Why are my hands always numb? What to do when hands go numb - causes and treatment

Loss of sensation in the fingers of the upper extremities often indicates the development of a serious illness. Both individual phalanges and the entire brush can be taken away. If numbness of the fingers occurs regularly, it is necessary to find out the source of the unpleasant symptom.

Finger numbness is a sign of illness

Causes of finger numbness

Most often, fingers go numb in a dream or in the morning when a person wakes up. What does it mean? The reason for this condition is the wrong position of the body during sleep, from which there is a violation of blood circulation in the limbs and causes temporary discomfort. If this condition occurs infrequently, there is no reason to worry.

When the fingers of one or both hands go numb all the time, the following conditions can be provoking factors:

• pathologies of the heart and blood vessels (atherosclerosis, angina pectoris, multiple sclerosis, blockage of cerebral vessels);
• endocrine diseases (diabetes mellitus, thyroid problems);
• poor patency in the vessels of the upper extremities (thrombosis) or impaired blood circulation in the capillaries and veins of the fingers (Raynaud's syndrome);
• injuries or bruises of the shoulder, elbow, fingers, hands;
• nerve root pressure due to swelling of the hands during pregnancy;
• infringement of the nerve in the carpal tunnel (a disease of people who work at the computer for a long time).

Thrombosis is a common cause of limb numbness.

Often, fingers become numb due to diseases of the internal organs (liver, kidneys, lungs) or as a result of severe stress, nervous strain.

In itself, the tingling of only the tips or all of the fingers of the left and right hands is not a pathology. This is an unpleasant symptom that warns of the development of negative abnormalities in the body.

By unpleasant sensations in a particular phalanx, you can determine a specific disease.

Numbness of thumb and index finger

If the thumb or index finger becomes numb after a long monotonous work (knitting, printing, embroidery), we are talking about an overload of the neuromuscular apparatus. At this time, loss of sensation may be accompanied by convulsions and impaired motor ability. This condition does not last long and is not a pathological abnormality.

After a long knitting, thumbs and forefingers may become numb

Basically, the index and thumb often become numb when there is inflammation in the intervertebral discs, which occurs due to the infringement of the nerve endings in the cervical region. Another reason for this condition can be an intervertebral hernia.

Tolerates middle, ring and little fingers

Numbness of the little finger along with the middle and ring fingers may indicate problems with the heart and blood vessels. Usually, the phalanges on the left hand become very numb at night, and during the day the patient feels a barely noticeable tingling that spreads over the entire surface of the arm to the shoulder.

Inflammation of the elbow joint or pinching of the nerve endings in the brachial plexus is indicated by poor sensitivity of the ring and middle fingers on the back of the hand, which is accompanied by pain from the hand to the elbow.

Due to inflammation of the elbow joint, fingers often go numb

Often, severe poisoning of the whole organism can provoke numbness of the middle finger. To accurately determine the source of discomfort, it is better to consult a doctor.

Tingling of the tips of any finger in adolescence often occurs due to a lack of vitamin A and group B. After 45 years, a deficiency of such substances provokes not only a temporary loss of sensitivity in a particular phalanx, but also numbness of the hands in general.

Which doctor should I contact?

If the fingers are constantly taken away, it is necessary. During the examination, the doctor collects an anamnesis and determines which doctor of narrow specialization to refer the patient to.

Depending on the clinical manifestations, these may be:

Diagnostics

To exclude severe abnormalities in cerebral circulation and prevent their development, the doctor prescribes a number of medical studies to the patient.

1. Dopplerography of the vessels of the neck - allows you to assess the degree of patency of arteries and veins.
2. Tomography (computer and magnetic resonance) of the head and neck - identification of degenerative processes in the vertebrae, nerves and soft tissues.
3. Electroencephalography - diagnosis of brain activity and assessment of saturation of the main vessels with oxygen.
4. Echoencephalography is the study of structural changes in the brain.
5. X-ray of the cervical spine - assessment of the condition of the intervertebral discs and identification of compression of blood vessels and nerves.

Dopplerography will show the condition of the arteries and veins

If necessary, a cardiogram or ultrasound of the heart may be prescribed. Such studies are needed when there is a suspicion of a pre-infarction condition or other diseases of the heart.

Hand numbness treatment

After diagnosing and identifying a specific disease, the doctor decides how to treat the patient.

Complex therapy combines the use of:

• medicines;
• folk methods;
• gymnastics.

The main task of treatment is to relieve inflammatory edema, reduce pain and muscle spasms, and also resume blood flow in the upper limbs and the body as a whole.

Medications

Medications for numbness of the fingers are prescribed in accordance with the identified disease.

1. Failures in the cardiovascular system - vasodilator tablets (Corinfar, Kordafen, Nifedipine), drugs to reduce blood viscosity, improve microcirculation and oxygen saturation (Pentoxifylline, Vasonit, Trenpental). These drugs are also used for Raynaud's syndrome.
2. Pinched nerve roots as a result of osteochondrosis or intervertebral hernia, as well as carpal inflammation - anti-inflammatory tablets (Ibuprofen, Diclofenac, Indomethacin), analgesics (Amidopyrine) and muscle relaxants (Mydocalm).

Corinfar is a vasodilator

External agents (Voltaren ointment, Fastum gel, Diclofenac cream) can also relieve unpleasant tingling in the fingers. The main thing is to use all drugs (systemic and local) only after a doctor's prescription.

How to treat folk remedies

Loss of sensation in the fingers can be treated with folk remedies. Several effective recipes will help relieve numbness and unpleasant tingling in a short time.

Milk and honey baths

Mix 2 liters of milk and 1 liter of boiled water, add 5 tbsp. l. honey and 0.5 kg of salt. Mix everything thoroughly and heat over low heat until hot (do not boil). Soak your hands in the solution for 15-20 minutes. The course of treatment is 12–17 procedures.

Ingredients for milk and honey bath

Eggshell

Grind the shells of 10 chicken eggs to a powdery consistency. Eat 1 tsp every morning. useful potion with a glass of warm water. The tool quickly restores stiff fingers and prevents further discomfort.

Eggshell helps with numb fingers

Ledum marsh and apple cider vinegar

Grind the dry rosemary herb and pour apple cider vinegar in a ratio of 1 to 3. You need to insist on the liquid for at least a week, then strain and rub into the affected areas 3-4 times a day. The duration of therapy is 2-3 weeks.

You need to insist marsh rosemary for at least a week

Black pepper and sunflower oil

In 700 ml of vegetable oil stir 60 g of ground black pepper. Place the liquid on a slow fire and cook for about 45 minutes. After the remedy has cooled, it can be rubbed into the fingers 2-3 times a day for 2 weeks. Folk medicine helps thin the blood and improve its circulation in the limbs.

Sunflower oil improves blood circulation

When using remedies for loss of sensitivity in the fingers, it is important to remember the hypersensitivity to the components of the recipes. In order not to harm your health, it is recommended not to self-medicate.

Exercises for numb fingers

Morning exercises will help restore the mobility of the fingers and eliminate their numbness. It consists of simple exercises.

1. Without getting out of bed, you need to raise your hands above your head, and then clench and unclench your fists 50-60 times.
2. The position of the body is the same, the arms are tightly pressed along the body. Simultaneously clench and unclench your fists 60-70 times.
3. Stand facing the wall, raise your arms above your head, and rise on your toes. Hold this position for 30-50 seconds, then return to the starting position. Make several approaches.
4. Stand on a full foot, put your hands behind your back and close in the lock for a minute. Return to normal position and repeat the exercise 3-5 times.
5. In a standing position, relax and gently turn your head first to the left (hold for 20-30 seconds), then to the right. Do not make circular movements.

Properly performed gymnastics improves blood circulation in the upper limbs and contributes to rapid relief from numbness in the fingers.

Prevention

To prevent diseases that lead to numbness of the fingers, you need to take some preventive measures.

1. Choose the right clothes. Avoid wearing jackets and sweaters with tight cuffs. Gloves should be made only from natural materials and should not squeeze fingers.
2. Pay attention to your hands at work. Try to do wellness exercises for the fingers every 1-2 hours (especially if the main activity takes place at the computer).
3. Control weight lifting and exercise.
4. Give up bad habits (alcohol, nicotine).
5. Eat right. The diet should always contain foods with vitamin B12 (fermented milk products, fish dishes, liver, eggs, seaweed).

