Numbness of the Hands

Patients frequently complain of numbness and tingling of the hands.

The most common causes include:

    • Carpal Tunnel Syndrome (CTS)
    • Ulnar Nerve Compression
    • Spinal cord compression and other conditions of the spinal cord that cause cervical myelopathy.
    • Cervical radiculopathy
    • Peripheral neuropathy.

The diagnosis depends on one or more of the following:

  • The patient complaints and other information obtained from the patient’s history interview.
  • MRI imaging of the Cervical spine
  • Electro diagnostic testing with EMG/NCV testing of the upper extremities performed by a well trained Neurologist.

Treatment depends on the cause but can include:

  • Surgery for an underlying condition if structural in nature such as CTS  or cervical spinal stenosis
  • Medical treatment for conditions such as CTS and Peripheral Neuropathy and Medical Myelopathies such as B12 deficiency disorder.   This can include Neuropathic medications such as Gabapentin, Lyrica, Cymbalta, etc. as well as wrist splints and other conservative approaches.


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Carpal Tunnel Syndrome

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Ulnar nerve entrapment or Cubital Tunnel Syndrome

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Cervical Radiculopathy 


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Cervical Spinal Stenosis

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Cervical Myelopathy due to Syringomyelia 

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Cervical Myelopathy due to B12 deficiency

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Peripheral Neuropathy

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