How to find out what is causing your tingling hands

10 Feb

Hi There My Name is Chris.

I’ve created a blog post to help anyone out who might need help discover why they are acquiring a tingling sensation in their hand or hands constantly. All it will take is about 5 minutes to read through this post and hopefully it can give you some vital advice to help you on the road of ridding this niggling annoyance once and for all.

About 12 months ago my mother’s friend started to get a slight tingling sensation in her right wrist; the tingling feeling would come and go usually when she’d finished work. She was a secretary to a Managing Director in a local company who duty was to type many letters and documents that had been dictated by her boss and the board members of the company’s. After a few months the tingling started to get more severe and constant until it came to a time where she was struggling to use her right hand at all. I remember her telling me that she never realised how much she relied on her hand as her ability to do simple chores like the cooking, the washing up, driving were all made the more difficult. Her ability to work was seriously compromised. Her doctor gave her a course of anti-inflammatory drugs. This seemed to ease the tingling slightly but once she had completed the course the uncomfortable sensation would come back. It made her realise that there was some form of a mechanical problem associated with her hand and that some form of intervention or specialist consultation was needed. After a few appointments with her doctor she was referred to a hand specialist but she had to wait a further 6 weeks for an appointment. She tried her best to bring the appointment forward through contacting the Consultants medical secretary but her local Hospital claimed that the waiting lists on the NHS were so long that there wasn’t any possibility for her to be seen sooner. She enquired about the likelihood of her appointment being brought forward if a cancelation did occur on one of his clinics but the Medical Secretary said she’d put her on the cancelation list but forewarned her against any high expectations as he had many patients waiting already for an appointment should one present its self.
She was resided to the fact that she’d have to wait the 6 weeks; one day she was explaining her frustration to my mum, my mum told her to get in contact with me as I work in the Healthcare sector at the BMI Private Hospital in Huddersfield. When we first met I asked her if she had already had a Nerve Conduction Study test performed on her hand in the last 12 months. She replied that she hadn’t and that she didn’t know what a Nerve Conduction Study test was. I explained that it was a neurophysiological test that is performed on the hand; the test would measure the nerve impulse function of the hand and arm to determine the cause of what was causing the tingling sensation in her hand. I said that the test could pin point the cause route of her tingly hand by diagnosing one or many impairment causes; such as Carpal Tunnel Syndrome, Ulna Nerve entrapment, Ganglions etc. I also informed her that it might not be a functionality physiological problem and that the test could pick up on a number of homeostatic conditions such as diabetes where the excess glucose could be damaging her nerve endings leaving her to chance of further long term complications to her hand and possibly her upper limbs. The test could give an early indication of a thyroid onset problem too.
If she hadn’t felt worse about having to wait six weeks to see the Consultant before- she did now. Now there was a possibility there could have been a problem that needed to be investigated sooner rather than later. Now I did manage to pick up her spirit though with the fantastic advice and info from my knowledge of referral pathways of which I was so heavily involved with. I informed her that it was highly probable that the consultant would see her and then refer her to a neurophysiologist to get the NCS test performed before he could determine the course of treatment she required. But she’d have to wait a further 3 to 4 weeks after seeing her consultant for the test; then it could probably take another week for the results to be ready. Once the results would be ready she’d have to wait for her follow up appointment with her consultant who if an operation was required she’d then be placed on the waiting list for an operation. I calculated the number of weeks she would have to wait if she needed an operation, and at best it’d take up to 12+ weeks before a decision was made to operate or not. This got her down too as she was struggling as it was with her hand being rendered useless and she had started to get a burning sensation in and around her hand as well. It wasn’t just her chores and work that was taking an impact but her psychological state too as the pain and the prospect of long time on a consultant’s waiting list was wearing her down. This meant she just couldn’t spend or do the activities with her friends and family that she enjoyed.

With me working in the Healthcare sector I gave her a suggestion that could help her save a bit of time off her waiting list if a procedure was required. I said that I could arrange for a neurophysiologist to do the NCS test for her within the next 10 days and that he could e-mail the results directly to her within 3 days after the test. Her results would show both the test readings and a findings summary so that when she had her consultation she would already be proactive and have a set of test results available to present to him so he could determine straight away if she needed an operation or not. The only downside was that she’d have to pay for the test to be done privately and she was expecting me to say that the cost would be around the £500 and plus mark. I expressed I’d go away and discuss with the consultant the best possible price for her. To my surprise the neurophysiologist had quoted a price of £350 which was £200 cheaper than what she was expecting and the way she was feeling £350 was a small price to pay to get her on the way to recovery.
So she received her appointment through me to see a Dr Choudhary who is a qualified clinical Neurophysiologist who works at a NHS Trust in the Stoke-on-Trent. With Dr Choudhary having clinics all across the UK he said he could organise a clinic at the BMI Huddersfield to accommodate for my mothers friend. She was seen within the week and the appointment only lasted 30mins. Dr Choudhary helped put her to ease throughout the test and was very helpful with answering the questions she had, she managed to get all my concerns and worries off her chest as she seemed to have ample time with the 30 minutes allocated to her, something she appreciated as her NHS appointments before usually lasted around 5 to 8 minutes at best. Better still the test results were e-mailed to her within 3 days so she printed the test results and presented them in time for her initial consultation. The findings suggested that she needed a Carpal Tunnel Decompression operation where the Consultant would ease the pressure around the collection of nerves where the nerve sheath was inflamed by making a tiny incision based on the location on her arm based on the results produced by Dr Choudhary. On reflection she realised that she’d saved around 8-9 weeks in waiting time for an operation based on my suggestion to be pro-active and to get a NCS test done before her initial consultation.
Looking back she wish she’d spoken to me 6 months prior to getting a NCS test, as this would have indicated the development of a Carpal Tunnel Syndrome in her right hand. This would have saved her the time, worry and hassle of trying to cope with the use of one hand due to the uncomfortable feeling she was getting due to the tingling and eventual burning sensation she had to endure in her hand. Afterwards I thought to myself that it could have been worse; what if it had been an early indication of diabetes or thyroid and she’d wasted 6 months going through the process of figuring out the main reason as to why there was a tingling feeling in her hand. My advice to anyone is if you’re suffering with any symptoms or dysfunction in your hands as she did then please email me on I’d like to think that I’m here to help you out with any questions or worries that you have. I will kindly speak to Dr Choudhary to see if you need to have a NCS test or not so that you obtain a more accurate test result to determine and diagnose what is going on with your hands and upper limbs. As my mum’s friend had found a tingling sensation or burning sensation could indicate one of many diagnosis’s that need to be acted upon sooner rather than later.

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