Eat more foods with vitamin B12

A healthy lifestyle, long walks in the fresh air, limiting stress and normalizing sleep - all this helps to strengthen the body as a whole and prevent discomfort in the upper limbs.

Poor sensitivity in the fingers, numbness and tingling often indicate pathological changes in the vessels, heart, endocrine and nervous systems, and are also the result of vertebral deformity during osteochondrosis, hernias or injuries. It is important not to ignore the regular bouts of numbness of the fingers, but to immediately seek medical help. This will help to avoid negative consequences and identify the cause of discomfort in time.

Laboratory diagnosis of diabetes mellitus is based on determining the level of glucose in the peripheral blood at different times of the day. In diabetes, its level is higher than normal. A more reliable result is obtained by determining the level of glycated hemoglobin in the blood, which determines the average level of glucose in the blood over the past three to four months. The type of diabetes is established by determining the level of own insulin in the blood, as well as by provocative tests ( oral glucose tolerance test).

Diabetic angiopathy, which is the cause of poor blood circulation in the internal organs and soft tissues, is diagnosed by performing Dopplerography of the main vessels of the upper and lower extremities. In addition, you should look for signs of dysfunction of other target organs in diabetes mellitus - kidneys, eyes and heart. In diabetic nephropathy, there will be an increase in creatinine and urea levels. diabetic retinopathy ( retinal damage) is determined by examining the fundus by direct ophthalmoscopy or special instrumental methods. Dysfunction of the heart can be determined with simple electrocardiography, however, more accurate and modern methods include echocardiography combined with dopplerography and coronary angiography.

Diabetic neuropathy is diagnosed by taking an anamnesis and performing some instrumental studies. When collecting anamnesis ( medical history) find out if the patient experiences difficulties in lifting objects and recognizing them by touch, tingling in the hands, gait uncertainty, erectile dysfunction, etc. Instrumental studies involve determining the level of tactile, pain, temperature and deep vibration sensitivity through the use of special devices.

Diagnosis of hand numbness in atherosclerosis

Among laboratory studies, the most useful will be the determination of the level of total cholesterol, its fraction and the level of triglycerides. With atherosclerosis, these indicators are usually significantly increased.

The study of the patency of the main vessels of the upper extremities is carried out using Dopplerography. In severe atherosclerosis, plain chest x-ray shows the corresponding changes in the aorta.

Diagnosis of hand numbness in alcoholism

As mentioned earlier, alcohol has an extremely negative effect on the functioning of brain neurons. Thus, with numbness of the hands against the background of chronic alcohol intoxication, one should pay attention to other symptoms indicating the suffering of neurons. In particular, there is a deterioration in memory and associative thinking, a tremor occurs ( jitter) limbs and epileptic seizures in moments of extreme intoxication.

Among the laboratory tests that indicate the association of alcoholism with numbness of the hands, the level of B vitamins should be examined ( in particular B 1 and B 12) in the blood, which in such patients is often reduced. However, such a study is not available in all laboratories and is not cheap. Instead, doctors empirically prescribe drugs containing B vitamins, after which there is a positive trend in the well-being of patients, of course, under the condition of a complete cessation of alcohol consumption.

Diagnosis of hand numbness in multiple sclerosis

Diagnosis of this disease is possible only by performing computed tomography ( CT) or magnetic resonance imaging ( MRI) brain. However, it should be noted that it is extremely difficult to identify this disease in the early stages, even after passing the above studies, due to the large number of diseases with which a differential diagnosis should be made. Patients go to the doctor, as a rule, from the moment the first complaints appear, and according to statistics, they appear when 70% of the brain tissue is already affected by the disease.

Diagnosis of hand numbness in osteochondrosis of the cervical spine

X-ray of the spinal column in the lateral projection allows you to determine areas of pathological convergence of the vertebrae, implying flattening of the intervertebral disc and infringement of the roots of the spinal nerves. Using this inexpensive instrumental method, it is possible to roughly determine the severity of osteochondrosis.

Computed and magnetic resonance imaging allows you to visualize not only dense bone tissue, but also watery tissue of the spinal cord and large spinal nerves. To determine the degree of compression of the above structures, it is recommended to use MRI, since this method has a higher sensitivity to soft tissues and does not cause any harm to the body. CT is used when MRI is not possible ( weight over 120 kg, metal implants in the body).

Diagnosis of hand numbness in intervertebral hernia of the cervical spine

MRI is a method that contributes to the most accurate visualization of the nervous tissue, in particular the spinal cord. Any compression of it or compression of the spinal nerves is detected in this study. CT reveals a herniated disc and somewhat worse reveals the structure of the spinal cord.

Diagnosis of hand numbness in amyotrophic lateral sclerosis

Unfortunately, there are no specific laboratory and instrumental methods for diagnosing ALS. The most useful study is considered to be performed in the dynamics of electromyography, which allows to determine the progressive decrease in muscle tone in various parts of the body. However, it should be noted that there may be more reasons for the above violations, and therefore other studies are needed to exclude these reasons. Thus, ALS is a diagnosis of exclusion.

Diagnosis of hand numbness in carpal tunnel syndrome ( carpal tunnel syndrome)

When collecting an anamnesis, special attention should be paid to activities associated with a long and monotonous movement of the hands and fingers. Clinically, this syndrome is manifested by pain, numbness or tingling in the lateral part of the palm and the first three fingers. Electromyography allows you to determine the pathological decrease in the tone of the muscles innervated by the median nerve, distally ( farther) places of its compression.

Diagnosis of hand numbness in Raynaud's disease/syndrome

Diagnosis of hand numbness in ischemic stroke of the brain

MRI determines the boundaries of cerebral ischemia, starting from the first hours after the onset of a stroke. When using a contrast agent ( gadolinium) it is possible to accurately localize the site of blockage of the blood vessel. CT is used in the absence of MRI or when there are contraindications to its use. This method has some drawbacks. In particular, he determines the area of ​​ischemia a little later, usually at the end of the first day after the onset of a stroke. The positive side of both of the above methods is the possibility of a differential diagnosis with other diseases that have a similar clinical picture.

Spinal puncture and taking cerebrospinal fluid for research also allows you to orient the doctor in one direction or another. In particular, in ischemic stroke, the cerebrospinal fluid is clear, and cytosis often increases ( element content) by increasing the number of neutrophils and lymphocytes. In half of the cases, there may be a slight increase in the amount of protein.

Diagnosis of hand numbness in a brain tumor

The cerebrospinal fluid in a brain tumor is usually clear or opalescent. When it is analyzed, a slight increase in the amount of protein can be determined, rarely - an increase in the concentration of leukocytes. In large tumors, atypical cells may be found in the CSF.

Markers of malignant brain tumors have not been developed to date. However, markers of neoplasms of other tissues may be positive if the brain tumor is not primary, but secondary, that is, a metastasis. To confirm this diagnosis, the location of the primary tumor should be identified using ultrasound ( ultrasound), scintigraphy, CT and MRI of other parts of the body.

Diagnosis of hand numbness in hypertension

Diagnosis of hand numbness in chronic anemia

Directly the fact of anemia is established on the basis of a decrease in the number of red blood cells ( red blood cells) or a decrease in the amount of hemoglobin in them. The type of anemia is established by assessing the shape and size of red blood cells. In hemolytic anemias, a high level of bilirubin, in particular the indirect fraction, should be looked for. Chronic folate deficiency and B 12 deficiency anemia is manifested by an increase in the diameter of erythrocytes, and also responds well to replacement therapy literally from the first weeks of treatment. According to these signs, their diagnosis is carried out. Iron deficiency anemia is diagnosed by the presence of small red blood cells and a low serum iron concentration. Hypoplastic and aplastic anemias are characterized by a decrease in the number of reticulocytes ( young forms of erythrocytes) in the general blood test and depletion of the erythrocyte germ during bone marrow puncture.

