Dr. Mohammad Rajja
General Practitioner
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 20-year-old transgender male. My height is 5 feet 5 inches, and my weight is 260 pounds. Since my mid-teens, I have had pain in my hands, legs, and back if I walk or sit for more than 10 to 30 minutes. The pain is throbbing and stabbing. Sometimes, I cry because of the unbearable pain and feel like fainting. Also, my hands go numb if I use them for a long time, and I get stabbing pain around my joints. Even my legs and back go numb if I sit at a desk for long hours unless I move in between. I recover fast when I am not working; however, the pain takes hours to recover on working days. Initially, my weight was less; however, I had the complaint. The pain is getting aggravated with each passing year. Previously, I have used tablet Citalopram, testosterone, acid reflux pills, and acne pills. Also, my test reports suggested carpal tunnel syndrome.
Kindly help.
Hello,
Welcome to icliniq.com.
I understand your concern and would be happy to help.
I suggest the below treatment plan:
I hope this helps.
Kindly revert in case of further questions.
Thank you.
Patient's Query
Hello doctor,
Thank you for your response.
Do you suspect any other conditions other than carpal tunnel syndrome?
Hello,
Welcome back to icliniq.com.
In minor carpal tunnel syndrome, nerve compression does happen. I suggest you go for an MRI (magnetic resonance imaging) scan to detect the compression and damage. In most patients, carpal tunnel syndrome gets worse with time. The median nerve, one of the major nerves of the hand that travels through the wrist, gets compressed or squeezed, causing pain. As you have symptoms like weakness while gripping objects, pain or numbness in one or both the hands, pins and needles feeling in the fingers, swollen fingers, and a burning and tingling sensation in the thumb, index, and middle fingers, I suggest you use pain relievers, warm water treatment, Cortisone shots, wrist splints, and ice bath. You can soak your wrist in an ice bath for 10 to 15 minutes once or twice an hour. Also, a wrist splint helps to keep the hand appropriately aligned.
I hope this helps.
Thank you.
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General Practitioner
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