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Cheiralgia paraesthetica (Wartenberg's syndrome) is a neuropathy of the hand generally caused by compression or trauma to the superficial branch of the radial nerve. [1] [2] The area affected is typically on the back or side of the hand at the base of the thumb, near the anatomical snuffbox, but may extend up the back of the thumb and index finger and across the back of the hand.
Paresthesia, also known as pins and needles, is an abnormal sensation of the skin (tingling, pricking, chilling, burning, numbness) with no apparent physical cause. [1] Paresthesia may be transient or chronic, and may have many possible underlying causes. [ 1 ]
The median nerve provides feeling or sensation to the thumb, index finger, long finger, and half of the ring finger. At the level of the wrist, the median nerve supplies the muscles at the base of the thumb that allow it to abduct, move away from the other four fingers, as well as move out of the plane of the palm.
Anterior interosseous syndrome is a medical condition in which damage to the anterior interosseous nerve (AIN), a distal motor and sensory branch of the median nerve, classically with severe weakness of the pincer movement of the thumb and index finger, and can cause transient pain in the wrist (the terminal, sensory branch of the AIN innervates the bones of the carpal tunnel).
Rarely, an individual actually notices that the unusual sensations are mainly in the medial side of the ring finger (fourth digit). Sometimes the third digit is also involved, especially on the ulnar side. The sensory changes can be a feeling of numbness or a tingling, pain rarely occurs in the hand. Complaints of pain tend to be more common in ...
The treatment and management of radial neuropathy can be achieved via the following methods: [3] [9] [10] Physical therapy or occupational therapy; Surgery (depending on the specific area and extent of damage) Tendon transfer (the origin remains the same but insertion is moved) Splinting
Sensory loss in the thumbs, index fingers, long fingers, and the radial aspect of the ring fingers. Weakness in forearm pronation and wrist and finger flexion [ 2 ] Activities of daily living such as brushing teeth, tying shoes, making phone calls, turning door knobs and writing, may become difficult with a median nerve injury.
Tendinopathy in the wrist (extensor) or thumb (De Quervain syndrome) Inflammatory arthritis; Rheumatoid arthritis; The hallmark symptom of carpal tunnel syndrome is tingling (paresthesia), which is not commonly associated with pain. [2] Ulnar nerve entrapment at Guyon's canal causes weakness in specific muscles, but is not typically painful. [2]