[35F] Experiencing sharp and throbbing hand pain with numbness and weakness

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Carpal Tunnel Syndrome

• Rationale: Carpal Tunnel Syndrome (CTS) is a common condition that can cause pain, numbness, tingling, and weakness in the hands. It occurs when the median nerve is compressed as it travels through the carpal tunnel in the wrist. Your symptoms of sharp and throbbing pain, numbness, tingling, and weakness in the hands, especially when using your hands, are consistent with CTS.
• Typical Treatments/Testing: Diagnosis is often made through a physical examination and may include nerve conduction studies or electromyography (EMG). Treatment options include wrist splinting, anti-inflammatory medications, corticosteroid injections, and in severe cases, surgery.

2. Rheumatoid Arthritis

• Rationale: Rheumatoid Arthritis (RA) is an autoimmune condition that causes chronic inflammation of the joints. It can lead to pain, swelling, stiffness, and loss of function in the joints. Your family history of autoimmune diseases, morning stiffness, and pain in multiple joints (hands, wrists, elbows, shoulders) suggest RA as a possibility.
• Typical Treatments/Testing: Diagnosis is typically made through blood tests (e.g., rheumatoid factor, anti-CCP antibodies) and imaging studies (e.g., X-rays, ultrasound). Treatment often involves disease-modifying antirheumatic drugs (DMARDs), biologics, and physical therapy.

3. Pregnancy-Related Joint Pain

• Rationale: Pregnancy can cause various musculoskeletal changes due to hormonal shifts, weight gain, and fluid retention. These changes can lead to joint pain and swelling, particularly in the hands and wrists.
• Typical Treatments/Testing: Management usually involves supportive measures such as rest, compression, and physical therapy. It's important to discuss any new or worsening symptoms with your obstetrician.

What you can do

Carpal Tunnel Syndrome

• Rest and Splinting: Rest your hands and wrists as much as possible. Consider using wrist splints, especially at night, to keep your wrists in a neutral position.
• Ergonomic Adjustments: Make ergonomic adjustments to your work or daily activities to reduce strain on your hands and wrists.
• Pain Relief: Continue using compression, heat, and ice as needed. Over-the-counter pain relievers like acetaminophen (Tylenol) can also help, but consult your doctor before taking any medication during pregnancy.

Rheumatoid Arthritis

• Consult a Rheumatologist: Schedule an appointment with a rheumatologist for a thorough evaluation and appropriate testing.
• Physical Therapy: Engage in gentle exercises and stretches to maintain joint flexibility and strength. A physical therapist can provide specific recommendations.
• Monitor Symptoms: Keep track of your symptoms, including any patterns or triggers, using the MDandMe journal. This information can be valuable for your healthcare provider.

Pregnancy-Related Joint Pain

• Stay Active: Engage in low-impact exercises such as walking or swimming to maintain joint mobility and overall health.
• Hydration and Diet: Stay well-hydrated and maintain a balanced diet rich in fruits, vegetables, and lean proteins.
• Prenatal Care: Continue regular prenatal check-ups and discuss any new or worsening symptoms with your obstetrician.

What you should look out for

Given the complexity of your symptoms and the potential for serious underlying conditions, it's important to seek medical care. Reasons to seek care more urgently include:

• Severe or Worsening Pain: If the pain becomes severe or significantly worsens.
• Loss of Function: If you experience a significant loss of function or inability to use your hands.
• Systemic Symptoms: If you develop systemic symptoms such as fever, unexplained weight loss, or severe fatigue.

Remember, while I can provide information and suggestions, it's crucial to consult with real healthcare professionals for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.