Bilateral Hand Numbness and WeaknessPosted by robertfarhatdo on August 24th, 2017 AnatomyNumbness in one or both hands describes a loss of sensation or feeling in your hand or fingers. Often, hand numbness may be accompanied by other changes, such as a pins-and-needles sensation, burning or tingling. Your arm, hand or fingers may feel clumsy or weak. Numbness can occur along a single nerve in one hand, or it may occur symmetrically in both hands.
In addition to numbness, compression neuropathy can cause weak or twitchy muscles. Compression neuropathy is pressure on a nerve (Figure 1). The pressure may come from an injury, thickened muscles, enlarged blood vessels, ganglion cysts, etc. Types include: Ulnar nerve compression at the wrist: This causes numbness and tingling of the little finger, part of the ring finger, and in the palm on the little finger side. Ulnar nerve compression at the elbow: This causes not only the numbness noted above but also numbness on the back of the hand on the pinky side. Pressure on the radial nerve in the forearm or above the wrist: This can cause numbness over the back of the thumb, the index finger, and the web between these two fingers. Median nerve compression at the elbow: This can cause numbness not only in the same area as in carpal tunnel syndrome but also in the palm at the base of the thumb. Pressure on nerves in the neck (Figures 2-3): This can be caused by arthritis, diseases, infections, tumors, blood vessel abnormalities and other conditions of the spinal cord. In addition to numbness, symptoms include weak muscles and decreased reflexes in the arm and forearm, and even the legs. Sometimes, a nerve may suffer from pressure at more than one area. This is called “double crush.” Pressure on a nerve may require surgery to get relief.
Figure 1: Sensory distribution of nerves Figure 2: Cervical root distribution Figure 3: Interconnections of nerves originating in the neck Author: ROBERT P. FARHAT, D.O. About us: Dr. Robert Farhat DO is Physical Medical and Rehabilitation Physician in Clinton Township. Dr. Farhat specializes in Pain Management, Stem Cell and Regenerative Medicine, Spinal interventions and Sports injuries etc. Contact today! Contact us: Address:43475 Dalcoma Dr #150, Charter Twp of Clinton, MI 48038, USA Phone: (877) 784-3667 Like it? Share it!More by this author |