Some people put their hands on the pillow when they sleep, and after a while their hands become numb. Some people wake up in the morning with numb palms. Some people's hands get numb when carrying heavy objects. Others' fingertips are numb.
What the hell is going on? In fact, the reasons for hand numbness are actually different.
Cause 1: external influence, vascular compression.
Sleeping on my desk, I woke up and found my hands and feet numb and unable to move. It takes a lot of energy to move a little. After a while, it will slow down or ask for the same table. This is a typical numbness caused by the posture of pressing blood vessels.
The characteristics of hand hemp:
The characteristic of this kind of hand numbness is that it feels good when pressed, but when relaxed, it seems that there are thousands of ants crawling, numb and itchy. This is because when our blood vessels are compressed, some blood vessels supplying limbs will be ischemic, which will lead to numbness. After releasing the pressure, the blood will flow, and the numbness of the hand will become more obvious, and it will gradually disappear after a period of time.
Treatment:
This kind of hand numbness caused by external force is normal, so don't worry. Just change your posture and walk around, and the numbness of your hands will disappear.
The doctor said: What kind of numbness should we pay attention to? This is the body's alarm signal.
Reason 2: nerve entrapment syndrome
Nerve compression syndrome refers to pain, numbness, dysfunction and other symptoms caused by peripheral tissues compressing peripheral nerves. Carpal tunnel syndrome, also known as "mouse hand", is the most common symptom.
When we operate the computer, because the mouse and keyboard have a certain height, our wrists must be bent at a certain angle. When the wrist joint is under tension for a long time, it will compress the median nerve in the carpal tunnel and hinder nerve conduction. There will be tingling, numbness and weakness in the hands. The above are the existing symptoms of "mouse hand".
The incidence of female "mouse hand" is higher than that of male. One of the main symptoms is finger numbness, which will get worse at night. Some patients only feel the numbness of the middle finger or the tip of the middle finger in the early stage, and they will feel the numbness of other fingers in the later stage. As the disease worsens, the patient may feel the loss or disappearance of finger sensation.
There are many conservative treatments. First of all, we should prevent frequent hands-on and reduce stress. In addition, oral non-steroidal anti-inflammatory drugs, nutritional drugs, local injection of corticosteroids and physical therapy can be used. If conservative treatment fails, please consider surgical treatment. Surgical methods include various incisions, small incision decompression and endoscopic surgery, among which minimally invasive endoscopic surgery is more common.
Reason 3: Peripheral neuritis.
Peripheral neuritis is usually caused by poisoning (including heavy metal poisoning, drug poisoning, organic compound poisoning, etc. ), malnutrition (such as vitamin B deficiency), infection (such as dysentery, tuberculosis, etc. ), allergic reactions, etc. The characteristics of hand hemp:
Hand numbness caused by peripheral neuritis is often accompanied by pain and weakness. Lightly, the fingertips will feel numb and painful. In severe cases, it will spread to the whole palm, limbs and even the whole body. Many patients will have seizures when they sleep at night, and even be awakened by numbness. After getting up in the morning, they will feel numb and uncomfortable, which can be relieved by a little exercise. Some patients may feel poor flexion and extension, inflexible movement and dull skin. These symptoms usually get worse after a cold and fatigue.
Actively treat the primary disease, improve nutrition, supplement vitamin B, stop using drugs that may cause disease, and perform surgical treatment of compressive nerve endings inflammation under appropriate circumstances. In addition to western medicine, traditional Chinese medicine, acupuncture and other traditional Chinese medicines can also promote blood circulation, dredge collaterals and repair nerves.
Reason four: cervical spondylosis.
Cervical spondylosis with hand numbness is nerve root cervical spondylosis. The symptoms caused by intervertebral disc herniation and cervical hyperosteogeny compressing the corresponding nerve roots are radiation pain and sensory disturbance consistent with the affected nerve control area. Cervical spondylosis mainly occurs in people who work with their heads down for a long time, such as students, office workers and factory assembly line workers.
Different cervical nerve compression will lead to different symptoms of hand numbness. When the cervical nerve is compressed 6 times, the thumb and forefinger are numb, when the cervical nerve is compressed 7 times, the middle finger is numb, and when the cervical nerve is compressed 8 times, the ring finger and the little finger are numb. In addition to the symptoms of numbness in the hands, there may also be symptoms such as neck pain, stiff neck and the sound of twisting the neck.
Change the position of head and neck regularly to avoid working for a long time; Exercise properly to strengthen the neck muscles; Pillows should not be too high; Under the guidance of doctors, choose appropriate drugs to improve the neck condition; Reasonable use of cervical traction or physical therapy can reduce the pressure and stimulation of contacting nerve roots and promote blood circulation; Patients with spinal cord type, nerve root type and vertebral artery type should be treated by appropriate surgery.
The doctor said | What kind of hand teaching should be vigilant? This is an alarm signal from the human body.