Diagnosis of hand numbness in vegetative-vascular dystonia

Clinical manifestations of vegetative-vascular dystonia can be extremely diverse. Conventionally, they are divided into three types. With the cardiac type, shortness of breath, discomfort behind the sternum and a feeling of a strong heartbeat are noted. In the hypertensive type, headaches and jumps in blood pressure predominate. With the hypotensive type, there is a pronounced general malaise, numbness, cold extremities and constantly reduced blood pressure.

Diagnosis of hand numbness in rheumatoid arthritis

In the clinical picture of rheumatoid arthritis, deformity of the fingers and, less often, legs is distinguished due to the appearance of painful rheumatic nodules. In the classic course of the disease, a positive rheumatoid factor should be determined, as well as antibodies to cyclic citrullinated peptide ( ACCP). On the radiograph of patients, inflammatory changes in the articular cartilage of the small joints of the hand, as well as areas of periarticular osteoporosis, are determined.

Diagnosis of hand numbness in thoracic outlet syndrome

The cervical ribs are usually visible on plain x-rays, however, it is impossible to rely on this study alone when making a diagnosis, since it is impossible to confirm the fact of compression of a particular nerve or the entire cervical plexus on an x-ray. The final study is MRI, in which it is possible to accurately determine the areas of compression of the nervous tissue, the degree of this compression, and develop tactics for further treatment.

Diagnosis of hand numbness in shoulder plexitis

With shoulder plexitis, the patient complains of severe pain in the axillary region, spreading to the entire arm, often accompanied by a feeling of tingling and numbness.

Ultrasound determines the diameter and structure of the brachial plexus. With sufficient experience, using ultrasound, the doctor can detect signs of inflammation of the nerve plexus. It is possible to suspect the development of inflammation of the brachial plexus by performing a targeted radiography of the shoulder joint and surrounding soft tissues. In this case, it is recommended to use digital x-ray machines, which have greater image clarity. The final diagnosis is established on the basis of MRI. In its absence or the presence of contraindications, CT is performed.

Diagnosis of hand numbness in tick-borne encephalitis

If tick-borne encephalitis is suspected, first of all, attention should be paid to the relationship between the development of signs of the disease and the tick bite. A few hours after the tick bite, body temperature rises, severe weakness associated with headache appears, the face and throat become full-blooded. The feeling of numbness of the extremities can be felt by the patient with an extremely pronounced general weakness.

Among laboratory studies, preference is given to serological methods, in particular, the method of paired sera. This method involves recording at least a fourfold increase in the concentration of antibodies to the tick-borne encephalitis virus in two blood samples taken - at the onset of the disease and after one to two weeks. There are several methods to determine the antibody titer, but enzyme immunoassay is considered the most sensitive and early.

Diagnosis of hand numbness in borreliosis

The clinical picture of borreliosis can be different. Regarding the feeling of numbness of the hands in this disease, it should be said that it is often preceded by pain and a decrease in muscle tone. Strengthening of these symptoms occurs mainly at night. Similar symptoms are observed not only in the hands, but can appear on any part of the body.

Laboratory diagnostics includes bacteriological and serological methods. By bacteriological methods is meant the presence of Borrelia in almost all liquid media of the body ( blood, urine, cerebrospinal fluid, etc.). This method requires about 1-2 weeks, which is acceptable for timely diagnosis in case of borreliosis. More rapid are serological methods based on the determination of the titer of antibodies to the causative agent of the disease.

Diagnosis of hand numbness in neurosyphilis

The feeling of numbness of the hands with spinal dryness develops approximately 18 to 20 years after infection with syphilis. It begins with a gradual slow decrease in sensitivity and ends with a complete loss of all its types. In parallel with this, a general decrease in muscle tone develops throughout the body.

Laboratory diagnosis of syphilis at this stage consists in the determination of antibodies to pale treponema ( the most common reaction of this type is the microprecipitation reaction or the Wasserman reaction). The definition of a living pathogen is carried out in a transparent drop.

Spinal cord injury is defined on MRI as destruction of the posterior horns of the spinal cord. Sensitivity disorders are determined by the method of evoked potentials, which establishes the speed of nerve excitation from the periphery to the brain.

Treating the Causes of Hand Numbness

Below are special cases of treatment of numbness of the hands with:

• uncomfortable body position;
• diabetes mellitus;
• atherosclerosis;
• alcoholism;
• multiple sclerosis;
• osteochondrosis of the cervical spine;
• intervertebral hernia of the cervical spine;
• amyotrophic lateral sclerosis (amyotrophic lateral sclerosis) Charcot's disease);
• tunnel syndrome ( carpal tunnel syndrome);
• Raynaud's disease/syndrome;
• ischemic stroke of the brain;
• brain tumors;
• hypertension;
• chronic anemia;
• vegetative-vascular dystonia;
• rheumatoid arthritis;
• thoracic inlet syndrome;
• shoulder plexitis;
• tick-borne encephalitis;
• borreliose ( Lyme disease);
• neurosyphilis.

Treatment of numbness of the hands with an uncomfortable body position

Treatment of hand numbness in diabetes mellitus

If hand numbness has already developed, then some effect can be expected from medicines from the group of microcirculation correctors ( pentoxifylline, actovegin, etc.). However, it should be remembered that such treatment is symptomatic and has a positive effect only for a while, after which the numbness of the hands appears again. Preparations based on B vitamins have a certain effect, since they improve the metabolism of the myelin sheaths of neurons, thus increasing the speed of transmission of impulses from nerve endings to the brain.

Treatment of hand numbness in atherosclerosis

First of all, it is necessary to slow down the processes of cholesterol deposition in the inner membranes of blood vessels and prevent the formation of atherosclerotic plaques. This is achieved by following a diet and a regimen of enhanced physical activity. Diet involves abstaining from foods rich in animal fats ( pork, beef, lard, sausages, etc.) and carbohydrates ( bakery products, sugar, etc.). Along with this, it is necessary to increase the content of protein-rich foods in the diet ( dietary meat, fish, mushrooms, beans, etc.). Physical activity should be enhanced, but not excessive. Preferred is jogging 1-2 times a day for 20-30 minutes, swimming for 30-60 minutes 2-3 times a week. After such a change in the daily routine, blood lipids will decrease significantly on their own.

If during treatment it is not possible to achieve the desired blood fat index, then treatment with lipid-lowering drugs should be started. The most common representatives of this group today include simvastatin and atorvastatin. However, due to the negative effect on the liver, their use implies significant limitations. Rosuvastatin is the last and most perfect representative of the group of lipid-lowering agents, since it combines a significantly higher efficiency than its predecessors with much less pronounced side effects, including on hepatic metabolism.

In case of critical stenoses of the arteries of the upper extremities, when treatment with lipid-lowering agents does not bring the desired effect, surgical treatment should be resorted to. In particular, two methods are used - stenting and shunting. Stenting involves the introduction of a thin metal cylinder into the lumen of the vessel, which, opening at the site of narrowing, restores the patency of the vessel. Shunting is a technique that creates a collateral ( workaround) around the site of narrowing of the vessel by an atherosclerotic plaque. As a result, adequate blood supply to the limb is restored. These methods are used primarily in cardiac surgery and apply to atherosclerotic narrowing of the coronary arteries. However, with severe atherosclerosis of the vessels of the upper extremities, these methods can be used with no less success.

Hand numbness treatment for alcoholism

Despite the fact that alcohol is not unreasonably considered a poison for the body, for unknown reasons, it prevents the deposition of cholesterol in the blood vessels, preventing the development of atherosclerosis. Therefore, the cause of hand numbness in alcoholism lies not in the blockage of blood vessels, but in something else.

It has been observed that patients in an alcoholic coma have a sharply reduced level of vitamin C and B vitamins. These vitamins, especially B vitamins, play an important role in the metabolism of Schwann cells that form the myelin sheath around nerves. The myelin sheath, in turn, is responsible for providing a high speed of transmission of the nerve impulse. Thus, alcoholism leads to degeneration of nerve fibers, which is considered partially reversible. In this regard, after stopping alcohol consumption, preparations containing B vitamins should be taken for several months. Vitamin C is best obtained from natural sources, since it is much better absorbed by the body than dietary supplements.

