[31M] Experiencing attention problems and numbness in fingers

Patient Description

A 31-year-old male reports long-standing attention problems that have worsened over the past two months, affecting his ability to study, engage in conversations, perform daily tasks, and watch television. Additionally, he experiences numbness in the last two fingers of his left hand, described as an anesthesia-like sensation, persisting for about a month. There is no associated weakness, paralysis, severe pain, swelling, or discoloration. The patient has some cousins with attention problems but has no personal history of ADHD or similar conditions. He denies the use of alcohol, tobacco, or recreational drugs, has no known allergies or adverse reactions to medications, and is not currently on any medication.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Attention Deficit Hyperactivity Disorder (ADHD): This is a neurodevelopmental disorder that often starts in childhood and can continue into adulthood. It can cause problems with attention, impulsivity, and hyperactivity. People with ADHD often have trouble focusing on tasks, especially ones they find uninteresting.

    • Treatment typically involves a combination of medication, psychotherapy, and lifestyle changes.
  • Cubital Tunnel Syndrome: This is a condition that involves pressure or stretching of the ulnar nerve (also known as the "funny bone" nerve), which can cause numbness or tingling in the ring and small fingers, pain in the forearm, and/or weakness in the hand.

    • Treatment can range from physical therapy and splinting to surgery, depending on the severity of the symptoms.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Schedule an appointment with a healthcare provider: They can provide a formal assessment and order relevant tests if necessary.

  2. Try to identify any patterns or triggers for your attention problems: This can help you and your healthcare provider develop a treatment plan.

  3. Practice good posture: Keeping your elbow straight when possible can help alleviate symptoms of cubital tunnel syndrome.

  4. Take breaks: If you're doing an activity that involves bending your elbow for a long time, take regular breaks to straighten your elbow and rest your arm.

What you should look out for

  • If your attention problems or numbness worsen or start to interfere with your daily life, seek medical attention sooner.

  • If you experience sudden, severe pain, weakness, or loss of sensation in your hand or arm, seek immediate medical attention.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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10 mo ago

People Also Ask


What are the common symptoms of ADHD in adults?

Common symptoms of ADHD in adults include difficulty focusing on tasks, disorganization, forgetfulness, impulsivity, restlessness, and difficulty following through on tasks. These symptoms can vary in intensity and may affect daily functioning.


What causes cubital tunnel syndrome and how is it diagnosed?

Cubital tunnel syndrome is caused by increased pressure on the ulnar nerve at the elbow. It can be diagnosed through a physical examination, patient history, and sometimes nerve conduction studies or electromyography to assess nerve function.


Can attention problems be hereditary?

Yes, attention problems can be hereditary. ADHD often runs in families, and having relatives with attention issues can increase the likelihood of experiencing similar symptoms.


What lifestyle changes can help manage ADHD symptoms?

Lifestyle changes that can help manage ADHD symptoms include establishing a routine, using organizational tools, breaking tasks into smaller steps, exercising regularly, getting adequate sleep, and practicing mindfulness or relaxation techniques.


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