[54F] Experiencing hand numbness and pain with computer work

Patient Description

A 54-year-old female reports waking up with numbness in the thumb, index, middle, and occasionally ring fingers, which feel extremely swollen without visible swelling and last for hours, recurring throughout the day. She describes the sensations as burning and throbbing, with a feeling of potential bursting. The numbness extends to the palm and is associated with pain and difficulty in coordination, affecting her ability to grip objects. She has a history of hypothyroidism diagnosed in 2012 and is currently on 125 mcg Levothyroxin and 50 mg Sertraline daily. The patient spends 8 to 10 hours a day on the computer due to her data entry job, involving repetitive hand and wrist motions. No recent changes in medication, no known drug allergies, and no use of over-the-counter medications, supplements, or vitamins were reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, the most likely diagnosis is Carpal Tunnel Syndrome (CTS). CTS is a common condition that causes pain, numbness, and tingling in the hand and arm. It occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist. Your symptoms are typical of CTS, including the numbness and tingling in your thumb and fingers (except the little finger), the pain and burning sensation in your hand, and the fact that these symptoms occur mainly at night or in the early morning.

Your job, which involves repetitive hand and wrist motions, is a common risk factor for CTS. Other conditions, such as hypothyroidism, which you have, can also increase the risk of developing CTS.

What you can do

While waiting for a formal diagnosis from a healthcare provider, there are several things you can do to help alleviate your symptoms:

  1. Take frequent breaks: If you perform tasks that involve repetitive hand or wrist movements, take frequent breaks. Stretch and bend your wrists periodically.

  2. Avoid activities that worsen symptoms: If certain activities or positions cause your symptoms to flare up, try to avoid them as much as possible.

  3. Apply cold packs: If your hand is swollen and painful, a cold pack can help reduce these symptoms.

  4. Over-the-counter pain relievers: Nonprescription pain relievers, such as ibuprofen or naproxen, can help relieve pain and inflammation.

  5. Wrist splint: Wearing a wrist splint at night can help keep your wrist in a neutral position, which can help relieve nighttime symptoms of tingling and numbness.

What you should look out for

If your symptoms persist or worsen, you should seek medical attention. Other reasons to seek medical attention include:

  • If you experience persistent loss of sensation in your fingers or hand
  • If you have persistent weakness in your hand and are dropping things
  • If your symptoms are severe and start to affect your quality of life

Remember, while I strive to provide accurate information, I'm not a doctor and this advice is not a substitute for professional medical advice. You should consult with a healthcare provider for a formal diagnosis and treatment.

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9 mo ago

People Also Ask

What are the common symptoms of Carpal Tunnel Syndrome?

Common symptoms of Carpal Tunnel Syndrome include numbness, tingling, and pain in the thumb, index, middle, and sometimes ring fingers. These symptoms often occur at night or in the early morning and can extend to the palm. Patients may also experience a burning sensation, weakness, and difficulty gripping objects.

How can repetitive hand and wrist motions contribute to Carpal Tunnel Syndrome?

Repetitive hand and wrist motions can contribute to Carpal Tunnel Syndrome by increasing pressure on the median nerve as it passes through the carpal tunnel in the wrist. This can lead to inflammation and swelling, which compresses the nerve and causes symptoms.

Can hypothyroidism increase the risk of developing Carpal Tunnel Syndrome?

Yes, hypothyroidism can increase the risk of developing Carpal Tunnel Syndrome. The condition can lead to fluid retention and swelling, which may increase pressure on the median nerve in the wrist.

What are some non-surgical treatments for Carpal Tunnel Syndrome?

Non-surgical treatments for Carpal Tunnel Syndrome include taking frequent breaks from repetitive activities, applying cold packs to reduce swelling, using over-the-counter pain relievers like ibuprofen or naproxen, and wearing a wrist splint at night to keep the wrist in a neutral position. These measures can help alleviate symptoms and prevent further nerve damage.

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