[45F] Experiencing numbness in left hand and facial heaviness

Patient Description

A 45-year-old female presents with a constant sensation of pins and needles in the pinky and ring finger of the left hand, persisting for two days. There is no relief from changing postures, but occasionally bending the arm seems to alleviate the discomfort slightly. Additionally, the patient reports intermittent episodes of the left side of the face feeling heavier than the right, although no weakness or coordination issues in the hand have been noted, and grip strength remains unaffected. The patient has no known allergies, is not on any medications, and has no reported past medical history of chronic illnesses or conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, the numbness in your left hand's pinky and ring finger could be due to a number of conditions:

  • Cubital Tunnel Syndrome: This condition occurs when the ulnar nerve, which passes through the cubital tunnel (a tunnel of muscle, ligament, and bone) on the inside of the elbow, is injured or becomes inflamed. The ulnar nerve controls sensation in the ring and pinky fingers. Symptoms can include numbness and tingling in the ring finger and little finger, especially when the elbow is bent.

    • Treatment typically involves avoiding activities that cause symptoms, using elbow pads to protect the ulnar nerve, and doing physical therapy exercises to improve nerve gliding. In severe cases, surgery may be required.
  • Ulnar Nerve Entrapment: This condition occurs when the ulnar nerve in the arm becomes compressed or irritated. The ulnar nerve gives sensation to the forearm and the fourth and fifth fingers. Entrapment can occur at several places along the nerve's path, including beneath the collarbone or at the wrist.

    • Treatment typically involves physical therapy, medication to reduce inflammation and pain, and in some cases, surgery.
  • Peripheral Neuropathy: This condition results from damage to the peripheral nerves, which carry signals between the central nervous system (the brain and spinal cord) and the rest of the body. Diabetes is a common cause of peripheral neuropathy.

    • Treatment typically involves managing the condition causing the neuropathy, medication to relieve symptoms, and physical therapy.

Please note that these are potential explanations for your symptoms, but other conditions could also be responsible. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Given your symptoms, here are some steps you can take:

  1. Avoid activities that could be causing or worsening your symptoms. For example, avoid resting your elbow on hard surfaces.
  2. Try over-the-counter pain relievers, such as ibuprofen or acetaminophen, to help with any discomfort.
  3. Consider wearing an elbow pad or a splint at night to keep your arm straight and reduce pressure on the ulnar nerve.
  4. Consult with a healthcare provider for a formal diagnosis and treatment plan.

What you should look out for

Please seek immediate medical attention if you experience:

  • Sudden onset of severe pain
  • Rapid progression or worsening of symptoms
  • Loss of sensation or movement in the arm or hand
  • Symptoms in other parts of your body

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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10 mo ago

People Also Ask


What is cubital tunnel syndrome and how is it treated?

Cubital tunnel syndrome occurs when the ulnar nerve is compressed at the elbow, causing numbness and tingling in the ring and pinky fingers. Treatment includes avoiding activities that exacerbate symptoms, using elbow pads, physical therapy, and possibly surgery in severe cases.


What are the symptoms of ulnar nerve entrapment?

Symptoms of ulnar nerve entrapment include numbness and tingling in the forearm and the fourth and fifth fingers, especially when the elbow is bent. Treatment may involve physical therapy, anti-inflammatory medications, and sometimes surgery.


Can peripheral neuropathy cause tingling in the fingers?

Yes, peripheral neuropathy can cause tingling in the fingers. It results from damage to peripheral nerves and can be caused by conditions like diabetes. Treatment focuses on managing the underlying condition and relieving symptoms.


When should I seek immediate medical attention for numbness or tingling in my hand?

You should seek immediate medical attention if you experience sudden severe pain, rapid worsening of symptoms, loss of sensation or movement in the arm or hand, or if symptoms appear in other parts of your body.


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