Treatment of hand numbness in multiple sclerosis

The means of pathogenetic treatment include hormonal anti-inflammatory drugs, beta-1a interferons and synthetic analogues of ACTH ( adrenocorticotropic hormone).

Symptomatic treatments include painkillers, non-steroidal anti-inflammatory drugs, proton pump inhibitors, etc.

Treatment of hand numbness in osteochondrosis of the cervical spine

The simplest and most effective means of combating osteochondrosis are measures aimed at strengthening the paravertebral and cervical muscles. For this purpose, swimming several times a week is perfect. This reduces the load on the spinal column and improves blood circulation in the area of ​​the deformed intervertebral disc. In addition, it is important not to perform heavy physical work in order to avoid excessive stress on the spinal column.

Artificial traction of the spine has a good and often long-term effect, which also reduces the load on the spine. Strengthening of the paravertebral muscles is facilitated by exercise therapy ( physical therapy).

Physiotherapeutic methods such as magnetotherapy, electrophoresis or amplipulse reduce inflammation, improve microcirculation and accelerate recovery processes. Wellness massage allows you to relieve compensatory muscle spasm, which, as a rule, is one-sided. However, one should also remember about such contraindications of therapy as cardiac arrhythmias, the presence of an artificial pacemaker, malignant tumors, malignant arterial hypertension, etc.

Among medications, selective and ultraselective non-steroidal anti-inflammatory drugs (NSAIDs) are the most popular ( nimesil, indomethacin, ibuprofen, celecoxib, etc.), as well as chondroprotectors ( chondroitin sulfate, glucosamine, etc.). The former are used primarily to relieve exacerbations of the disease, and the latter to improve the regeneration of the intervertebral disc, which consists of cartilage tissue.

With insufficient effectiveness of non-steroidal anti-inflammatory drugs, they resort to the implementation of nerve blocks, in which a slowly consumed anesthetic is injected into the area of ​​​​the pinched nerve. Thus, blockades are an effective and relatively long-term means of eliminating pain in cervical osteochondrosis. However, their use is limited by the risks of damage to nerve formations and blood vessels. In addition, like any other invasive procedure ( implying a violation of the integrity of the skin), blockade can lead to the development of septic complications.

An extreme measure for the treatment of osteochondrosis is the surgical removal of a deformed intervertebral disc with the implantation of strong metal fasteners that maintain the anatomical integrity of the spinal cord and nerves extending from it.

Treatment of hand numbness in intervertebral hernia of the cervical spine

Physiotherapy and massage have a certain effect. Physiotherapy helps to reduce inflammation, improve blood circulation at the site of compression of surrounding tissues by a hernia, as well as accelerate recovery processes. The effect of physiotherapy is individual. In addition, do not forget about the contraindications of this method ( arrhythmias, artificial pacemaker, malignant arterial hypertension and malignant neoplasms). Properly performed massage eliminates muscle spasm that has developed in response to pain caused by compression of nerve structures.

With increased pain or numbness of the hands, non-steroidal anti-inflammatory drugs are used ( nimesil, celecoxib, diclofenac, etc.) in order to relieve symptoms of exacerbation. The duration of their use ranges from 5 to 14 days. At the same time, the parallel use of drugs that protect the gastric mucosa from the aggressive effects of these drugs is recommended ( pantoprazole, rabeprazole, famotidine, almagel, etc.).

Protrusion of the intervertebral disc ( pre-hernial state) it is recommended to use chondroprotectors in courses of several months each with the same breaks. With a hernia that has formed, the drugs of this group are practically useless.

Nerve blockades are a high-quality analgesic method with a relatively long-term effect. However, it is fraught with the development of a number of complications, which in themselves may be more severe than the underlying disease.

The only radical method of treating herniated intervertebral discs of the cervical spine is their surgical removal with the strengthening of the adjacent vertebrae with a metal frame. However, it should be remembered that this method involves a full-fledged operation with general anesthesia ( anesthesia). The risks of such an operation depend on such factors as the experience of surgeons, the size of the hernia, the age of the patient, comorbidities, etc.

Treatment of hand numbness in amyotrophic lateral sclerosis

Hand numbness treatment for carpal tunnel syndrome

A moderate anti-inflammatory and resolving effect is achieved by the appointment of physiotherapy ( electrophoresis with lidase, ultrahigh frequency (UHF) therapy).

In the absence of positive dynamics from the above methods, they resort to surgical expansion of the carpal tunnel.

Treatment of hand numbness in Raynaud's disease/syndrome

Surgical treatment of this pathology is considered the most effective. It consists in the excision of sympathetic nerve fibers responsible for the contraction of peripheral vessels. Thus, if before the operation, the vessels of the fingers or hands spasmed when exposed to cold, then after the operation they cease to respond to temperature changes at all.

Treatment of hand numbness in ischemic stroke of the brain

After the acute phase has passed, a recovery period begins. Recovery is carried out both medically and non-pharmacologically. To reduce the effects of ischemic stroke, drugs such as cerebrolysin, piracetam, clopidogrel, acetylsalicylic acid are used ( aspirin), nimodipine, pentoxifylline, etc. Barotherapy ( oxygenation of the patient in a chamber with high atmospheric pressure) speeds up the recovery of the patient.

Special attention should be paid to occupational therapy. The more intensively the patient will be engaged in the restoration of lost functions, the sooner they will return. In particular, hand numbness may disappear completely after a few months of practice. Of course, there can be no talk of any specifics, since too many factors can affect the pace and success of recovery.

Hand numbness treatment for brain tumors

In some cases, before removing the tumor, radiotherapy or chemotherapy is performed to reduce its size. Thus, as the tumor shrinks, the numbness of the hands may decrease or disappear altogether, depending on how much the tumor squeezed the corresponding motor centers of the brain.

Hand numbness treatment for hypertension

Maintaining a normal level of blood pressure is carried out by combining drugs from five main groups - ACE inhibitors ( angiotensin converting enzyme) (captopril, lisinopril, enalapril), diuretic ( furosemide, spironolactone, hydrochlorothiazide), beta-blockers ( metoprolol, atenolol, nebivolol), calcium channel blockers ( nifedipine, diltiazem, verapamil) and angiotensin II receptor blockers ( losartan, valsartan, irbesartan, etc.).

Treatment of hand numbness in chronic anemia

Different types of anemia require a variety of treatments. With the most common iron deficiency anemia, medications containing salts of ferrous and ferric iron are required. With B 12 deficiency and folic deficiency anemia, it is also necessary to increase the intake of these substances into the body by eating foods rich in them or by using drugs of the same name. In aplastic and autoimmune anemia, glucocorticosteroids are actively used. In addition, bone marrow transplantation is practiced for aplastic anemia.

Treatment of hand numbness in vegetative-vascular dystonia

In addition, in the treatment of vegetative-vascular dystonia, a huge share is occupied by a variety of physiotherapeutic areas from banal electrophoresis and UHF to balneotherapy and acupuncture.

Hand numbness treatment for rheumatoid arthritis

Treatment of hand numbness in thoracic outlet syndrome

Drug methods in rare cases can stop the symptoms somewhat, but they are not able to completely eliminate this syndrome.

Hand numbness treatment for shoulder plexitis

Effective drugs are from the group of microcirculation correctors ( pentoxifylline), vitamins ( predominantly groups B and C).

Physiotherapeutic agents and massage accelerate the rehabilitation process, but they are acceptable only after the acute phase of the disease has passed.

Hand numbness treatment for tick-borne encephalitis

Unfortunately, no specific treatment for tick-borne encephalitis virus has been developed to date. The main objectives of treatment include the maximum reduction in the intensity of inflammation of the brain, as well as the maintenance of vital body functions ( artificial lung ventilation, hemodynamic correction). Of course, such procedures are not possible at home, therefore, if you suspect encephalitis, you should immediately call an ambulance that will take the patient to a medical center specializing in the treatment of such conditions. Inflammation is eliminated mainly by the appointment of glucocorticosteroids. When layering a bacterial infection, antibiotics are prescribed taking into account their microbiological spectrum of action.

