below.
Detailed Answer:
Welcome back.
It is difficult for me to be sure if it is atrophy or not since I can't examine you.
The atrophy suspected by me is the one within the blue circle ( in comparison with the other hand).
It is possible for the atrophy related to tunnel syndromes to start to develop within months.
Anyway, there is no progression from the January (black and blue circle) until yesterday (green circle).
It may be also the position of the index finger during the picture that may give the impression of the dent or atrophy.
Pincer grasp should be evaluated by the Neurologist.
In my opinion, since you report for new symptoms after four months, a new EMG and nerve conduction study is necessary.
Split hand syndrome does not debut with pain, so, I don't think it is your case.
I don't see any problems with your palms.
Hope this helps.
Feel free to ask if you have further questions.
Take care.
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/72543.jpg)
Answered below.
Detailed Answer:
Welcome back.
It is difficult for me to be sure if it is atrophy or not since I can't examine you.
The atrophy suspected by me is the one within the blue circle ( in comparison with the other hand).
It is possible for the atrophy related to tunnel syndromes to start to develop within months.
Anyway, there is no progression from the January (black and blue circle) until yesterday (green circle).
It may be also the position of the index finger during the picture that may give the impression of the dent or atrophy.
Pincer grasp should be evaluated by the Neurologist.
In my opinion, since you report for new symptoms after four months, a new EMG and nerve conduction study is necessary.
Split hand syndrome does not debut with pain, so, I don't think it is your case.
I don't see any problems with your palms.
Hope this helps.
Feel free to ask if you have further questions.
Take care.
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/72543.jpg)
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2.) Can a EMG and ncs study miss carpal tunnel or nerve issue if its like early on?
3.) So there is no progression from the XXXXXXX picture and the recent one right? My pcp told me that's the way my hand is as I have dents on both side my right hand being the dominant is little more pronounced than the left. Also, that i might have a tendon issue as the pain runs all the way to my wrist and sometimes to the top of my arm.
What do you think could this be a tendon issue?
4.) Can a neck doctor like a sports medicine specialist see if thats atrophy or not? Just by physical examination can you rule out atrophy?
5.) So which muscle is that? And what can cause atrophy of that muscle?
I had it during my last neurologist visit and the dr was not concerned by it.
6.) I can easily lift any thing heavy just with the finger alone but then I can pain in the finger and the thumb muscle and wrist and then it spreads to the entire arm, what could be causing it?
7.) Neurological issues dont cause pain right? I fear this could be some neurological stuff like MS or other bad stuff.
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2.) Can a EMG and ncs study miss carpal tunnel or nerve issue if its like early on?
3.) So there is no progression from the XXXXXXX picture and the recent one right? My pcp told me that's the way my hand is as I have dents on both side my right hand being the dominant is little more pronounced than the left. Also, that i might have a tendon issue as the pain runs all the way to my wrist and sometimes to the top of my arm.
What do you think could this be a tendon issue?
4.) Can a neck doctor like a sports medicine specialist see if thats atrophy or not? Just by physical examination can you rule out atrophy?
5.) So which muscle is that? And what can cause atrophy of that muscle?
I had it during my last neurologist visit and the dr was not concerned by it.
6.) I can easily lift any thing heavy just with the finger alone but then I can pain in the finger and the thumb muscle and wrist and then it spreads to the entire arm, what could be causing it?
7.) Neurological issues dont cause pain right? I fear this could be some neurological stuff like MS or other bad stuff.
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I had pain in January too, the neurologist asked me to get physical therapy as he believed it was not neurological. The pain and numbness in January was intermittent and it went away for a month but it has been more or less constant since March.
I am going to see a sports medicine specialist for my neck as my pcp believes my issues are stemming from neck plus i have a history of neck and back issues.
Do you even to the slightest think this is something serious or neurological or something thats extremely common??
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I had pain in January too, the neurologist asked me to get physical therapy as he believed it was not neurological. The pain and numbness in January was intermittent and it went away for a month but it has been more or less constant since March.
I am going to see a sports medicine specialist for my neck as my pcp believes my issues are stemming from neck plus i have a history of neck and back issues.
Do you even to the slightest think this is something serious or neurological or something thats extremely common??
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Thanks
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Thanks
Answered below.
Detailed Answer:
Hello again.
I saw the new pictures that you uploaded.
Since you have pain during pincer gasp, it is more likely inflammation of tendons or muscles that is causing it.
The muscle that seems to be involved should be one of the dorsal interossei.
In my opinion, yours is not a serious neurological condition, I think that a new nerve conduction study is necessary to evaluate a nerve entrapment as a possibility.
