[44F] With arm and hand pain, tingling, and numbness

What might be happening

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

Carpal Tunnel Syndrome

• Rationale: Tingling, numbness, and pain in the hands and arms, especially in the morning, are classic symptoms of carpal tunnel syndrome. This condition occurs when the median nerve is compressed as it travels through the wrist.
• Typical Treatments: Treatment may include wrist splinting, nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil, corticosteroid injections, or surgery in severe cases. A doctor may also recommend nerve conduction studies to confirm the diagnosis.

Cervical Radiculopathy

• Rationale: Pain, tingling, and numbness in the neck, shoulders, and arms can be due to cervical radiculopathy, which occurs when a nerve in the neck is compressed or irritated.
• Typical Treatments: Treatment options include physical therapy, medications like NSAIDs, corticosteroid injections, and in some cases, surgery. Imaging studies like an MRI may be recommended to assess the condition.

Rheumatoid Arthritis

• Rationale: Given your family history of rheumatoid arthritis, it's possible that your symptoms could be related to this autoimmune condition, which can cause joint pain, swelling, and stiffness.
• Typical Treatments: Treatment often involves disease-modifying antirheumatic drugs (DMARDs), biologics, NSAIDs, and physical therapy. Blood tests and imaging studies may be used to diagnose and monitor the condition.

What you can do

Carpal Tunnel Syndrome

• Wrist Splinting: Wear a wrist splint, especially at night, to keep your wrist in a neutral position and reduce pressure on the median nerve.
• Ergonomic Adjustments: Make ergonomic adjustments to your workspace to reduce strain on your wrists.
• NSAIDs: Continue taking Advil as needed, but be mindful of the recommended dosage.

Cervical Radiculopathy

• Physical Therapy: Engage in physical therapy exercises to strengthen the muscles around your neck and improve posture.
• Heat/Ice Therapy: Apply heat or ice to the affected area to reduce pain and inflammation.
• Avoid Strain: Avoid activities that strain your neck and shoulders.

Rheumatoid Arthritis

• Consult a Rheumatologist: Given your family history, it may be beneficial to consult a rheumatologist for a thorough evaluation.
• Anti-inflammatory Diet: Consider adopting an anti-inflammatory diet rich in fruits, vegetables, and omega-3 fatty acids.
• Regular Exercise: Engage in low-impact exercises like swimming or walking to maintain joint flexibility and strength.

What you should look out for

Given the severity and persistence of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe Weakness: If you experience severe weakness or inability to use your hands.
• Loss of Sensation: If you lose sensation in your hands or arms.
• Severe Pain: If the pain becomes unbearable or is not relieved by over-the-counter medications.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.