If encephalitis is cured, hand numbness may disappear. However, quite often such symptoms remain for life as residual manifestations of encephalitis. To avoid this disease, you should get the appropriate vaccine before visiting places endemic for tick-borne encephalitis ( Siberia, Ural, Far East, Volga region, etc.).

Treatment of hand numbness in borreliosis

The main drugs used in the treatment of chronic borreliosis are antibiotics of the penicillin and cephalosporin group. Tetracyclines, which are actively used in the treatment of acute borreliosis, are used much less frequently in the chronic stages.

Hand numbness treatment for neurosyphilis

What is the cause of finger numbness?

Raynaud's disease refers to the primary spasm of the distal phalanges of the fingers. This means that when exposed to cold or in stressful situations, the fingers become pale or bluish in color, and also become numb and sore. Raynaud's disease is considered an idiopathic disease ( with unknown etiology), which distinguishes it from Raynaud's syndrome or phenomenon, which manifests itself similarly, but as a result of the natural course of a different disease. In other words, Raynaud's phenomenon is a secondary pathology.

Raynaud's phenomenon can be observed in diseases such as:

• systemic scleroderma;
• rheumatoid arthritis;
• atherosclerosis of the vessels of the upper extremities;
• thromboangiitis obliterans;
• taking certain medications cytostatics, ergotamine, etc.);
• vibration disease;
• intoxication with vinyl chloride vapors, etc.

Mention should be made of finger numbness during pregnancy, since this symptom often worries expectant mothers. The reason for its development, as a rule, is hidden in the changes in microcirculation that occur in the female body on the basis of an altered hormonal background. The body seeks to concentrate the blood in the growing uterus to best provide the fetus with the necessary substances and oxygen. This effect is achieved by increasing the tone of peripheral vessels, in particular, the vessels of the fingers. Numbness in this case spreads to all fingers and intensifies with a decrease in ambient temperature, imitating Raynaud's phenomenon. Nevertheless, for complete peace of mind, it is recommended to undergo a series of diagnostic procedures to exclude the pathological causes that cause this symptom.

Numbness of individual fingers can develop with deep injuries of the hand, accompanied by nerve damage. In addition, after injuries, contractures may remain, squeezing the nerves of the fingers and preventing the transmission of impulses. Surgical dissection of such contractures can restore the former sensitivity.

What to do with simultaneous numbness of the hands and feet?

Stress
Stress is the most common cause of simultaneous hand and foot numbness. The reaction of the body to a dangerous factor can be extremely diverse. Some people sweat profusely, some involuntarily squint, sneeze, have difficulty pronouncing simple words, etc. The whole difference lies only in the peculiarities of the action of adrenaline on the central nervous system of an individual.

As a rule, after calming down, this unpleasant symptom disappears on its own. Therefore, in order to speed up the process of calming, one should offer an agitated person water, in which 20-40 drops of an alcohol solution of valerian would not be superfluous. With insufficient effect of the above method, there are stronger sedatives, sleeping pills and antidepressants. The most common of them are diazepam, phenazepam, alprazolam, etc.

Acute anemia
The most common cause of acute anemia is blood loss. When the wound is on the surface of the skin, then the diagnosis of numbness of the hands is not difficult, and the treatment suggests itself. It is much worse when internal bleeding develops or bleeding into the lumen of the gastrointestinal tract, which in most sources refers to external bleeding. The whole difficulty is that they can be plentiful and at the same time have meager manifestations.

In most cases, symptoms of internal bleeding include pallor, tachycardia ( increase in heart rate), numbness of the limbs and sudden weakness, up to a coma. Sometimes there may be pain in the area of ​​bleeding, some swelling, nausea and vomiting of red blood or "coffee grounds".

If you notice the above symptoms, you should immediately call an ambulance. Before her arrival, it is necessary to give the patient a horizontal position and raise the legs above the level of the head. When vomiting, the patient should be laid on one side to avoid getting vomit into the respiratory tract. When breathing and heartbeat stop, cardiopulmonary resuscitation is performed ( artificial respiration and chest compressions).

Intoxication
Simultaneous numbness of the hands and feet can occur with intoxication with nicotine, various drugs, medicines and alcohol, both high-quality and surrogate. As a rule, the clinic of each type of poisoning has its own characteristics, but common signs are clouding of the mind, changes in reflexes and vomiting.

The only way to get out of this state is to detoxify the body with special solutions ( hemodez) and extracorporeal methods ( plasmapheresis), as well as the immediate introduction of an antidote, if one exists.

Generalized atherosclerosis
Generalized atherosclerosis is characterized by the formation of atherosclerotic plaques in all vessels of the body, greatly impairing peripheral circulation. At the same time, the blood supply to the large nerves of the limbs worsens, which causes a feeling of numbness in them.

brain stroke
A cerebral stroke in most cases is characterized by damage to the arm and leg on one side of the body. The cause of this condition is the blockage of the cerebral artery by a thrombus or embolus, as well as the development of hemorrhage in the brain tissue. In addition to numbness and paralysis of the limbs, various other focal symptoms are present, such as dumbness, behavioral changes, hallucinations, mental disorders, etc. The treatment of numbness of the limbs is the same as the treatment of the underlying disease, that is, a stroke.

Compression of the cervical spinal cord
The spinal cord consists of a huge number of neurons and pathways that provide movement and various types of sensitivity throughout the body. Simultaneous numbness of the arms and legs can occur when the cervical spinal cord is compressed by a tumor, vertebral body, aneurysm, hematoma, etc.

In most cases, the degree of numbness in the hands and feet is different. In addition, often the intensity of numbness and its nature in the right and left parts of the body are also different. A prerequisite is the slow development of this condition, since with a sharp injury to the spinal cord, shock and death occur.

To eliminate the numbness of the hands and feet with the above pathology, the cause of compression should be eliminated. This is usually done through surgery.

How is hand numbness during pregnancy explained?

During pregnancy, a woman's body undergoes numerous changes designed to provide the best conditions for the growth of the fetus. One of them is the centralization of blood circulation, which is especially pronounced in pregnant women with anemia.

Under the centralization of blood circulation is meant an increase in blood circulation in the region of internal organs and its decrease in the soft tissues of the periphery. This effect is achieved by increasing the tone of the arterioles of the skin by excessive activation of the sympathetic nervous system. As a result, the skin looks paler than usual, and becomes numb when cooled. The intensity of numbness is usually the same on both hands.

It is important to note that such changes are more typical for the initial periods of pregnancy. After some time, there is an increase in the rate of production of blood elements, and the redistribution of blood, as an adaptive mechanism, is no longer necessary.

It should also be added that the appearance of numbness of the hands in pregnant women may well develop due to any disease. The spectrum of diseases that can lead to this is as wide as for other people. The diagnosis of these pathologies does not differ from the standards, however, treatment should take into account the impossibility of using a number of medications that are unacceptable during pregnancy.

Which doctor should I contact for hand numbness?

Due to the fact that the number of diseases that can cause numbness of the hands is very large, it is necessary first of all to consult a doctor who could roughly determine the direction in which to look for the cause of the disease.
This specialist is a family doctor.

If the family doctor fails to eliminate this symptom on his own, then he can refer the patient for a consultation with the appropriate narrow-profile specialist.

• cardiologist;
• hematologist;
• rheumatologist;
• neurologist;
• psychiatrist;
• physiotherapist;
• rehabilitation specialist;
• angiosurgeon;
• neurosurgeon
• infectious disease specialist, etc.

A neurologist in collaboration with a neurosurgeon helps to eliminate hand numbness in osteochondrosis of the cervical spine, intervertebral hernia, brain tumors, neurosyphilis, amyotrophic lateral sclerosis, etc.

The psychiatrist is involved in the treatment of vegetative-vascular dystonia that has arisen against the background of neuroses. A physical therapist deals with the symptomatic treatment of most physical causes of hand numbness.

An angiosurgeon may be necessary in generalized atherosclerosis to insert a stent or perform bypass surgery. An infectious disease specialist treats borreliosis and tick-borne encephalitis.

