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Suggest Treatment For Trigeminal Neuralgia And Numbness In Hands
Question: I was diagnosed with Trigeminal neuralgia in April now I am having problems in my hand it is shaky numb and tingly a doctor have me braces for carpal tunnel as soon as I put them on my hand goes numb it this more nerve problems
Brief Answer:
Read below
Detailed Answer:
I read your question carefully and I understand your concern.
When treatment for a condition doesn't work of course the first thing to be thought of is whether the diagnosis is correct. When it comes to carpal tunnel though, if the symptoms fit with the nerve conduction studies there is little doubt about the diagnosis. If on the other hand the diagnosis was only from the symptoms I suggest that nerve conduction studies to confirm damage to the median nerve are done.
If/when the diagnosis is confirmed then further management options need to be considered. Braces are always the first option. Over the counter non steroid anti-inflammatory drugs like Ibuprofen are also commonly used. If that is not enough then local injection with corticosteroids are the usual next step.
If none of these conservative measures is effective then surgery should be considered. It is a simple procedure done with local anesthesia and you'd be home on that same day.
Of course risk factors for carpal tunnel syndrome such as diabetes, rheumatoid arthritis, low thyroid function etc should be considered.
I remain at your disposal for other questions.
Read below
Detailed Answer:
I read your question carefully and I understand your concern.
When treatment for a condition doesn't work of course the first thing to be thought of is whether the diagnosis is correct. When it comes to carpal tunnel though, if the symptoms fit with the nerve conduction studies there is little doubt about the diagnosis. If on the other hand the diagnosis was only from the symptoms I suggest that nerve conduction studies to confirm damage to the median nerve are done.
If/when the diagnosis is confirmed then further management options need to be considered. Braces are always the first option. Over the counter non steroid anti-inflammatory drugs like Ibuprofen are also commonly used. If that is not enough then local injection with corticosteroids are the usual next step.
If none of these conservative measures is effective then surgery should be considered. It is a simple procedure done with local anesthesia and you'd be home on that same day.
Of course risk factors for carpal tunnel syndrome such as diabetes, rheumatoid arthritis, low thyroid function etc should be considered.
I remain at your disposal for other questions.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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