Пн, 25 апр 2016 Автор: врач АртёмShiman
The human hand is a truly unique tool,
distinguishing us from most representatives of the animal world.
Due to the complex structure of the brush, a person can even perform
the most subtle manipulations with objects.
But high functionality has a downside, first
queue is the complexity of the structure and innervation.
Professional activities of modern man in
the overwhelming majority of cases associated with the commission of the same type
small movements with fingers and a brush (letter, computer manipulations
mouse, work with small details, playing a musical instrument and
etc.) and is sedentary.
The human body is not adapted to such a lifestyle
therefore, there are often failures, accompanied by tingling
fingers and other unpleasant symptoms.
At the same time, discomfort in the area of the hand and fingers accompanies
a large number of diseases.
Contents
Tingling in the fingers: what is it?
Discomfort in the fingers and hands is unpleasant and disturbing for
patient symptom. When it occurs, it can be a whole
a group of heterogeneous diseases. Such a manifestation develops.
at:
• Pathologies of the central nervous system (affecting the head
brain).
• Muscular (tendon) disorders.
• Pathology of the hand.
• Diseases of the musculoskeletal system.
With absolute accuracy to determine the original cause
tingling in the fingers is possible only by results
specialized studies. One symptom for this is not enough.
Yet something is in the patient’s power: you need to be careful
listen to your feelings. Rarely does tingling develop
in isolation, where more often it coexists with other symptoms.
What diseases can be suspected if observed
tingling in the fingers?
Among the pathologies of the central nervous system:
1) Новообразования головного мозга. Speech can
go about as benign tumors (meningiomas), and about
dangerous malignant gliomas (astrocytomas, oligodendrogliomas).
In this case, there is a neurological (focal)
symptomatology. However, tingling in the fingers for formations
brain symptom is not specific, more often there are numbness
and even paresis (but at the initial stages it is possible and tingling).
Tingling can affect both the fingers of one hand and two
right away It is also important to pay attention to common symptoms.
brain formations:
• Severe headache (occurs mainly in the morning
hours, immediately after waking up, it is constant and not removed
no preparations).
• Constant feeling of weakness in the muscles (impaired muscular
tonus).
Yet the likelihood of encountering brain formation, to
As a cause of tingling is extremely small (about 0.5%). Almost 100%
cases, the reason is much more trivial.
2) Нарушение мозгового кровообращения.
Observed after suffering an infectious disease, with
brain injuries, etc. In this case, the symptoms also
diverse and may include:
• Visual impairment (homonymous hemianopia, scotoma,
photopsies).
• Hum in the ears.
• Perception disorders (confusion).
• Fainting.
• Headaches
• Weakness.
• Reduced memory and mental activity.
The specific symptomatic complex depends on which
brain area suffers from a lack of nutrients and
oxygen. In general, we are talking about a huge number of symptoms, obvious
for the patient himself.
3) Рассеянный склероз. Is encountered
mainly in the older generation. Most informative
symptom – a violation of coordination (when it has difficulty with
walking, gait acquires staggering character).
4) Внутричерепные гематомы. Squeeze plots
brain, causing focal symptoms. Hematoma development
preceded by traumatic brain injury.
Muscle (tendon) disorders are represented by tendencies.
(inflammation of flexor tendons and extensor flexors). Leading
a symptom of tendencies is a painful aching pain in the area
brush, accompanied by a violation of motor activity
fingers.
Pathologies of the hand are in second place in terms of frequency of development.
tingling in the fingers. In medical practice, most often
there is carpal tunnel syndrome (aka tunnel
syndrome).
Often tingling in the fingers is observed in diseases
musculoskeletal system (mainly cervical
spine).
1) Discomfort in the fingers and hands are observed with
cervical osteochondrosis.
2) Similar manifestations have a hernia of the cervical
spine.
Tingling in the fingers: symptoms
Tingling in the fingers is not a disease. It is in itself
is a symptom. However, as was said, almost never
one thing arises. Almost always tingling appears in the company.
satellites, form a whole group of symptoms. Among them:
• Discomfort in the hand (pressure, heaviness,
bursting).
• Pain syndrome (if pain patterns are affected
localized on the inner side of the wrist joint). Pains
different in character and strength. Most often, patients describe them.
burning, pulling, throbbing. In severe cases of high pain
intensity (to the extent that it is impossible to make any movement
fingers).