Inflammation (tendinitis) also may be a possibility, in such case, the muscle may be atrophied due to the limited usage.
A sports medicine specialist may be of help to evaluate correctly these possibilities.
Hope this helps.
Greetings.
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/60590.jpg)
Answered below.
Detailed Answer:
Hello again.
I saw the new pictures that you uploaded.
Since you have pain during pincer gasp, it is more likely inflammation of tendons or muscles that is causing it.
The muscle that seems to be involved should be one of the dorsal interossei.
In my opinion, yours is not a serious neurological condition, I think that a new nerve conduction study is necessary to evaluate a nerve entrapment as a possibility.
Inflammation (tendinitis) also may be a possibility, in such case, the muscle may be atrophied due to the limited usage.
A sports medicine specialist may be of help to evaluate correctly these possibilities.
Hope this helps.
Greetings.
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/60590.jpg)
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This is my dominant hand and I use it a lot, so until I see the dr. Can I try something at home to relieve the pain?
Also, is this anything serious?
Is this common complaint?
Do you still think I have atrophy? I am scared as this could be some neurological thing?
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This is my dominant hand and I use it a lot, so until I see the dr. Can I try something at home to relieve the pain?
Also, is this anything serious?
Is this common complaint?
Do you still think I have atrophy? I am scared as this could be some neurological thing?
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Could that mean, I might have had the dent and I never realized it and only when I started focusing on it I found it out?
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Could that mean, I might have had the dent and I never realized it and only when I started focusing on it I found it out?
I would explain as follows.
Detailed Answer:
Welcome back.
Tendinitis is not a serious condition and is treated by putting the hand at rest, using anti-inflammatory drugs such as topical diclofenac gel for example.
Shock-like sensation after hitting the hand is caused by direct or indirect nerve pinching and is not linked to any condition.
It is a possibility that the dent was there and you did not notice it since the EMG came back normal.
Hope this helps.
Greetings.
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/60137.jpg)
I would explain as follows.
Detailed Answer:
Welcome back.
Tendinitis is not a serious condition and is treated by putting the hand at rest, using anti-inflammatory drugs such as topical diclofenac gel for example.
Shock-like sensation after hitting the hand is caused by direct or indirect nerve pinching and is not linked to any condition.
It is a possibility that the dent was there and you did not notice it since the EMG came back normal.
Hope this helps.
Greetings.
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/60137.jpg)
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Again this is my right hand.
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Again this is my right hand.
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This is of my finger (right hand) marked in green
https://jmp.sh/q68u8AT
https://jmp.sh/YwYLS3s
Image of left pinky finger for reference:
https://jmp.sh/ptersEU
https://jmp.sh/RxdLRCK
This is the image of my right palm where I see these dents when flexed, just wanted to check if they are normal:
https://jmp.sh/punaP0K
Image of left palm when flexed for reference:
https://jmp.sh/8lVnHfT
Image of right and left hand when relaxed:
https://jmp.sh/gawqht5
https://jmp.sh/ORbpOfp
![default](/r/images/default.png)
This is of my finger (right hand) marked in green
https://jmp.sh/q68u8AT
https://jmp.sh/YwYLS3s
Image of left pinky finger for reference:
https://jmp.sh/ptersEU
https://jmp.sh/RxdLRCK
This is the image of my right palm where I see these dents when flexed, just wanted to check if they are normal:
https://jmp.sh/punaP0K
Image of left palm when flexed for reference:
https://jmp.sh/8lVnHfT
Image of right and left hand when relaxed:
https://jmp.sh/gawqht5
https://jmp.sh/ORbpOfp
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Answered below.
Detailed Answer:
Hello again.
I saw the pictures that you uploaded.
Even if there is some difference between individual muscles of the hands, there is no a serious neurological condition that may cause single muscle atrophy.
Using smart phone, mouse, or minor trauma are most likely causes.
Hope this helps.
Take care.
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/71775.jpg)
Answered below.
Detailed Answer:
Hello again.
I saw the pictures that you uploaded.
Even if there is some difference between individual muscles of the hands, there is no a serious neurological condition that may cause single muscle atrophy.
Using smart phone, mouse, or minor trauma are most likely causes.
Hope this helps.
Take care.
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/71775.jpg)
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Follow up.
Detailed Answer:
Glad I helped you.
Take care.
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/60590.jpg)
Follow up.
Detailed Answer:
Glad I helped you.
Take care.
![doctor](https://image.askadoctor24x7.com/files/images/profile/doctor/icon/60590.jpg)
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