[27M] With persistent numbness in left thumb tip and pad

Patient Description

A 27-year-old male reports experiencing constant numbness in the tip and pad of his left thumb for over two days. The numbness is not painful but is very uncomfortable. Various methods to relieve the numbness, such as relieving tension in the wrist and thumb joints, hanging to decompress the back, massaging the neck, and stretching, have only provided slight, temporary relief. The patient has not noticed any other symptoms, such as weakness, tingling, or changes in sensation or strength in other parts of the hand or arm. There has been no recent neck pain, stiffness, or headaches, except for slight neck stiffness a couple of days ago. The patient has no history of diabetes, thyroid issues, or other medical conditions, except for a past successful operation for Wolf Parkinson's White disorder. The patient uses small amounts of tobacco two to three times a week and is not currently taking any medications. There has been no known exposure to chemicals or toxins recently.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Nerve Compression or Entrapment: This is a common cause of numbness in the fingers. It can occur due to pressure on a nerve in the wrist, such as carpal tunnel syndrome, or higher up in the arm or neck. Since you mentioned trying to relieve tension in your wrist and thumb joints, it's possible that a nerve is being compressed somewhere along its path.

    • Treatment: Treatment typically involves rest, avoiding activities that exacerbate the symptoms, and sometimes wearing a splint. Physical therapy or exercises to stretch and strengthen the affected area can also be helpful. In some cases, medical intervention such as corticosteroid injections or surgery may be necessary.
  • Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause numbness, tingling, and weakness. It can be caused by various factors, including diabetes, infections, and exposure to toxins.

    • Treatment: Treatment focuses on managing the underlying cause and relieving symptoms. This may include medications, physical therapy, and lifestyle changes.
  • Cervical Radiculopathy: This occurs when a nerve in the neck is compressed or irritated, often due to a herniated disc or bone spur. It can cause numbness, tingling, and weakness in the arm and hand.

    • Treatment: Treatment may include physical therapy, medications to reduce pain and inflammation, and sometimes surgery if conservative treatments are not effective.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Rest and Avoid Aggravating Activities: Try to rest your hand and avoid activities that may worsen the numbness, such as repetitive motions or heavy lifting.
  2. Ergonomic Adjustments: Ensure that your workspace is ergonomically friendly. Adjust your chair, desk, and computer setup to reduce strain on your wrist and hand.
  3. Stretching and Strengthening Exercises: Continue with gentle stretching and strengthening exercises for your wrist, hand, and neck. Be cautious not to overdo it.
  4. Warm and Cold Compresses: Applying warm or cold compresses to the affected area may help reduce discomfort.
  5. Hydration and Nutrition: Stay hydrated and maintain a balanced diet to support overall nerve health.
  6. Use MDandMe: Consider using MDandMe to journal your symptoms, track your progress, and get insights. This can also help you share detailed information with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening Symptoms: If the numbness spreads or worsens, or if you develop new symptoms such as weakness or severe pain.
  • Signs of Infection: If you notice redness, swelling, or warmth in the affected area, which could indicate an infection.
  • Systemic Symptoms: If you develop systemic symptoms such as fever, chills, or unexplained weight loss.
  • Difficulty with Daily Activities: If the numbness interferes with your ability to perform daily activities or affects your quality of life.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and personalized treatment plan.

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4 mo ago


People Also Ask


What are common causes of numbness in the fingers?

Common causes of numbness in the fingers include nerve compression or entrapment, peripheral neuropathy, and cervical radiculopathy. These conditions can result from pressure on nerves, nerve damage, or irritation of nerves in the neck.


How can nerve compression or entrapment be treated?

Nerve compression or entrapment can be treated with rest, avoiding activities that worsen symptoms, wearing a splint, and physical therapy. In some cases, medical interventions like corticosteroid injections or surgery may be necessary.


What is cervical radiculopathy and how is it treated?

Cervical radiculopathy occurs when a nerve in the neck is compressed or irritated, often due to a herniated disc or bone spur. It can cause numbness, tingling, and weakness in the arm and hand. Treatment may include physical therapy, medications to reduce pain and inflammation, and sometimes surgery if conservative treatments are not effective.


When should I seek medical attention for numbness in my fingers?

You should seek medical attention if the numbness spreads or worsens, if you develop new symptoms such as weakness or severe pain, if there are signs of infection like redness or swelling, or if the numbness interferes with daily activities or affects your quality of life.

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