• Numbness (numbness can be either the tip of the fingers or any of
phalanxes).
• Feeling cold in the fingers.
All of these symptoms are associated either with a violation of innervation (in this
If the cause is to be sought in the CNS or spine), either with
inflammatory processes of the hand.
Tingling in the fingers: causes
The reasons for this manifestation are diverse. They can all
subdivided into two large groups:
• Mechanical causes (for mechanical causes of discomfort
tingling is the result of a long mechanical
strains of arms and musculoskeletal system). In addition to these
diseases, similar symptoms can cause bone injuries,
stretching the muscles of the hand (more often in professional athletes).
• Pathological causes (with tingling
characteristic symptom of a disease and, as a rule,
secondarily).
Among the mechanical reasons:
• Long stay brush in a bent position (scourge of office
workers).
• Performing the same type of complex movements with the brush and fingers
(found in musicians, mostly playing
stringed instruments, especially guitar, bass guitar).
In almost all cases, mechanical causes are due to
professional activities of patients. They develop a so-called.
tunnel syndrome (inflammation of the median nerve). This is extremely
dangerous disease fraught with loss of normal motor
активности fingers.
The pathological causes, as shown above, are diverse and
include various diseases and pathologies
(musculoskeletal system, central nervous system).
Tingling in the fingers: diagnosis
Tingling and discomfort in the hands and fingers should cause
to guard There is no urgency, but still you should plan a visit to
to the doctor. First of all, to the neurologist.
Diagnosing the cause of tingling in the fingers does not represent
of particular complexity, but still includes a large number of different
events.
• Collecting anamnesis. The first and most important stage. Lies in
oral questioning of the patient. The doctor asks questions about the condition of the patient,
the nature of the symptoms. Thanks to this specialist can make
primary understanding of the nature of the pathological process.
• Conduct functional tests (sensitivity test
fingers, tendon reflex). Is carried out using the lungs
prickly needle and special hammer.
• X-ray of the hand. Conducted to assess the condition
bone structures of the hand and eliminate their pathologies.
• Dynamometer. Carried out using a hand dynamometer
(special plastic wrap or ring). The task of the patient –
compress the dynamometer as much as possible. If there are
disorders of nerve conduction or reduced muscle tone –
dynamometry will help to reveal this.
• X-rayография шейного отдела spine. Often the reason
tingling in the fingers – a banal cervical osteochondrosis. X-ray
provides an opportunity to identify the destruction of the vertebrae.
These diagnostic measures are prescribed most often. Everything
the rest – on the testimony, with the suspicion of a doctor for more serious
diseases.
• Magnetic resonance imaging of the brain, cervical
spine, hand. In the first case, an MRI is used to
detection of neoplasms, multiple sclerosis. In the second –
shows the presence or absence of disc herniation, in the third –
used to more accurately assess the structures of the hand (nerves,
vessels, tendons).
In the vast majority of cases, these surveys are enough for
making the correct diagnosis.
Tingling in the fingers: treatment
Treatment aims to relieve symptoms and eliminate the original
the reasons.
Treatment of multiple sclerosis is a long and complex process,
requiring an integrated approach. The strategy determines only
doctor.
Brain neoplasms are subject to surgical excision and
biopsy (if localization allows it). According to the testimony may
chemotherapy, radiation therapy. Small education
can be destroyed by radiosurgery.
Treatment of tingling in the fingers at cervical osteochondrosis,
diseases of the tendons, the musculoskeletal system lies in
elimination of inflammation.
Non-steroidal are used to relieve inflammation.
anti-inflammatory drugs (Ketorol, Nise, etc.). Often
These pathologies are associated with pain. Pain relief
analgesics are used (baralgin, etc.). According to testimony
Physiotherapy is prescribed (electrophoresis, magnet). To strengthen
muscle and relieving excessive tension is prescribed massage (only in
period without exacerbation). At the time of treatment is prescribed gentle
mode of physical activity.
In general, if we talk about the treatment itself
tingling in the fingers, it is symptomatic and
is to relieve pain and inflammation.
Thus, tingling in the fingers is common,
but not too informative symptom. To understand exactly what
The reason – a visit to the doctor can not be avoided. The reason may be quite
serious But don’t worry too much: in most cases
it is a question of diseases though unpleasant, but immediate
no threat to life.
