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How is finger numbness?
Finger numbness is a common clinical symptom, and patients often make mistakes of cervical spondylosis such as finger numbness in outpatient service. In fact, finger numbness is a very common cause, but many times it is not because of cervical spondylosis. Let's talk about several common causes of finger numbness in the elderly. The most common disease that causes hand numbness is cervical spondylosis. After people enter middle age, degeneration of cervical intervertebral disc often occurs in some organs, which often leads to protrusion of cervical intervertebral disc or sudden hyperplasia or hypertrophy of cervical joints (commonly known as hyperosteogeny). Protruded cervical intervertebral disc or hyperplasia is compressed by adjacent cervical nerve roots, sympathetic nerves, spinal cord and blood vessels. When they suffer from cervical spondylosis, they can cause numbness of fingers, even dizziness, weakness of limbs, walking weakness and defecation disorder. Nerve root compression of cervical spondylosis (radiculopathy) is accompanied by other symptoms, such as numbness of fingers, abnormal sensation, such as neck and shoulder pain, radiation pain of upper limbs or dyskinesia. The diagnosis of cervical spondylosis is not difficult, as long as most patients can be diagnosed by X-rays, but sometimes MRI is also needed. There is also a simple way to check cervical spondylosis. A child's head is affected by the hands of the upper limbs. They abduct 90 degrees and push and pull their hands in the opposite direction. At the same time, radiation pain or numbness can be initially diagnosed as cervical spondylosis. Eating, Wang Haijiao from the Department of Orthopaedics, Luohe Central Hospital, often has pain and numbness at night, and his thumb and middle finger are awake (swinging his wrist), ok? After the awakening is improved or completely relieved, severe cases may be accompanied by fine movements of muscular atrophy hands. This is because the median nerve of the wrist is compressed, that is, the so-called carpal tunnel syndrome, the ring and little finger are painful and numb, and there may be a history of waking up at night, accompanied by severe muscle atrophy, and the force of the ring and little finger is reduced, which has a slight impact. This is because there is nerve compression in the elbow, which is also called cubital tunnel syndrome (ulnar nerve compression syndrome). There's another common one? The reason is thoracic outlet syndrome, which is difficult for non-professionals to understand and involves anatomy. Generally speaking, the anatomical factors of bilateral necks, such as ligaments, bones and muscles, are all caused by the compression of subclavian vessels and brachial plexus on both sides or one side of the neck. Clinically, it is often mentioned that people carrying heavy objects lead to hypertrophy of the muscles and ligaments of the shoulder strap, which leads to symptoms, such as abnormal oppression of the arms in the neurovascular bundle, numbness and pain, excessive abduction of the upper limbs of workers or athletes, and the posture that workers often stretch their shoulders forward for a long time. Middle-aged and elderly people with hunchbacks are prone to symptoms of thoracic outlet syndrome. The normal movements of upper limbs, such as upper arm abduction, drooping shoulders, neck extension and face turning to the other side, and deep breathing, are aggravated by the compression of nerves and blood vessels. It is difficult to diagnose the disease, and there are many examination methods. However, a comprehensive judgment can be obtained mainly by relying on the professional knowledge, detailed medical history and comprehensive examination of the disease. Another common disease leads to hand numbness and cerebrovascular disease, which is called stroke in Chinese medicine. For middle-aged people over 40 years old, they often have symptoms such as headache, dizziness, chest tightness, numbness of limbs and swelling of tongue. Patients usually suffer from hypertension, high cholesterol, diabetes, cerebral arteriosclerosis and other diseases. Attention should be paid to the occurrence of stroke. Women who enter menopause sometimes have numbness in their hands (usually on both sides at the same time), but it is not obvious. With the final disappearance of menopause, hand anesthesia can sometimes relieve symptoms according to menopausal syndrome or anti-rheumatic drugs and vitamin B group. Clinically, patients with peripheral neuritis can also cause finger numbness. The disease is hand numbness, but it is symmetrically distributed like socks. In short, if the symptoms are diagnosed as hand numbness, you need to see a plastic surgeon, cervical X-ray, MRI and electromyography, and you need a clear document. Once diagnosed, if the symptoms are still mild, regular non-surgical treatment can be improved to varying degrees. If the symptoms are obvious and the muscle atrophy of one hand is obvious, surgical treatment should be taken in time to prevent the progression of the disease and avoid irreversible severe atrophy of the inherent muscles of the hand, resulting in serious hand dysfunction.
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