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Ask Dr. David Your Own Question
Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45938
Experience:  Board Certified Physician
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i feel numbness in hand especially extremities. what is re

Customer Question

i feel numbness in hand especially extremities. what is responsible
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

how long have you had this symptom?

Dr. David :

do you have any weakness in your hands?

Dr. David :

you could have poor circulation into your hands

Dr. David :

or a pinched nerve in your spine or neck causing this numbness in your hand.

Dr. David :

hello?

Dr. David :

do you have numbness in both hands?

Dr. David :

or just one hand?

Customer:

for the past one year. i was told i had cervical spondylosis, an MRI was done but then it was only on the right hand. now it is both hands

Dr. David :

I see.

Dr. David :

the pinched nerve in the cervical spine could be getting worse

Customer:

for the past one year.

Dr. David :

you might need to have a steroid injection into your spine.

Dr. David :

or you might need to see a spine surgeon to discuss options for neck spine surgery to help take the pressure off of your nerves.

Dr. David :

physical therapy of the neck may help

Dr. David :

or anti-inflammatory medications like steroids or NSAIDs like ibuprofen or naproxen sodium may help.

Dr. David :

have you tried any physical therapy or stretching of the neck or anti-inflammatories?

Customer:

so what can i do about it? An MRI has been done , i was also given a neck collar. but the numbness or tingling affecting both hands

Customer:

hello ?

Dr. David :

you should talk to your doctor about anti-inflammatory medications like steroids or ibuprofen or naproxen sodium.

Dr. David :

also you should talk to your doctor about options for getting a steroid injection into the space where the nerves are being pinched.

Dr. David :

steroids are very good at decreasing swelling and reducing inflammation

Dr. David :

and this might help decrease pressure on the nerves in the area.

Dr. David :

does this make sense?

Customer:

both hands

Dr. David :

did you see my response above?

Dr. David :

hello?

Customer:

yes . ok but I thought it has anything to do with my thyroid problem. I am currently on medication for hypo thyroidism

Dr. David :

I see.

Dr. David :

usually thyroid problems do not cause worse problems with pinched nerves in the spine.

Dr. David :

have you had your TSH thyroid stimulating hormone levels checked recently?

Dr. David :

this is the best way to know if the dose of the thyroid supplement you are taking is the right dose.

Customer:

yes. It is normal but I am told I will have to take the drugs for life. i had stopped taking it when the TSH became normal -3

Dr. David :

I see.

Dr. David :

I also am hypothyroid

Dr. David :

and I take synthroid thyroid hormones daily for life as well.

Dr. David :

you want to make sure your TSH levels are between 0.3 and 3.0

Dr. David :

low TSH levels less than 0.3 means you are taking too much hormone.

Customer:

So are you taking the drugs for life?

Dr. David :

and high TSH levels above 3.0 can mean you are not taking enough.

Dr. David :

yes, I am taking synthroid thyroid hormone for life as well.

Customer:

Ok. I was taking thyronorm o.75 ug in ndia, but when I came back to Nigeria, I couldn't find the drug available. So I was asked to take levo thyroxine 100mg

Dr. David :

yes, that is a fine substitute.

Dr. David :

Thyronorm is levothyroxine

Dr. David :

same thing.

Customer:

ok thanks very much.I am also on ARV drugs Nevirapine and Tenvir. Is there any other thing you feel I should know?Or any other advice that may help?

Dr. David :

I see.

Dr. David :

HIV sometimes can cause numbness of your fingers.

Dr. David :

what is your viral load? is your viral load down?

Dr. David :

here is information about HIV neuropathy

Dr. David :

http://www.hopkinsmedicine.org/neurology_neurosurgery/specialty_areas/peripheral_nerve/conditions/hiv_neuropathy.html

Dr. David :

there are medications which can help HIV neuropathy like gabapentin or pregabalin.

Customer:

O really? No . My Doctor said I was doing fine. You said I can reach you as Dr David on just answer? or by email

Dr. David :

yes,

Dr. David :

you can reach me here

Dr. David :

http://www.justanswer.com/medical/expert-dr-david/

Dr. David :

is my website if you have other questions.

Dr. David :

if done for now, please leave +++ positive feedback below the chat box

Dr. David :

do you have any other questions?

Dr. David :

do you see the ratings area below the chat box?

Dr. David :

you might have to scroll down to see the ratings area.

Dr. David :

we get credit for helping clients after positive feedback.

Dr. David :

hello?

Customer:

Ok thanks. I am really very impressed. I think you are excellent. I have seen the ratings area. I will go to your website when I have more concerns. thank you

Dr. David :

thank you so much

Dr. David :

best of luck to you

Dr. David :

don't forget to leave positive feedback below

Dr. David :

thanks for using JustAnswer.com

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