Hello, friends.
Have you ever had this, wake up in the morning and practically do not feel your hands, fingers and hands are numb

2 reasons why hands go numb

So, if you are basically healthy, you don’t have diabetes mellitus (due to which it develops, I wrote neither Raynaud’s disease (disease of the vessels of the hands), nor any tumors, then most likely your hands go numb in two simple reasons.

1. due to nerve compression;
2. Because of the clamping of blood vessels.

And the owner who sends this attack on you is called cervical osteochondrosis. Our anatomist, neuropathologist and chiropractor all rolled into one, Valery Babkenovich, said: “Go out into the street, poke your finger at anyone and say he has osteochondrosis, and you won’t miss.” And, you know, I agree with him, and my massage practice only once again confirms the words of a wise teacher. Now let's figure it out

Why do hands go numb with cervical osteochondrosis

The fact is that the nerves that make our hands move and feel, as well as the vessels that supply them with everything they need, originate in the cervical spine. There are special openings in the cervical vertebrae through which these nerves and vessels exit, gather into a single bundle and, dividing into smaller branches, extend from the shoulder to the fingertips.

With the development of cervical osteochondrosis, due to the erasure and thinning of the intervertebral discs, these holes become smaller. At first, while the diameter of the holes in the vertebrae is relatively normal, almost nothing is felt. Further, as the diameter of the intervertebral foramina narrows, under certain conditions, the nerves and blood vessels can be pinched, which will manifest itself in a variety of hand numbness.

Most often, this phenomenon occurs in a dream or with a long monotonous tension of the neck muscles. In a dream, the hands become numb, either due to an incorrectly selected pillow, or due to an uncomfortable posture. And with prolonged tension of the neck muscles - due to the fatigue of the latter. After all, when tired, they begin to swell and compress the neurovascular bundle that goes to the hands, and they can no longer keep the correct posture. By the way, approximately the same phenomenon can occur if you carry various weights on your shoulders for a long time. Well, well, we figured out the causes of the unpleasant phenomenon, now let's look,

What to do if hands go numb

First of all, be sure to go to the therapist, neurologist and cardiologist in order to undergo the necessary studies, namely:

1. Take an x-ray of the cervical spine for the presence of bone deformities;
2. Pass an MRI (magnetic resonance imaging) of the vessels of the neck and hands to exclude the presence of bottlenecks and possible blood clots;
3. Take a blood test for sugar, cholesterol, platelet count and clotting.

Based on the results of these examinations, the doctor will prescribe the appropriate medication for you. In addition, you will find out if massage and other physical procedures are shown to you, what is the level of physical activity that is acceptable for you, what you can and cannot do. Someone will say that she promised to share her experience, but sends to doctors, banality and idle talk is one thing. But understand, my dears, I am a doctor, and not recommending a medical examination in this case would be a professional crime on my part, because a neglected state can turn into something more serious than simple hand numbness after sleep or laziness to break away from the computer. Well, here is my actual experience.

3 of my recipes that will help you forget about the pain and numbness of your hands

I will say right away that this is not a magic button and not a healing pill, but a constant work and struggle with oneself. You will have to constantly monitor your health, especially when the disease has already asserted its rights, only then can we talk about a lasting result and relative victory. I hope you understand me and are ready to take responsibility for your health, otherwise nothing will work. Believe me, I don’t scare you, but I just want to convey to you the idea that you need to take care of your health, and if it is shaken, then you will have to fight for it. Well, come on, you people are smart and adults, you understand everything, here are my 3 recipes that help me stay in good shape and feel relatively healthy.

Recipe 1. Comfortable and physiologically correct pillow.

When I once again, waking up in the morning, felt that my fingers were numb, did not bend and practically did not feel anything, I made a decision - I need a good pillow that will be comfortable to sleep on and with which I will not roll. And then the question arose, what is it - good? Buying an orthopedic one, because they are all expensive and you have to go to the city for them, is not suitable.

After observing myself for several nights, I came to the conclusion that most often I sleep on my back. At the same time, the neck is very tired, because a dip forms under its bend. The pillow either gets off to one side, or I simply move out of it. Then I took a small towel, rolled it up and put it in a pillowcase. Now I lie down so that the cushion is under my neck, and the soft part of the pillow is under my head, it has become comfortable to sleep, and my hands no longer bother me at night.

Recipe 2. Askarutin tablets.

Askarutin is a penny drug built on vitamin C. I call it askarbinka for blood vessels, because askarutin was created specifically to strengthen the vascular walls. I drink 2 records in spring and autumn, and this is enough for me. The vessels work perfectly, the blood runs without stagnation, my hands are happy, which means that I am too.

Recipe 3. Exercises for the neck.

In the elimination of headaches in osteochondrosis, I have already shown one set of simple exercises, which I have been doing with pleasure for many years. But six months ago, a small ball fell into my hands, which is used for pumping hands, and I came up with another complex for myself, which I will share now.

Exercise 1.

Pinch the ball between your chin and chest so that you can not support it with your hand. Then rhythmically press the ball with your chin, as if trying to flatten it, and return to the starting position. The exercise should be repeated 10 times.

This exercise perfectly trains the entire shoulder girdle, neck muscles and even the abdominals. You will see it for yourself when you start practicing. The abdominal muscles tense reflexively, you don’t even have to monitor their work. To increase the load on the abdominal press, you can slightly lean forward and pull in the stomach while “flattening” the ball. When tilting, exhale, and when straightening, inhale, so it will be much easier for you to breathe, and the effect will be maximum.

Exercise 2.

Fix the ball between your right shoulder and right ear, tilting your head to your shoulder. At the same time, do not raise your shoulder, but hang your arms along the body. Then rhythmically press your head on the ball and return to the starting position. Repeat the exercise 10 times. Then do the same, shifting the ball to your left shoulder.

This exercise works to stretch the lateral muscles of the neck, the muscles of the shoulder and shoulder blades on the opposite side of the slope. To enhance the effect, you can even slightly pull the arm opposite to the inclination. For example, when tilting the neck to the right, pull down and slightly to the side of the left hand, and when tilting the neck to the left, pull the right hand.

Exercise 3.

Put the ball on your right shoulder, turn your head to the maximum to the right, as if you want to look behind your back, and fix the ball in this position. Next, rhythmically press the ball, trying to flatten it, and return to the starting position. Repeat the exercise 10 times, and then do the same, turning your head to the other side and fixing the ball on your left shoulder.

This exercise forces the muscles of the neck and upper back to work on the side being exercised. To enhance the effect and involve all the muscles from the neck to the lower back, when you press the ball with your chin, slightly turn the body in the direction of the load. You can even pull the opposite hand, so the effect will be maximum. For example, if you turned your head to the right, then when you press the ball, turn your entire body to the right and pull your left hand in the same direction. With the head position “turn and fixation on the left”, turn and stretch your right hand to the same place.

Exercise 4.

The opposite of the first. That is, we put the ball on the back of the neck and press on it with the back of the head. Of course, so that he does not fall, he will have to hold his hand. Do 10 pushes and finish the exercise.

This exercise perfectly helps not only in the case when the hands go numb, but also with myositis of the cervical muscles, when it suddenly blows, and it is difficult to turn the head. And to make it clearer for you how to perform all these exercises, I recorded a video for you.
https://www.youtube.com/watch?v=u6PCFX0rctg
I ask you not to complain about the quality, while I can only shoot with a camera, and the lack of vision greatly interferes, but I hope that everything will be clear and understandable to you. And if you want to deal with the elimination of cervical osteochondrosis closely and seriously, I recommend you a free course of my friend, exercise therapy doctor Alexandra Bonina, "Secrets of the treatment of cervical osteochondrosis." I studied it myself and I will say that the course is cool, and I can safely advise it to all my readers.

That's all my secrets, use them to your health, and write all your impressions in the comments. I have everything for today, with love, your Tatyana Surkova.

Recently, more and more patients appear in my office, who are worried about a single symptom: they have to wake up several times at night due to numbness of their hands. The unpleasant sensations that accompany these phenomena are described by everyone in a fairly similar way: a sharp awakening from pain in the arm, tingling, burning, “goosebumps” in combination with stiff fingers.

