[35F] With sudden onset of numbness and tingling in upper body

Patient Description

A 35-year-old female has been experiencing numbness and tingling in her hands, arms, upper chest, and upper back for the past week. The numbness started suddenly and feels similar to the sensation of a foot falling asleep. The patient also reports constant weakness in her arms and hands. There is no history of recent injuries, infections, or illnesses. The symptoms began the day a birth control implant was placed, which was removed two days later, but the symptoms have not improved. The patient has not found any relief for the numbness, and there are no specific activities or situations that exacerbate it. She has not experienced headaches, changes in vision, difficulty with coordination or balance, changes in bowel or bladder function, or muscle cramps or spasms. The patient is currently taking Suboxone, 24 mg daily, and has not started any new medications or treatments recently. She has no known allergies or adverse reactions to medications.

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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:

  • Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause numbness, tingling, and weakness in the affected areas. It can be caused by various factors, including medications, infections, and systemic diseases. Given the sudden onset and the timing with the birth control implant, it might be worth discussing this with your healthcare provider.

    • Treatment: Treatment typically involves addressing the underlying cause, managing symptoms with medications, and physical therapy.
  • Cervical Radiculopathy: This condition occurs when a nerve in the neck is compressed or irritated, leading to symptoms in the arms and upper body. It can be caused by herniated discs, bone spurs, or other spinal issues.

    • Treatment: Treatment may include physical therapy, medications, and in some cases, surgery.
  • Multiple Sclerosis (MS): MS is a condition where the immune system attacks the protective covering of nerves, leading to communication problems between the brain and the rest of the body. Symptoms can include numbness, tingling, and weakness.

    • Treatment: Treatment focuses on managing symptoms and slowing the progression of the disease with medications and lifestyle changes.
  • Vitamin Deficiencies: Deficiencies in certain vitamins, such as B12, can lead to nerve damage and symptoms like numbness and tingling.

    • Treatment: Treatment involves supplementing the deficient vitamins and addressing any underlying causes.

What you can do

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

  1. Monitor Your Symptoms: Keep track of your symptoms, including when they occur and any factors that seem to make them better or worse. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
  2. Stay Active: Gentle exercises and stretches can help maintain muscle strength and flexibility. Avoid any activities that seem to worsen your symptoms.
  3. Maintain a Healthy Diet: Ensure you are getting a balanced diet rich in vitamins and minerals. Consider taking a multivitamin if you suspect a deficiency.
  4. Stay Hydrated: Drink plenty of water to help maintain overall health and well-being.
  5. Avoid Alcohol and Tobacco: These substances can exacerbate nerve damage and should be avoided.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Severe or worsening symptoms: If your numbness, tingling, or weakness becomes more severe or spreads to other areas.
  • Loss of bladder or bowel control: This could indicate a more serious underlying condition.
  • Difficulty breathing or swallowing: These symptoms could indicate a more serious issue and require immediate medical attention.
  • Sudden vision changes or severe headaches: These could be signs of a neurological condition that needs prompt evaluation.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and appropriate treatment.

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3 mo ago


People Also Ask


What are the common causes of numbness and tingling in the arms and hands?

Common causes of numbness and tingling in the arms and hands include peripheral neuropathy, cervical radiculopathy, multiple sclerosis, and vitamin deficiencies. These conditions can affect nerve function and lead to the described symptoms.


Can a birth control implant cause nerve-related symptoms like numbness and tingling?

While it is uncommon, some individuals may experience nerve-related symptoms like numbness and tingling as a reaction to a birth control implant. It is important to discuss these symptoms with a healthcare provider to determine if there is a connection.


What is the relationship between vitamin deficiencies and nerve symptoms?

Vitamin deficiencies, particularly B12 deficiency, can lead to nerve damage and symptoms such as numbness and tingling. Ensuring adequate intake of essential vitamins through diet or supplements can help prevent or alleviate these symptoms.


How can cervical radiculopathy be diagnosed and treated?

Cervical radiculopathy is diagnosed through a combination of physical examination, imaging tests like MRI or CT scans, and sometimes nerve conduction studies. Treatment may include physical therapy, medications, and in severe cases, surgery to relieve nerve compression.


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