[36F] Experiencing hand pain, dizziness, and back pain

Patient Description

A 36-year-old female presented with a sharp pain in the palm of her left hand, lightheadedness described as a spinning sensation, and constant pain in her upper back. The lightheadedness began suddenly while sitting and has persisted for approximately 20 minutes, with a severity rated at 2 out of 10. The patient also experiences numbness or tingling in her hand. There is no chest pain, shortness of breath, severe headache, or difficulty with speech. The patient's medical history includes pulmonary stenosis and atrial septal defect diagnosed at birth. She is currently taking Sertraline, 150 MG daily, and has a known allergy to codeine. No recent injuries or accidents were reported that could have contributed to the symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Vertigo: This condition is characterized by a sensation of spinning or feeling off-balance. It's often caused by issues in the inner ear or brain. Vertigo can occur suddenly and may be associated with balance problems, but it's usually not associated with hand pain or back pain.

    • Treatment usually involves managing the symptoms and treating the underlying cause. This may include medications, physical therapy maneuvers, or other treatments depending on the cause.
  • Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve in your wrist, leading to pain, numbness, and tingling in the hand and arm. However, it usually doesn't cause dizziness or back pain.

    • Treatment can include wrist splinting, nonsteroidal anti-inflammatory drugs (NSAIDs), and corticosteroids. In severe cases, surgery may be needed.
  • Musculoskeletal Strain: This could explain your back pain, especially if it's concentrated in one area. However, it doesn't typically cause hand pain or dizziness.

    • Treatment usually involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also help.

It's also worth noting that your dizziness and hand pain could be unrelated. For example, you could be experiencing vertigo along with a separate issue like carpal tunnel syndrome or a hand strain.

What you can do

Given your symptoms, it's important to seek medical attention. Here are some steps you can take:

  1. Schedule an appointment with your healthcare provider. They can evaluate your symptoms and medical history to help determine the cause of your symptoms.
  2. Try to rest and avoid activities that worsen your symptoms until you can see a doctor.
  3. Over-the-counter pain relievers may help with your hand and back pain, but it's important to check with a healthcare provider before starting any new medication.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Severe headache
  • Difficulty speaking or understanding speech
  • Loss of balance or coordination
  • Fainting or loss of consciousness
  • Severe or worsening pain

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 appropriate examination, testing, and care.

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1 yr ago

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People Also Ask


What could cause a spinning sensation or lightheadedness?

A spinning sensation or lightheadedness, often described as vertigo, can be caused by issues in the inner ear or brain. It may be associated with balance problems. Treatment typically involves managing symptoms and addressing the underlying cause, which may include medications or physical therapy.


What are the common symptoms and treatments for carpal tunnel syndrome?

Carpal tunnel syndrome is caused by pressure on the median nerve in the wrist, leading to symptoms like pain, numbness, and tingling in the hand and arm. Treatment options include wrist splinting, NSAIDs, corticosteroids, and in severe cases, surgery.


How can musculoskeletal strain in the upper back be managed?

Musculoskeletal strain in the upper back can be managed with rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also help. It's important to avoid activities that worsen the pain and consult a healthcare provider if symptoms persist.


What should I do if I experience numbness or tingling in my hand?

If you experience numbness or tingling in your hand, it's important to rest and avoid activities that may exacerbate the symptoms. Over-the-counter pain relievers might help, but you should consult a healthcare provider for a proper evaluation and treatment plan.


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