Usually people blame the pillow for everything (and change it more than once), especially the posture during sleep (and come up with various “limiters” so as not to turn on their side or stomach), “weak heart” (and buy medicines they don’t need to “ get healed"...

In the end, exhausted, they come to a neurologist so that the doctor can find in their body what interferes with proper rest and eliminate the inconvenience. And the doctor again goes in a vicious circle: pillow-pose-heart. And he makes me do gymnastics. And assigns a lot of research, which will take a lot of time. Can't it be faster? No!

Where does such an attack come from?

If earlier such a complaint was more often addressed by people whose professional activities were associated with sedentary work and arm strain (computer operators, drivers, assembly line workers), now schoolchildren, students, and pensioners come. After all, computers have entered the life of almost everyone. And almost everyone, starting from school, is faced with “computer mouse syndrome” (carpal tunnel syndrome), when mechanical compression of the nerves and blood vessels on the wrist regularly occurs, which makes the fingers go numb. Usually, wearing an orthosis and a well-planned position of the keyboard and mouse will quickly eliminate the trouble, but with numbness at night, everything is not so simple.

Of course, most often the cause of numbness is rather banal - in 90% of cases it is compression of the neurovascular bundle along its entire length: from the spinal cord and aorta to the very fingertips. But there are still 10% of cases when the violation of blood circulation and innervation occurs at a more subtle level - with damage to the smallest vessels and nerve endings.

These ten percent include diseases such as polyneuropathy and vasculitis. In order to exclude these pathologies, the doctor gives the night sufferer a long list of tests and examinations. These can be banal blood tests (general and biochemical), hormonal tests, electroneuromyography, duplex vascular scanning, rheovasography, electrocardiogram, neuroimaging (X-ray of the neck, shoulder joints, CT and MRI). What and how much to do - the doctor decides individually.

- Doctor, can you still somehow easier and faster?

Well, I'll tell you what your "faster" usually looks like.

Clueless self-treatment

And so we decided to save time and money on tests, because “we definitely feel that there is nothing serious”, and we enthusiastically take up treatment. On the Internet there are a lot of "folk" recommendations on the topic "how to deal with numbness of the hands", and at the same time "". This is sleeping with a potato in your hand, and massaging the joints of the hands and neck in various ways, and also making baths, compresses and rubbing strong-smelling (probably to frighten the disease) tinctures.

Does all this help? Yes and no. If one of the folk remedies, used in an arbitrary form, accidentally affects the cause of the disease, then everything is fine. But usually, for some reason, it is after somersaults with Internet advice that patients worsen. Maybe there are those who were cured once and for all by anointing parts of the body with turpentine, and no longer go to the doctors? Alas, I doubt...

self-diagnostician

In order to still understand on your own, there are reasons for concern, or you just “lie down” your hands in a dream (and then it’s enough to change your position), here are some simple tests for you.

Try to raise your arms above your head and hold them for 30 seconds. Do you feel tingling? Are they numb? Dress for the weather - and forward to the neurologist. Do you have pain in your joints? Make an appointment with a rheumatologist. Put the blood pressure cuff on your arm below the elbow. Raise the pressure in the cuff to 130–140 mmHg. If within a minute there will be no discomfort, then there is no reason for concern. What if they appeared? Yes, and the left hand goes numb with excitement? Forward - to the cardiologist! Do both hands go numb when you're nervous? You may need to consult an endocrinologist. But what if there are none of the above symptoms? Then look again. Joke..

First, pay attention to sleep hygiene.

Do not smoke or drink alcohol before bed. Nicotine and ethyl alcohol contribute to short-term vasodilation. Their narrowing will be just at the time of the sweetest dream and will provide you with an unforgettable night. Also, don't overeat. The organism, busy with the issues of digestion of food, simply will not notice the catastrophe on the periphery, in the limbs. No need to fall into bed immediately after hard physical work or strength training. Any athlete and loader will tell you how, in this case, overworked muscles ache, spasm to convulsions, swell and hurt. And how grateful they respond to relaxing water treatments and light massages! And less water before bed. Patients with diabetes mellitus and pregnant women are especially sensitive to this. Swelling of tissues disrupts the metabolism in them and causes irritation of nerve endings. And then numbness and convulsions can occur ...

Secondly, do not sleep in one position all night. Turn around! But at the same time, do not put your hands under your head, do not put them under the pillow. Try not to throw your arms and legs on the bedmate at night. If the fair half has a habit of falling asleep on the chest of a loved one, it is worth learning another habit - to crawl away no later than after half an hour of pressing down, no matter how brave the pressed one may be. For those who like to hug someone in a dream, there are special C-shaped pillows. Try it - very convenient!

Thirdly, the pillow should be comfortable to keep your neck from arching when lying on your side and arching when you lie on your back or stomach. By the way, not everyone likes orthopedic pillows. Many people love the "forming" pillow more, which you want - rolled out "into a pancake", and if you want - knocked it into a ball. Plus, a light blanket and comfortable clothes that do not squeeze or restrict movement to help you sleep! But it is better to remove jewelry - both for safety and for health it is more useful.

Excessive enthusiasm of the population for too hard mattresses (“for the health of the back”) is not at all useful and not necessary. For an experiment, let your pet choose a soft or hard bedding - and animals know a lot about good sleep! - and you will immediately understand what I mean.

And fourth, move on! During the day, try to change your working position, twist your arms, neck, bend, straighten. Do not clamp the handset between your neck and shoulder either at work or in the car (talking on the phone is also prohibited by traffic rules), neither before going to bed, nor at night in bed. Get moving - it's refreshing! If you carry heavy bags on your shoulders, buy those with the widest handles. If your bust is larger than B, the bra should have +1-2 cm wide straps for each size. If your neck aches in the evenings, you can put on the Shants collar and walk in it from 1 to 1.5 hours a day for 2 weeks. Massage also helps a lot.

Well, if all these tricks still do not lead to the desired relief - make an appointment with the doctor. Helps. Checked.

Valentina Saratovskaya

Photo thinkstockphotos.com

It often happens that at some point the left or right hand suddenly goes numb. If this happened once, then there is nothing to worry about, however, with the constant manifestation of a symptom, you should consult a doctor to diagnose possible pathologies. We will figure out what the causes of pathology can be and how it should be treated.

Usually, a series of examinations is required to identify the causes of numbness. In some cases, the cause is susceptibility to compression of various parts of the body, which disrupts blood flow to the upper limbs. In such a situation, a change in posture leads to the normalization of sensations. If the patient constantly notices the manifestation of pathology, then this is a reason to contact a medical worker.

The underlying cause of many types of numbness is being in an unnatural position, for example, arms crossed on the chest lead to squeezing of the brachial arteries, which impairs blood flow

Another symptom of a lack of blood supply is a feeling of coolness or tingling. In addition, due to the lack of oxygen caused by poor blood flow, pain is likely to occur.

Symptoms

Symptoms are the presence of discomfort in the forearm, hand and elbow. There may be a feeling of "colic" and goosebumps on the skin, a decrease in the threshold of sensations in the hand, a feeling of cold and pain. A cyanotic shade of the skin is possible, with the occurrence of pathological processes leading to numbness of the hand. This phenomenon in medicine is called paresthesia.

Hands go numb - why?

The factors of such a process can be temporary or chronic, consider both.

Temporal or physiological factors

• Long stay in a position when the left or right hand is thrown over the side wall of the chair. The result is compression of the nerve endings at the point of contact of the hand with the side wall of the chair.
• Heavy bag or backpack. When carried on the shoulder for a long time, they can cause squeezing, leading to poor blood flow.
• Wearing tight clothing
• Frequent lifting of arms above shoulder level
• From the cold when the arteries constrict

There is nothing special in the listed factors, anyone has encountered them at least once, as a preventive measure, a change in posture, a small exercise or massage for the hand, a change of shoulder for a backpack, and so on is necessary. Much more serious and dangerous pathological causes of numbness

Pathological factors

A common cause of numbness in the fingers on the hand is a short pinch of nerve endings and blood vessels in the wrist area, for example, by connective tissue. If the numbness is quickly over after a change in posture or rubbing, the symptom can be ignored. However, if this state of affairs continues for a long time, while massages, posture changes and rubbing do not bring any effect, then most likely we are talking about a serious infringement due to which the blood supply to the nerve endings and muscles is seriously impaired.

