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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Numbness And Pain In The Fingers?

Doc, at night and to a mild extent during the day (at times) my fingers seem to go to sleep. IF I lay on my right or left side my right hand s 1st, 2nd and sometimes 3rd fingers go to sleep every night. Especially the ends of my fingers. After laying on my side for perhaps 10 minutes at night these fingers become very painful and it sometimes takes getting up and walking to even get them to stop. I m 88 years old, walk 1.2 miles every morning and jog 1/4 mile every evening. Have a pacemaker with 3 leads hooked up. Otherwise no pain or health problems except a little arthritis in my hands.
Thu, 13 Dec 2018
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General Surgeon,  's  Response
Hi,

Hand numbness is usually caused by damage, irritation or compression of one of the nerves or a branch of one of the nerves in your arm and wrist.

Diseases affecting the peripheral nerves, such as diabetes, also can cause numbness, although with diabetes similar symptoms usually occur first in your feet.

However, your symptoms indicate that there is compressive neuropathy which is seen in carpal canal syndrome or cubital syndrome.

You need to do EMG first to confirm diagnosis and then it can be treated with local steroid shots or surgical decompression. Also, physical therapy may be beneficial.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Numbness And Pain In The Fingers?

Hi, Hand numbness is usually caused by damage, irritation or compression of one of the nerves or a branch of one of the nerves in your arm and wrist. Diseases affecting the peripheral nerves, such as diabetes, also can cause numbness, although with diabetes similar symptoms usually occur first in your feet. However, your symptoms indicate that there is compressive neuropathy which is seen in carpal canal syndrome or cubital syndrome. You need to do EMG first to confirm diagnosis and then it can be treated with local steroid shots or surgical decompression. Also, physical therapy may be beneficial. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon