Does hand numbness necessitate surgery? I have questions about this diagnosis and treatment. First of all, there are many reasons for hand numbness, and even cervical spondylosis may not be caused by a herniated cervical disc. Even if a herniated cervical disc is compressing the nerves, it can be dealt with conservatively, and there is no need to rush to surgery!

Causes of hand numbness

There are many triggers for hand numbness, but the more common ones are as follows, which I'll write about for your reference without having to think about tens of thousands of dollars or surgery:

1. Carpal and ulnar tunnel syndrome

When there is only numbness in the hand you should first look for problems at the wrist, especially nowadays many people like to play with their cell phones and use computers at work, so wrist problems are also a high incidence of problems, and you didn't say which fingers, so I can only go this way to give you an overview.

2. Forearm extensor injuries

When the forearm extensor muscle is damaged, it can irritate the nerves and induce numbness from the forearm to the fingers, although the symptoms of this problem are mainly manifested at night time when they are more obvious, and there are obvious painful spots on palpation of the forearm extensor muscle, which also has a name of tennis elbow.

3. Thoracic outlet syndrome

When the trapezius muscle is tense and painful, it can stimulate the brachial plexus nerve and induce pain and numbness in the hand. This problem should be palpated to see if there are any striated adhesions and pain points in the middle and anterior bundles of the trapezius muscle, and if there are any, you can eliminate the pain and release the manifestation of numbness in the hand by means of massage.

4. Regional strain of the infraspinatus muscle

As in the example I wrote about today, people who work with their arms raised a lot should palpate the infraspinatus muscle for any pain points if they experience numbness on that side of the thumb, and at night when the whole arm is sore and sleepy with no place to put it, accompanied by numbness in the hand, this should be considered as the cause of the problem.

5. Cervical disc herniation

As talked about in the question, herniated discs in the lower cervical segment can compress nerves leading to the appearance of hand numbness, but they are often accompanied by neck discomfort and should not be diagnosed by seeing a herniation on an imaging report; cervical plexus nerve entrapment can also cause upper extremity symptoms.

personal recommendation

No more examples for you, there are many other muscles that can cause hand numbness when there are painful spots, or problems such as peripheral neuritis can also cause hand numbness, don't hang on to one tree, see a few more doctors, or try to be conservative first, and remember to change bad habits in your life, and get plenty of rest may be able to heal yourself!

Say a personal experience, also hand numbness, cervical spine compression nerve. Three years ago, due to hand numbness and dizziness (I work all year round computer, cervical spine is very bad), I began to exercise, do not play the phone, go to massage, cervical spine, the whole back, dredge a few times the tendons and bones, the rich packets are gone, and then, every day to raise their heads, hands raised, flinging their arms, the bar hangs the arm tilting the head, cycling, often go to the outdoors, climbing and hiking, as far as possible not indoors, indoor on the play cell phone computers. If you go out, you will be able to stop playing and keep your head down. So tossed more than 1 month, neck comfortable, hand numbness is also relieved, and now also in the cycling climbing hiking, hand not numb, limbs are good, sensitive it. Of course, individual differences, you can try, outdoor sports may or may not be suitable, but I personally think that going outdoors is always better than holding a cell phone, there is a method, I am often used, that is, with that plastic ball massage hammer all right on their own to take a knock on the back and neck, pinch the back of the neck with both hands, through the pain, the method is also very good. I hope to help you, wish a speedy recovery!

Chinese medicine theory believes that the liver and kidney deficiency, impotence and weakness of the tendons and bones, wind and cold attack, the tendons and collaterals do not pass leading to numbness of the hands.

Western doctors believe that cervical disc herniation and spinal stenosis compress the nerves and cause hand numbness, given dehydration and swelling, nutritive nerve drug treatment

Then, first of all, daily life need to pay attention to do not keep the same position for a long time, avoid long time low head, sleep pillow height to moderate, usually can do more cervical spine health exercise, can with nutrition meridian scraping, vitamin B1, vitamin B6 and so on with the conditioning. I have half of the side of the face numb, arm numb people through the nutrition meridian Gua Sha way to adjust the example of good.

