Will a pinched nerve in the neck affect the wrist?

Question

Hi doctor,

I have been diagnosed with a pinched nerve in the neck. Now, it affects my left arm. I am doing physiotherapy exercises and got some recovery. But recently, I have numbness in my hands while sleeping on one or both hands. It resolves immediately when I wake up. Is this symptom related? Do I need to do further evaluation?

Answer 1

Hi,

Welcome to icliniq.com.

There is a phenomenon of double crush syndrome where two smaller compressions add to the significant issues and symptoms. You may have a compression of the median nerve at the wrist called carpal tunnel syndrome, while compression on the roots of the neck can also lead to these symptoms at the wrist.

So, the neck and wrist symptoms are related. You need to wear a wrist splint, do neck strengthening exercises, avoid having poor posture, and avoid working on the laptop. Instead, you can work on the desktop. You can do nerve conduction studies, as it helps to confirm the diagnosis.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

If you are worried, then you can consult a neurologist to clarify your doubts. I have not gone through your MRI (magnetic resonance imaging) report and nerve conduction studies. It helps you to confirm the diagnosis and I can say that you have a nerve compression issue after going through the reports.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

I recommend you take Pregabalin 75 mg twice a day and Duloxetine 30 mg. Have a follow-up with your reports.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.