[47F] Experiencing hand numbness and arm pain post-car accident

Patient Description

A 47-year-old female reports experiencing numbness in both hands several times a day, lasting about 20 minutes each episode, for the past year. The numbness is accompanied by a tingling sensation, pain in the arms, and weakness, particularly when holding objects, writing, or doing dishes. The symptoms are relieved by rubbing the muscles in the arms near the elbows. The patient also experiences neck pain, stiffness, and discomfort in the shoulders and upper back. These symptoms began following a car accident. There is no muscle wasting observed. The patient's medical history includes severe fatty liver disease with recent inflammation and digestive issues, and a diagnosis of an arterial blood clot in June 2023. Current medications include a water pill, acid reflux medication, clonidine, Abilify, metoprolol, and Eliquis. There are no known drug allergies or history of arthritis, diabetes, or substance use affecting the liver condition.

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Arora's Assessment

What might be happening

Based on your symptoms and history, here are some possibilities:

  1. Nerve Compression or Entrapment: Conditions like carpal tunnel syndrome or cervical radiculopathy could cause numbness, tingling, and weakness in your hands. These can be triggered by repetitive activities or positions that put pressure on nerves.

  2. Circulatory Issues: Given your history of an arterial blood clot, circulation problems could contribute to numbness and coldness in your hands. It's important to monitor this closely.

  3. Post-Traumatic Effects: The car accident might have caused lingering issues in your neck or spine, leading to nerve compression or muscle strain.

Typical treatments might include physical therapy, medications to reduce inflammation, or further imaging tests like an MRI to assess nerve or spinal involvement.

What you can do

Nerve Compression or Entrapment:

  • Consider ergonomic adjustments to reduce strain on your hands and wrists.
  • Use wrist splints, especially during activities that trigger symptoms.
  • Gentle stretching and strengthening exercises may help.

Circulatory Issues:

  • Keep your hands warm and avoid positions that restrict blood flow.
  • Follow up with your healthcare provider about your blood clot history and any necessary treatments.

Post-Traumatic Effects:

  • Physical therapy might be beneficial to address neck and shoulder pain.
  • Over-the-counter pain relief, like NSAIDs, can help manage discomfort.

Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Worsening numbness or weakness
  • Severe pain or swelling
  • Changes in skin color or temperature in your hands

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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3 mo ago

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People Also Ask


What could be causing the numbness and tingling in my hands?

Numbness and tingling in the hands can be caused by nerve compression or entrapment, such as carpal tunnel syndrome or cervical radiculopathy. These conditions can result from repetitive activities or positions that put pressure on the nerves.


How can a past car accident affect my current symptoms?

A past car accident can lead to lingering issues such as nerve compression or muscle strain in the neck or spine, which may contribute to symptoms like numbness, tingling, and pain in the arms and hands.


What are some ways to manage nerve compression or entrapment symptoms?

Managing nerve compression or entrapment symptoms can include ergonomic adjustments, using wrist splints, and performing gentle stretching and strengthening exercises. Physical therapy and medications to reduce inflammation may also be helpful.


Should I be concerned about my history of an arterial blood clot in relation to my current symptoms?

Yes, it's important to monitor your symptoms closely given your history of an arterial blood clot. Circulatory issues could contribute to numbness and coldness in your hands, so follow up with your healthcare provider for appropriate management.


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