First of all, I don't think we should consider surgery as a last resort, we can consider conservative treatment, massage, bone setting, physical therapy, moxibustion, often with unexpected results.

diagnostic

The hand numbness is basically a sure sign of nerve entrapment in the lower cervical segment of the cervical spine, I wonder how old you are? What is your medical history?

The older age consider one is cervical disc herniation compressing the nerve, also called nerve root type cervical spondylosis. The second is cervical osteophytes squeezing the nerves. These two are generally heavier and have a longer recovery cycle.

Not old enough to consider work fatigue, bad posture, cold caused by the trapezius muscle, scapular tibial muscle strain fibrosis extrusion of the nerve, generally this way to cause the symptoms are not heavy, easy to repeat, sometimes good and sometimes bad!

curing

Cervical disc herniation is generally diagnosed by radiographs, but I teach you a maneuver to diagnose, is to press the neck experiment, you sit straight on the chair, let another person's hands on the top of your head, and slowly apply pressure, if there is a numbness of the hand symptoms worsening can be diagnosed with cervical disc herniation! Cervical disc herniation acute period to quiet mainly, three or four days after the recovery period can be tui na conditioning plus moxibustion blood conditioning, auxiliary traction!

If the osteophytes stimulate the surrounding muscle aseptic inflammation combined with swelling caused by compression of the nerve is basically moxibustion to activate blood circulation and eliminate blood stasis through the collateral conditioning of the main!

The third is simply muscle strain or small joint disorders caused by nerve compression can be tui na toning auxiliary orthopedic, conditional moxibustion is also done together! The effect is good!

summarize

No matter what causes your hand numbness, change the current bad posture habits is the root of the root, which is the cause of the disease! Moderate activity exercise, stretch the neck and shoulder muscles, avoid a position too long, pay attention to keep warm! I believe that you through these physical therapy will improve, and even cured is also a great hope! Three months, if there is no slightest improvement in the surgery is also in a hurry, to give your body a chance to heal without harm! I hope that my answer can bring you receive and change.

Just from your literal understanding, it is the cervical spine that is pressing on the nerves, not the discs that are pressing on the nerves or pressing on the nerves of the spinal cord. This is because it is only when the cause is clear that you can more accurately identify the type of cervical spondylosis and then make a choice of treatment options.

There are seven major types of cervical spondylosis, and what you are describing would be a nerve root cervical spondylosis rather than a spinal cord cervical spondylosis.

Neurogenic cervical spondylosis is caused by herniation or prolapse of the nucleus pulposus, osteophytes or traumatic arthritis of the posterior facet joints, formation of bone spurs in the hook spine joints, and loosening and dislocation of the three neighboring joints (intervertebral joints, the hook spine joints and the posterior facet joints), all of which can cause irritation and compression of the spinal nerve roots, resulting in muscular pain or numbness of the fingers of the head, neck, shoulders, and even the arms.

For nerve root cervical spondylosis, almost no surgery is needed to cure it, and this type is quite common in clinical practice. For experienced cervical spondylosis doctors, it can be cured in a few or more than ten treatments, and no surgery is needed at all. I began clinical treatment of various types of cervical spondylosis in 2005, the treatment of this nerve root type of cervical spondylosis patients, almost no failure, the fastest 3 times on the cure, the slowest is about 30 times, all with Chinese medicine method of cure.

The other type is spinal cord cervical spondylosis, also known as paralyzing cervical spondylosis. This is due to the degeneration of cervical intervertebral connective structures, such as intervertebral disc herniation, vertebral body posterior margin bone spurs, hook vertebral joint hyperplasia, ossification of the posterior longitudinal ligament, hypertrophy or calcification of the ligamentum flavum, which leads to spinal cord compression in the vertebral canal or ischemia, and then spinal cord dysfunction occurs, so spinal cord cervical spondylosis is one of the spinal cord compression disorder, which can be seriously disabling, and accounts for 10% to 15% of all cervical spondylosis. For this type of cervical spondylosis, surgery is indispensable, and all non-surgical methods can only alleviate the symptoms or slow down the progress of the disease.

