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So, which fingers are mostly affected, the thumb, index, middle and half of the ring, or the little and the half of the ring finger?
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Do you have my query to hand
Yes I do.
This seems like nerve compression neuropathy.
If you can answer a few questions, I can try to localize this.
Please tell me which fingers are involved?
All fingers, both hands.
Okay. Do you have any cold intolerance, weakness of the grip?
Alright, does the pain affect other parts of the upper limb above the wrist?
Okay. This seem like a carpal tunnel syndrome with a guyon's canal neuropathy.
Both the ulnar and the median nerve are compressed at the level of the wrist.
The symptoms you have are typical of them.
Is this treatable and if so how please
I would suggest a consultation with a Hand surgeon or a plastic surgeon specialized in hand surgery . A clinical examination, provocative tests (clinical) and electrodiagnositc work up including a nerve conduction study and electroencephalogram are in order.
Yes, this is treatable.
Depending on the severity, it can either be treated with splinting alone
And in the other case a minor day care procedure of release done under local anesthesia.
Do you have any other queries?
Thank you. I do not understand why the pain only occurs when I am lying down and not when I am working during the day.
This typically presents at night after a whole day of activity and provocation of the nerves, during work, there is distraction so symptoms are masked.
At night, the pain presents because of the inactivity of the hand in resting position and the tunnels becoming tight due to relaxed tendons and lumbrical muscles and swelling of the nerve.