We list some diseases that lead to symptoms of numbness in the hands:

• Vegetative-vascular dystonia. A disorder that is a set of disorders in the autonomic section of the nervous system. Accompanying signs in this case will be the manifestation of drowsiness or lack of sleep, pain in the head, dizziness, jumps in blood pressure with a decrease or increase from the norm, a feeling of panic
• Osteochondrosis of the cervical spine. It is characterized by pinched nerves in the neck area with a herniated disc, which can cause numbness of the hands, both left and right. Additional symptoms are a wide range of pain in the neck, a decrease in its “agility”, problems with hand coordination, and tingling in them.
• carpal tunnel syndrome. In such a situation, the median nerve, which runs in the wrist, is compressed. It is typical for a number of activities with activity and an emphasis on the hand, for example, musicians, programmers, packers. Also, the cause of its appearance can be injuries, the consequences of surgical operations, during pregnancy or gaining excess weight.
• Raynaud's syndrome. Appears paroxysmal, consists in violations of blood circulation in the arteries in the area of ​​the hands and feet. With this disease, not only the rivers become numb, but also there is a feeling of cold, a bluish tinge of the fingers. Especially often the disease manifests itself when you are in a cold place or excitement. At risk are fingers number three and four on the upper and lower extremities. Among the first is the defeat of the fingers on the upper limbs, and then on the legs. If you do not take any measures, then the next in line will be numbness of the chin, ears, nose.
• Vitamin B12 deficiency. Its deficiency disrupts the process of maintaining the normal functioning of nerve endings, which will ultimately be reflected in the symptom of numbness. The cardiovascular system is also at risk, additionally manifested by convulsions
• Circulatory pathologies. They can occur as a consequence of a number of exacerbated conditions of the cardiovascular system, for example, myocardial infarction. In addition, the cause may be chronic diseases, the main of which is diabetes mellitus. The action of these factors leads to circulatory disorders in the body, and since the limbs are on the periphery of the blood circulation scheme, they suffer in the first place.
• Ischemic disease. As a result of pathology, the force with which the heart ejects blood is weakened. Passing signs of the presence of this particular disease, along with numb hands, will be the presence of migraines, dizziness, and poor health. If you are susceptible to the disease, you should increase the consumption of foods rich in iron.

If the hands go numb regularly, then it would be a mistake to simply dismiss the problem, hoping for the traditional “maybe”. At the first stage, it is important to analyze your lifestyle, how comfortable the pillow and clothes in which the person sleeps are. If, after analysis and taking the necessary measures, the symptoms still persist, then you should visit a therapist who will give directions for tests and examinations, after which it will probably be necessary to contact narrow specialists. They are usually a neurologist, a cardiologist, a hematologist.

Diagnosis for numbness

To understand why one of the hands goes numb - left, right, or both, it is sometimes necessary to carry out a series of diagnostic measures aimed at identifying signs of various diseases and pathologies listed in the previous section. Among the most commonly used procedures are:

• X-ray examinations of the neck
• Doppler examination of arteries and vessels
• Conducting magnetic resonance imaging in case of suspicion of vascular occlusion by tendons
• Computed tomography
• Echoencephalography
• Electroencephalography

Each type of examination allows you to obtain the necessary information if you suspect a particular disease. In addition to them, of course, they also conduct a traditional general blood and urine test.

Treatment for numb hands

With the suddenness of the manifestation of a symptom, qualified medical assistance is required. With rare and short-term numbness in the hands without much discomfort, you can get rid of unpleasant symptoms with physical exercises.

For example, the habit of morning exercises will be a good way to prevent numbness. The exercises are very simple, it is enough to slowly twist the brushes in both directions, then repeat the same movement in the elbow and shoulder joints.

So, how to treat and what to do if your hands go numb? Among the medical methods of treating pathology are various special sets of exercises and procedures that restore damaged tissues, improve blood circulation and eliminate pinching in the limbs:

• Physiotherapy, which activates the circulation of blood in the limbs, which improves the supply of it to areas on the hands that have undergone numbness. Examples are phonophoresis and electrophoresis, which have the effect of biostimulation, when drugs are delivered to the site of pathology using microcurrents, ultrasound.
• Manual therapy. Acupressure for effective elimination of compression of nerve endings by joints and muscles.
• Complexes of physiotherapy exercises. Professional development is more than morning exercises, which we wrote about above, with the same advantages.

What doctor treats?

You can choose which doctor to go to by analyzing the symptoms described above. Initially, it is worth contacting a therapist who will conduct an examination, prescribe the necessary diagnostic procedures and, if necessary, give a referral to narrow specialists. Among them may be a neurologist, neuropathologist, cardiologist and others.

Folk methods for numb hands

With the help of methods and means of traditional medicine, you can effectively relieve the symptoms of numbness. However, it is worth remembering here that if the limbs become numb due to chronic pathological changes, then such treatment will only bring temporary relief.

• Infusion on garlic. Take a one-liter jar, fill it a third with chopped fresh garlic cloves, then add water to cover the garlic. Then the jar should be tightly closed and kept in a dark place for 12-14 days, shaking it well every day. Ready infusion to take for thirty days, five drops three times a day, diluting them in one liter of pure water
• Warming agent for alcohol for joints. In one liter of water, ammonia and camphor alcohol are dissolved, in the amount of 70 grams and 7 drops, respectively. After adding a tablespoon of salt and stirring, rub into joints prone to numbness
• Rubbing with infusion of vegetables on vodka. Take a couple of pickles and three red peppers, chop and pour half a liter of vodka. After insisting in a dark place for seven days, strain and rub
• contrast bath. The essence of the method is very simple, prepare two containers with water, one cold in the other hot (do not overdo it, the water temperature should be no more than 39-40 degrees). Immerse in baths in turn places where signs of pathology are observed. Keep hands in each container for 1-2 minutes, repeat up to 4 times a day. When your hand is in a hot bath, do warm-up movements with your fingers, for example, by pressing on the bottom of the container.

What to do if your hands go numb at night?

This happens due to staying in the wrong position for a long time, the inconvenience of the bed or pillow. To eliminate discomfort, it is necessary to analyze and eliminate violations. If measures are taken, but there is no effect, then you should think about special orthopedic products - a mattress and a pillow, which are specially made to give various parts of the body the correct position during night dreams. For example, one of the signs of a healthy posture during a night's sleep is a head position that is not too elevated.

You should also pay attention to clothing for sleep. It should be chosen according to the principle of spaciousness, so that there is no pinching in the course of limb growth and stiffness in movements.

Numb fingers or their tips

A fairly common occurrence, sometimes referred to as "carpal tunnel syndrome." Appears due to pinching by the tendons of the nerve located in the carpal region and is responsible for sensations in the hands. Excessive tendon pressure results in swelling and pinching of the nerve ending and the appearance of a symptom. Feelings of numb fingers can range from a slight tingling to loss of tactile functionality. For a right-hander, numbness on the right hand will be characteristic, and for a left-hander, on the left hand.

Common symptoms of numb fingers are:

• At night, there may be bouts of goosebumps on the limb, then turning into its soreness.
• The sense of touch decreases, only the little finger and ring finger are well felt
• Probably burning sensation and cramps
• Swelling of the wrist with dysmotility of the fingers

In a running situation, it is possible thumb atrophy, to prevent this, it is important to conduct timely treatment. The development of pathology occurs not only due to problems with the wrist, in addition to it, pathology in the vessels, neuralgia in the cervical spine can cause the disease.

Prevention of numbness

As we found out, hands can go numb for many reasons, sometimes absolutely not related to hands, therefore, in order to prevent such pathological manifestations, one should generally monitor one's health and keep chronic diseases under control.

• Dosed to work with heavy objects, avoiding overvoltage
• Take vitamin complexes containing B12
• With monotonous work, take breaks to compensate for the lack of physical activity
• Eliminate smoking and alcohol
• Avoid blowing out in cold weather
• Learn to deal with stress

If there is a predisposition or tendency to recurrence of numbness, you should visit a specialized doctor for examination