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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Knot Behind Head, Numbness And Sharp Pain In Both Hands After Falling?

my husband fell on black ice, in parking lot at his job. He went to emergency clinic yesterday. When he fell, hit back of head. Has a big knot on back of head! head doesn t bother him. When he fell. He felt numbness and sharp pain in both arms and on side of both hands. He has numbness and tingling in his hands and swollen. Dr. sent him home and said take a couple of Tylenol. He didn t return to work. Can t use his hands. Sat in his chair all day. Still has tingling and numbness in fingers and hand. He doesn t want emergency clinic again. What should I do? This is his wife! Thanks
Wed, 13 Apr 2016
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Neurologist, Surgical 's  Response
Hello. Thanks for asking from HCM.


I can understand your concern. This tingling sensations and numbness in hands could be due to

; Head injury only - sometimes head injury can cause severe pain and due to this pain, patient may feel abnormal sensations in body. But it subsides along with relief in pain.

If your husband symptoms have significantly decreased then it could be a possibility. No need to worry. For more relief, you can follow few tips

: Apply icepacks at injury site
: Ask him to painkiller like Diclofenac sodium after proper prescription.
: Avoid pressure at injury site
: Ask him to do exercise of hand muscles like gripping-ungripping, stretching of fingers.

; Cervical spine injury - It could be another possibility. Falling on back of head can cause sudden jerking of neck and thus cervical spine injury or spinal cord injury. It can be mild or severe. Mild injury means temporary damage manifesting as current sensations in limbs, numbness, sometimes mild weakness, neck pain. While serious injury manifests as loss of function, loss of pain-temperature sensations, breathing difficulty, severe neck pain.

In your husband case, if symptoms of tingling and numbness is persisting and there is no other symptom, it could be due to mild cord injury. You can consult doctor. He might advise X ray cervical spine to rule out any fracture or advise MRI cervical spine to know about cord or nerve damage. Mild cord damage may not be picked up by MRI. But it heals on its own.

Depending upon reports, he may prescribe nerve specific vitamins and few drugs like Pregabaline/Nortryptiline to relieve tingling sensations. Meanwhile at home, you can ask him

; To avoid neck flexion
; Use pillow while lying
; Avoid lifting weight
; He can use soft neck collar for immobilisation
; In case of neck pain, apply painkiller gel like Diclofenac gel at pain site

Hope it will help him. If still no relief, you can consult doctor.

Thanks. Take care.
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Critical Care Specialist Dr. Ernesto Joscelin Carneiro Pinto 's  Response
Hi, I understand your concern and I'll try to help you and your husband. The trauma in the back of the head may be related to trauma to the cervical spine, including fractures, subluxation or cervical hernias.

Numbness in the hands may suggest the involvement of the cervical spine. Therefore, it is important that you take your husband back to the hospital to investigate these complications. This can be done with a cervical tomography or more accurately with a magnetic resonance imaging of the cervical spine.

Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health.
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How To Treat Knot Behind Head, Numbness And Sharp Pain In Both Hands After Falling?

Hello. Thanks for asking from HCM. I can understand your concern. This tingling sensations and numbness in hands could be due to ; Head injury only - sometimes head injury can cause severe pain and due to this pain, patient may feel abnormal sensations in body. But it subsides along with relief in pain. If your husband symptoms have significantly decreased then it could be a possibility. No need to worry. For more relief, you can follow few tips : Apply icepacks at injury site : Ask him to painkiller like Diclofenac sodium after proper prescription. : Avoid pressure at injury site : Ask him to do exercise of hand muscles like gripping-ungripping, stretching of fingers. ; Cervical spine injury - It could be another possibility. Falling on back of head can cause sudden jerking of neck and thus cervical spine injury or spinal cord injury. It can be mild or severe. Mild injury means temporary damage manifesting as current sensations in limbs, numbness, sometimes mild weakness, neck pain. While serious injury manifests as loss of function, loss of pain-temperature sensations, breathing difficulty, severe neck pain. In your husband case, if symptoms of tingling and numbness is persisting and there is no other symptom, it could be due to mild cord injury. You can consult doctor. He might advise X ray cervical spine to rule out any fracture or advise MRI cervical spine to know about cord or nerve damage. Mild cord damage may not be picked up by MRI. But it heals on its own. Depending upon reports, he may prescribe nerve specific vitamins and few drugs like Pregabaline/Nortryptiline to relieve tingling sensations. Meanwhile at home, you can ask him ; To avoid neck flexion ; Use pillow while lying ; Avoid lifting weight ; He can use soft neck collar for immobilisation ; In case of neck pain, apply painkiller gel like Diclofenac gel at pain site Hope it will help him. If still no relief, you can consult doctor. Thanks. Take care.