Dear Concerned.,
Thanks for writing to us.
With the available history only probabalities can be said ie., Differential Diagnosis .A detailed work up only can pinpoint at definitive cause.
Carpal Tunnel Syndrome:
The compression of nerve fibres supplying the hand passing under the Flexor Retinaculum in the wrist causes sharp pains in hands especially palmar surface , this condition is describes as Carpal tunnel syndrome.Usually the
Median Nerve is invoved.There will be shooting pains in hands that awakens a person from sleep.Obesity/Hypothyroidism/Pregnancy/Diabetes /Amyloidosis/Sarcoidosis/ may be co morbid conditions.
RSI;-
Repetitive Stress Injury associated with always using key boards of computers may be a contributory factor.
Diagnosis is by Nerve Conduction Tests and Electro Neuro Myography.In addition routine blood tests/Urine tests to be done to rule out co morbid conditions.
Initially painkiller tablets, local
physiotherapy and sometimes vitamins (Vit B12) and oral steroids are effective.
Injection of Intralesional Steroids also give relief.
Definitive treatment is by "Carpal Tunnel Release" by Orthopedic Surgeon.
Second D/D;-Your condition may also be associated with
Cervical Radiculopathy if it is Left Arm Pain , kindly investigate the same by
Cervical Spine X-ray/CT or MRI as decided by your Specialist.
Wishing you a speedy recovery.,
Best Regards.,
Dr Lt Cdr ASN Bhushan.,
Ex-Navy