To summarize, you should belong to the nerve root type cervical spondylosis, the treatment method is also diverse, such as oral medication, physical therapy, orthopedics, massage, medicine, traction and so on can be cured.

But you can be cured if you are willing to listen to the doctor who wants to operate, and it's up to you to make the choice based on your situation.

Dr. Liu talks about bones and tendons 🍰 Do you need surgery for cervical spondylosis and hand numbness?😊

Numbness in the hands is very common in real life. Most of them are caused by cervical spondylosis, and for its treatment, the biggest fear is surgery. For one thing, many people are afraid of being paralyzed when surgery is done on our neck and the nerves are moved. Secondly, the cost of surgery is not a small amount of money, almost 50,000 dollars or so, and in serious cases, 100,000 dollars. This leads many patients to talk about surgery. For hand numbness should be how to treat? The following will give you some advice!

Neurogenic cervical spondylosis

Neurogenic cervical spondylosis is the main cause of hand numbness, which occurs due to nerve root compression caused by cervical disc degeneration and its secondary changes, resulting in a disease with numbness of the upper extremities as the main manifestation.

Its main symptoms: 1. Numbness and pain symptoms in the upper limbs, the lesion site is consistent with the distribution area of the compressed nerve root.2. Decreased strength of the upper limbs.3. Pain and discomfort in the neck, which may have obvious pressure points.4. Abnormal tendon reflexes in the upper limbs.5. Positive neck pressure test and nerve pulling test.

What's the treatment?

When numbness in the hands occurs, it is important to treat it aggressively. There are two specific types of treatment, one is conservative and the other is surgical. However, most of the good results can be achieved through conservative treatment.

I. Conservative treatment

1. Neck braking. To put it bluntly, it means reducing the activity and even wearing a neck brace. By reducing the movement of the neck, the irritation to the nerve roots is reduced.

2. Give baking lamp, moxibustion, acupuncture, short-wave therapy and so on. Promote local blood circulation, eliminate inflammation and edema, and release muscle spasm.

3. Cervical traction therapy. For this type of cervical spondylosis is very effective, by pulling the cervical spine to expand the intervertebral space, to release the compression of the nerve root.

4. Medication. Non-steroidal anti-inflammatory and analgesic drugs, blood circulation and blood stasis drugs, nutritive nerve drugs, dehydration drugs, can also be combined with plasters. Severe cases can be infused with mannitol and hormones, which can rapidly dehydrate and reduce swelling.

II. Surgical treatment.

If after aggressive conservative treatment does not work well and worsens, or recurring patients, we have to consider surgery. Although we all do not cause, but serious can only be solved by it. Specific surgical methods should be determined according to the actual situation.

Two points to note

First, the diagnosis should be clear.

There are many diseases that cause hand numbness, such as peripheral nerve entrapment, nerve tumors, myocardial infarction, cerebrovascular disease, thoracic outlet syndrome, spinal cord cavernous disease, peripheral neuritis, and so on. It must be diagnosed clearly so that it can be treated according to the disease.

Second, usually pay attention to the maintenance of the neck

1. Learning to understand the relevant knowledge, so as to know the enemy and know oneself to win a hundred battles.

2. Maintain correct posture, do not bow your head for a long time, and the pillow should be suitable. Be sure to move your neck regularly.

3. Strengthen the neck muscles to enhance the stability of the cervical spine.

4. Protect the cervical spine from trauma or cold irritation.

For hand numbness caused by cervical spondylosis, it can be treated conservatively first. Surgery can't be completely ruled out if it just doesn't work. I hope these can help you.

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A, it is very good to do, 1, you can take conservative treatment, with other methods of the same cure. 2, if you really have to operate, the money is not enough can be borrowed like other people. After the treatment reimbursement in the return of money to others, can not not keep their word.

I sympathize with what you are going through, being the breadwinner of your family and not being able to get tens of thousands of dollars for your own treatment, ninja sickness to support the family.Based on your presentation, the cervical spondylosis you are suffering from is a nerve root type of cervical spondylosis thatNumbness of the hands due to cervical spondylosis is a common manifestation, and more serious symptoms can occur if the condition worsens. Therefore, I would recommend that you get treatment sooner rather than later.

