[32F] With severe long-term numbness and tingling in right arm

What might be happening

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

• Carpal Tunnel Syndrome: This condition occurs when the median nerve, which runs from your forearm into the palm of your hand, becomes pressed or squeezed at the wrist. Symptoms often include numbness, tingling, and pain in the hand and arm. It can progress to involve the entire arm if left untreated.

  • Treatment: Initial treatment may include wrist splinting, anti-inflammatory medications, and avoiding activities that worsen symptoms. In more severe cases, corticosteroid injections or surgery may be necessary.

• Cervical Radiculopathy: This condition is caused by a pinched nerve in the neck, which can lead to pain, numbness, and tingling that radiates down the arm.

  • Treatment: Physical therapy, medications to reduce inflammation and pain, and sometimes steroid injections. In severe cases, surgery may be required to relieve pressure on the nerve.

• Thoracic Outlet Syndrome: This condition involves compression of nerves or blood vessels between the collarbone and the first rib, which can cause pain, numbness, and tingling in the arm and hand.

  • Treatment: Physical therapy to strengthen and stretch the muscles around the shoulder, pain relief medications, and sometimes surgery to relieve the compression.

• Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause numbness, tingling, and pain in the affected areas. It can be caused by various factors, including diabetes, infections, and exposure to toxins.

  • Treatment: Managing the underlying cause, medications to relieve pain, and physical therapy.

What you can do

While you should see a healthcare provider for a formal diagnosis and treatment plan, here are some things you can try in the meantime:

1. Avoid repetitive activities: Try to limit activities that exacerbate your symptoms, such as typing, writing, or using tools.
2. Ergonomic adjustments: Make sure your workstation is ergonomically friendly. Adjust your chair, keyboard, and mouse to reduce strain on your arm and wrist.
3. Wrist splints: Wearing a wrist splint, especially at night, can help keep your wrist in a neutral position and relieve pressure on the median nerve.
4. Gentle exercises: Stretching and strengthening exercises for your wrist and arm may help alleviate symptoms. A physical therapist can guide you on the best exercises for your condition.
5. Pain relief: Over-the-counter pain relievers like ibuprofen or acetaminophen may help reduce pain and inflammation.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe pain: If the pain becomes unbearable or significantly worsens.
• Loss of function: If you notice a significant loss of strength or function in your hand or arm.
• Changes in color or temperature: If your hand or arm becomes discolored, cold, or shows signs of poor circulation.
• Persistent symptoms: If your symptoms do not improve with self-care measures or continue to worsen.

Remember, it's important to consult with a healthcare professional to receive an accurate diagnosis and appropriate treatment plan.