[43M] With chronic hand stiffness and worsening migraines

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

1. Hand Stiffness and Tightness: This could be related to repetitive strain or overuse, especially given your work as a handyman. Conditions like tendonitis or early arthritis could also contribute to these symptoms. Since there is no swelling or redness, inflammatory arthritis is less likely, but not impossible.

2. Leg Cramps and Tingling: These symptoms could be due to electrolyte imbalances, dehydration, or circulation issues. Given your history of an Arnold-Chiari malformation and the presence of a shunt, it's also important to consider neurological causes.

3. Migraines and Dizziness: The increase in migraine intensity and the timing of their onset could be related to changes in your neurological condition, possibly involving the shunt. It's crucial to monitor these symptoms closely, as they could indicate changes in intracranial pressure or other neurological issues.

4. Unifying Diagnosis: While these symptoms may seem distinct, they could potentially be linked through neurological pathways, especially considering your history of Arnold-Chiari malformation. It's important to consider that the shunt or changes in your condition could be contributing to multiple symptoms.

What you can do

Hand Stiffness and Tightness:

• Consider taking regular breaks during repetitive tasks to reduce strain on your hands.
• Gentle stretching exercises and hand massages may provide temporary relief.
• Over-the-counter pain relief, such as ibuprofen, may help reduce discomfort, but consult a healthcare provider before starting any medication.

Leg Cramps and Tingling:

• Ensure you stay hydrated and maintain a balanced diet rich in electrolytes.
• Stretch your legs regularly, especially before and after physical activity.
• If cramps persist, consider discussing with a healthcare provider to rule out underlying conditions.

Migraines and Dizziness:

• Keep a migraine diary to track triggers, frequency, and intensity, which can be shared with your healthcare provider.
• Ensure you have a quiet, dark space to rest during migraine episodes.
• Given the potential link to your neurological history, it's important to consult a healthcare provider for further evaluation.

What you should look out for

• Any new or worsening symptoms, especially related to your neurological condition, should prompt immediate medical attention.
• Watch for signs of increased intracranial pressure, such as severe headaches, vision changes, or vomiting.
• If you experience any numbness, weakness, or changes in coordination, seek medical care promptly.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan. Additionally, consider using MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.