[74F] Experiencing numbness in index and middle fingers

Patient Description

A 74-year-old female reports experiencing numbness in the index and middle fingers, excluding the thumb and pinky, for a couple of weeks. The numbness, which presents with a tingling sensation, extends to the back of the hand and is usually relieved by massaging the hand or not sleeping on the right side. Symptoms are particularly noticeable in the morning. The patient does not report any weakness, difficulty with gripping, wrist or neck pain, or other symptoms. She considers herself generally healthy but mentions having arthritic knees, which have not been formally diagnosed. The patient has a known allergy to penicillin and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the numbness and tingling in your fingers could be due to:

  • Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve, which runs through the length of the arm, goes through a passage in the wrist called the carpal tunnel, and ends in the hand. The median nerve controls the movement and feeling of your thumb, and also the movement of all your fingers except your pinky. Symptoms often occur in the thumb, index finger, middle finger, and half of the ring finger. If you have problems with your other fingers but your little finger is fine, this may be a sign that you have carpal tunnel syndrome. A physical examination, nerve conduction study, or electromyography can confirm the diagnosis.

    • Treatment options include wrist splinting, medications, and surgery.
  • Cubital Tunnel Syndrome: This condition is caused by pressure on the ulnar nerve, which passes close to the skin's surface in the area of the elbow commonly known as the "funny bone." You're more likely to develop cubital tunnel syndrome if you frequently lean on your elbow or bend your elbow for long periods of time. The symptoms of cubital tunnel syndrome include numbness and tingling in the ring and small fingers and weakness affecting the ring and small fingers.

    • Treatment options include avoiding pressure on the elbow, wearing a splint, and surgery.
  • Peripheral Neuropathy: This is a result of damage to your peripheral nerves, often causing weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body. Peripheral neuropathy can result from traumatic injuries, infections, metabolic problems, inherited causes, and exposure to toxins.

    • Treatment involves managing the condition causing your neuropathy and relieving symptoms.

What you can do

  1. Try to avoid activities that cause you to use your wrist and hand repetitively for long periods of time.
  2. When using your hand, make sure your wrist is in a neutral, relaxed position.
  3. Consider wearing a wrist splint at night to keep your wrist in a neutral position.
  4. Over-the-counter pain relievers may help if you're experiencing any discomfort.

What you should look out for

You should seek immediate medical attention if:

  • The numbness or tingling persists despite your efforts to alleviate it.
  • You experience a sudden increase in pain.
  • You notice a loss of strength or coordination in your hand.
  • You have difficulty moving your fingers or grasping objects.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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1 yr ago

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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 half of the ring finger. These symptoms often occur at night or in the morning and can be relieved by shaking or massaging the hand.


How can I differentiate between carpal tunnel syndrome and cubital tunnel syndrome?

Carpal tunnel syndrome typically affects the thumb, index, middle, and half of the ring finger, while cubital tunnel syndrome affects the ring and small fingers. Additionally, cubital tunnel syndrome is often associated with pressure on the elbow, whereas carpal tunnel syndrome is related to wrist position.


What are some non-surgical treatment options for carpal tunnel syndrome?

Non-surgical treatment options for carpal tunnel syndrome include wrist splinting, especially at night, avoiding repetitive wrist activities, maintaining a neutral wrist position, and using over-the-counter pain relievers to manage discomfort.


When should I seek medical attention for numbness and tingling in my fingers?

You should seek medical attention if the numbness or tingling persists despite self-care measures, if there is a sudden increase in pain, if you notice a loss of strength or coordination in your hand, or if you have difficulty moving your fingers or grasping objects.


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