Neurogenic cervical spondylosis progression after presentation

• Neurogenic cervical spondylosis is able to appear neck pain, the condition progresses and even head, shoulder and back pain, others press your cervical vertebrae will appear obvious pain, and activity cervical vertebrae pain will be aggravated, and over time lead to the neck activities are limited, seriously affecting the life and work.

• Neurogenic cervical spondylosis will not only appear hand (finger) numbness, do not know the specific numbness area, because according to the numbness of the area can be judged which section of the cervical vertebrae compression of the nerve root, different sections have different performance, the progress of the disease, there can be an increase in muscle tension, that is, feel the muscles of the upper limbs is a sense of tightness, and then appear muscle atrophy, weakness performance.

• The presence of pathologic reflexes of the upper limbs, such as those of the biceps or triceps brachii, are indicative of the presence of not only compression of the nerve roots of the corresponding segments, but the presence of involvement of this spinal cord.

• Finally, the upper limbs are already incapable of working, and if there is further severe loss of the spinal cord, it can also affect the movement and sensation of the lower limbs, and even have the potential to lead to paralysis.

Neurogenic cervical spondylosis does not necessarily require surgical treatment, but can be effectively treated with conservative treatment or traditional Chinese medicine (TCM)

I have seen many patients with lumbar disc herniation completely relieved after physical therapy such as massage or acupuncture and acupressure in Chinese medicine, therefore, I also believe in Chinese medicine, although I am a Western doctor. However, cervical spondylosis is generally not recommended to massage and other substantial operation, but the Chinese medicine reasonable massage can still relieve the symptoms, do not underestimate the massage, the efficacy is still good. Secondly, traction and immobilization of the neck can also reduce the symptoms to a certain extent and slow down the progress of the disease.

Finally, if it has come to the point where you have to have surgery, I still suggest you do it, and if you don't have the money you can go to the civil affairs department for help, the state guarantees medical care for the poor, and also the Red Cross can help you. I hope you can recover your health soon, this family needs your support, cheers.

Nonsense, I don't know what kind of reasoning is there to operate on a numb hand?

Cervical spine is generally a lack of movement, looking at the computer ah, look at the cell phone is always an action, so it is easy to cervical spine will lead to dizziness ah, vomit ah, hand numbness and other reactions! Now regardless of young people or the elderly, many have this slight cervical spine, because now the cell phone is too developed, the computer is too advanced! Can not leave these tools! And rarely go to exercise ah!

Generally often exercise people rarely have these problems! I used to have a friend is also like this, because too lack of exercise and fat, so the hand is often numb, and then the doctor told him to often play badminton! Every morning insist on practicing cheap body, will recover well!

So cervical hand numbness some, slowly play more badminton, go to the park more jogging a little! Dance square dance! Life is also colorful! The body is also getting better ah!

The above is only a personal opinion, thank you, welcome to pay attention to praise ！！！！

Hi, are the symptoms of hand numbness diagnosed as being caused by cervical compression of the nerves? You can't rely on the MRI report alone to know the exact cause of hand numbness, even if the symptoms are similar, they may be due to different reasons.

There are two common causes of hand numbness:

- Nerve compression by cervical vertebrae

Numbness of the hands is caused by the compression of the corresponding nerve roots due to the proliferation of joints and ligaments in the cervical spine or herniation of the intervertebral discs.

- thoracic outlet syndrome (TOS)

This may be due to nerve entrapment due to lack of space at the thorax, and the presenting symptom of this condition is more commonly numbness and weakness in the upper extremities.

In order to distinguish between the two, we can move the neck, such as head down, head up, head turn and other movements to see whether it will cause our symptoms to aggravate or alleviate, if there is a change in the symptoms, it may be due to the cervical spine compression of the nerves caused by, if there is no change, we need to consider whether it is other causes of hand numbness.

In addition, if the symptoms are caused by cervical compression of nerves, we do not recommend surgery if there are no serious conditions, such as daily walking has been affected or more serious nerve root symptoms.

We can intervene with conservative treatment first, knowing that a large percentage of patients are able to improve their hand numbness with conservative treatment.