[56F] Experiencing cold and painful hands with personal stress

Patient Description

A 56-year-old female reports chronic coldness and a sensation of her hands being 'asleep' for approximately 10 years, worsening recently. She experiences a burning pain and weakness in her right hand, particularly at the base of her thumb, which has intensified over the past month. She rates the pain as 7 out of 10 and uses compression gloves, self-warming gloves, and a brace for relief. The patient also describes significant stress, nervousness, and mood swings following personal upheaval over the past year. She has a medical history of rheumatoid arthritis, fibromyalgia, spondylosis, nerve damage in her hip, hypothyroidism, and ADHD, diagnosed over 15 years ago. She is allergic to penicillins but is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are a few possible explanations for your symptoms:

  • Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve in your wrist, leading to numbness, tingling, and weakness in your hand. The knot you mentioned could be a ganglion cyst, which is common in people with carpal tunnel syndrome.

    • Treatment typically involves wearing a wrist splint, especially at night, and making lifestyle changes to reduce strain on your wrist. In severe cases, corticosteroid injections or surgery may be necessary.
  • Raynaud's Disease: This condition causes some areas of your body, like your fingers, to feel numb and cold in response to cold temperatures or stress. It can cause your hands to turn white or blue and feel cold or numb.

    • Treatment typically involves avoiding cold temperatures and stress, as well as medications to improve blood flow.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues. It can also cause tingling or numbness in your hands and feet.

    • Treatment typically involves a combination of medications, exercise, stress management techniques, and healthy lifestyle habits.
  • Hypothyroidism: This condition occurs when your thyroid gland doesn't produce enough thyroid hormones. It can cause fatigue, depression, and sensitivity to cold.

    • Treatment typically involves taking synthetic thyroid hormone.

Please note that these are just possible explanations for your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Try to keep your hands warm, especially when it's cold. Wearing gloves and avoiding cold temperatures can help.
  2. Try to manage your stress. Techniques such as deep breathing, meditation, and yoga may be helpful.
  3. Regular exercise can help improve circulation and reduce symptoms of fibromyalgia and carpal tunnel syndrome.
  4. Try to get enough sleep. Fatigue can worsen your symptoms and affect your mood.
  5. Consider seeing a healthcare provider. They can provide a proper diagnosis and treatment plan.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe pain in your hands
  • Sudden weakness or inability to move your hands
  • Changes in skin color or temperature in your hands
  • Worsening of your symptoms

Remember, 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 are the common symptoms of carpal tunnel syndrome?

Common symptoms of carpal tunnel syndrome include numbness, tingling, and weakness in the hand, particularly in the thumb, index, and middle fingers. These symptoms often worsen at night and can lead to difficulty in performing tasks that require fine motor skills.


How can Raynaud's Disease affect daily life?

Raynaud's Disease can cause fingers and toes to feel numb and cold, often turning white or blue in response to cold or stress. This can make it challenging to perform tasks in cold environments and may require lifestyle adjustments to keep warm and manage stress.


What lifestyle changes can help manage fibromyalgia symptoms?

Lifestyle changes that can help manage fibromyalgia symptoms include regular exercise, stress management techniques like meditation or yoga, maintaining a healthy sleep routine, and following a balanced diet. These changes can help reduce pain and improve overall well-being.


Why is it important to treat hypothyroidism?

Treating hypothyroidism is important because the condition can lead to fatigue, depression, and increased sensitivity to cold, affecting overall quality of life. Proper treatment with synthetic thyroid hormone can help restore normal hormone levels and alleviate symptoms.


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