Reason 5: Stroke.
Stroke is actually not a disease, but an "acute cerebrovascular disease". It is hard to avoid using cerebrovascular and water pipes for a long time. Older, more flexible and aging cerebral vessels are usually called "stroke" if there are sudden situations, such as cracking and blockage.
Stroke is characterized by high risk, high death, high disability risk, low survival rate and low quality of life. Fortunately, there are usually more obvious signs before a stroke, such as numbness of limbs, rather than sensitive activities. The sudden reaction resistance of skew is reduced; High blood pressure.
Numbness of hand:
Hand anesthesia after stroke is somewhat different from general hand anesthesia. The temporary loss of stroke hand is due to temporary neurological function, usually no signs, hand weakness, hand weakness. After a period of time, the appearance will naturally disappear. In general, a stroke is the numbness of the whole hand, often accompanied by ipsilateral arms or legs. Treatment:
In the prevention and treatment of stroke, the emphasis is on early rapid identification and first aid. How to correctly understand and remember the word "fast";
F (face) makes the patient smile, and the patient's face is asymmetrical.
One (arm) asked the patient to raise his arm, but one arm looked too weak to lift it.
S (voice speaking) let the patient speak to see if the patient feels slurred speech.
T (time) When the above symptoms appear, please call 120 to consult a neurologist in time.
Reason 6: Diabetes
Peripheral neuropathy is one of the symptoms of diabetes. Symptoms such as numbness and abnormal sensation may appear in the limbs. Two hours after meals, the fasting blood glucose is greater than or equal to 7.0mmol/L, and the blood glucose is greater than or equal to11.1mmol/L. Combined with clinical symptoms, diabetes can be diagnosed.
Poor long-term blood sugar control of diabetes will affect the hardening or plaque formation of the inner wall of blood vessels, lead to narrowing of the lumen of blood vessels, lead to insufficient blood supply and cause neuropathy. The main symptoms are numbness and pain in hands and feet.
When hands are numb, feet are usually numb, mostly finger numbness or pain similar to acupuncture, which is symmetrically distributed and will be aggravated after catching cold, catching cold and fatigue.
Hand numbness in diabetic patients needs attention. Standardized medication can stably control blood sugar, improve blood circulation and reduce the deterioration of diabetic peripheral neuropathy. At the same time, it can be combined with traditional Chinese medicine for oral administration, external washing, acupuncture, eliminating dampness and promoting diuresis, promoting blood circulation and removing blood stasis, expelling wind and dredging collaterals, and promoting blood circulation and removing blood stasis. Channel, so as to improve the discomfort caused by peripheral neuropathy.
Reason seven: menopausal syndrome
Postmenopausal women also have mild hand numbness, but this hand numbness will disappear after menopause. Menopause, oral oryzanol, vitamin B and appropriate hormone replacement therapy can provide appropriate psychological counseling.
Cleverly paralyze both hands
Usually, we can do some simple exercises to prevent hand numbness:
1. Water bottle practice "wrist strength"
Prepare bottles, such as beverage cans and small water bottles. Palm down, hold the bottle full of water, slowly lift your wrist up and down, hold it up and down for 5 seconds, and then reciprocate 10 times.
2. Support to reduce wrist injury
Straighten the arm forward, palm down, press the back of the other hand down, then pull the palm inward 10 second, and pull it back and forth 10 times.
For people with numb hands and shoulder pain, you can relax the shoulder cap bone by the following actions.
3. Shoulder blades move up and down
After sitting up straight, try to contract the scapula by 3 cm, so that the scapula is close to the spine. It is very important to do this. Feel the strength of your back and move your shoulder blades up and down. Relax the original stiff scapula and let the stiff muscles around you move freely.
4. The S-bone of the shoulder moves forward in situ, holding the back of the chair with both hands and bending the elbows at right angles. In this state, put the scapula close to the spine and take deep breaths for 3 times. This action can effectively restore the scapula moving outward and forward to its original position.
5. Advanced shoulder rotation bone rotation
People who are easy to do homing exercise can try to slowly screw their elbows into the body in the posture of homing exercise. Because the second rib is close to the upper edge of the shoulder cap bone, it is particularly easy to bend. This operation can effectively improve this part.
expert opinion/advice
Symptoms of hand numbness are too common, but the corresponding diseases are different. Clinically, doctors will consider what kind of disease it is according to the patient's gender, age, occupation, specific manifestations of hand numbness and accompanying symptoms, and then make some inspection lists (X-ray, CT, MRI, B-ultrasound, electromyography, hormone examination and determination, blood sugar, etc. ) to prove whether it is such a disease.
Some people may ask: Isn't it just that the little hand is numb? Why are there so many tests? Some people even think that doctors are cheating money. Because you need to be responsible for the patient; Because you need a definite diagnosis; These tests are really important because symptomatic treatment is needed to effectively solve the problem.