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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Pain In Arm And Numbness In Finger

My mom is 82 years old. She has been having pain in her left arm, from her elbow to her finger tips with numbness in some of her fingers. She was told it is something to do with a nerve. She was given a brace to wear. She is in a lot of pain. She does have high blood pressure, although lately her pressure has been low, sometimes going very high.
Mon, 15 Feb 2016
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Orthopaedic Surgeon,  's  Response
Can I assume that the numb fingers are thumb, index and (thumb side) half of ring?
If so it is likely that she has "carpal tunnel syndrome".
It is not unconventional to treat this with a brace, especially if there are reasons to avoid surgery. An additional possible treatment is to inject the structures under the "deep transverse carpal ligament" (which is the constricting structure) with cortisone.
If all else fails dividing that structure surgically is a common treatment. This can be done as a "day case" under regional (avoiding general) anaesthesia. Although the surgical wound should be kept dry until the stitches are out (or the wound healed if buried stitches are used), that can be done wearing a glove supplied by the hospital. The hand can usually be used the same day (or day after) the surgery.
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Suggest Treatment For Severe Pain In Arm And Numbness In Finger

Can I assume that the numb fingers are thumb, index and (thumb side) half of ring? If so it is likely that she has carpal tunnel syndrome . It is not unconventional to treat this with a brace, especially if there are reasons to avoid surgery. An additional possible treatment is to inject the structures under the deep transverse carpal ligament (which is the constricting structure) with cortisone. If all else fails dividing that structure surgically is a common treatment. This can be done as a day case under regional (avoiding general) anaesthesia. Although the surgical wound should be kept dry until the stitches are out (or the wound healed if buried stitches are used), that can be done wearing a glove supplied by the hospital. The hand can usually be used the same day (or day after) the surgery.