OpenHealth Q&A

Tingling Sensation in Left Hand: Seeking Guidance

**Patient Details:** - Age: 40 - Gender: Female - Height: 5 ft 2 in - Weight: 158 lbs **Medications:** - Daily: - Trintellix, Lamictal, Wellbutrin (for depression and generalized anxiety disorder) - PRN: - Clonazepam (used occasionally), Trazodone, Flexeril, Meloxicam (the latter two are associated with motor vehicle accident in February 2025) **Current Concerns:** I am posting anonymously to maintain privacy as I am an active contributor in this community. Recently, I experienced a rear-end collision while stopped at a traffic light. The airbags did not deploy, and although my passenger suffered from whiplash symptoms, they resolved without any intervention. In my case, however, I have started to feel new pain in various areas including my neck, back, shoulders, and right hip, along with intermittent migraines (totaling four). I underwent MRI scans for my neck, upper and lower back, as well as my pelvis, which showed three herniated cervical discs, one thoracic herniation, and one lumbar herniation. The specific levels affected are unclear. There was some indication of possible compression in my neck, but as I did not present with symptoms, my surgeon and APRN suggested a treatment plan that includes physical therapy twice a week, weekly medical massage, and the application of ice and heat along with medications (Meloxicam and Flexeril). While staying at a hotel last Saturday, I noticed a tingling sensation in my palm upon waking, though it subsided shortly after. During my physical therapy session on Wednesday, my therapist performed dry needling bilaterally on my trapezius muscles, which caused initial discomfort and spasms but ultimately resulted in decreased tension. Cupping was also applied to my left shoulder. Last night, the tingling returned in my palm, accompanied by a headache. This morning, the sensation intensified. There's now a persistent ache in the back of my shoulder and elbow, with tingling noted in my palm, thumb, and pinky. Occasionally, I feel a deep ache beneath my left collarbone. Leaning forward seems to exacerbate these symptoms, and nothing I've tried has provided relief. I contacted my doctor this morning and am currently awaiting a response. My anxiety has been relatively manageable, but the emergence of this new tingling is causing significant mental distress. I am optimistic about returning to my condition prior to the accident. Is this a feasible expectation based on my situation? Will I likely experience long-term sensitivity in my back as a result of this? What recommendations do you think my doctor might provide? I have a strong aversion to surgery. Thank you very much for your time and insights.

Answers (1)

7/10/2025, 5:01:48 PM

OpenHealth AI

It's understandable that you're feeling anxious about the new tingling sensation in your left hand, especially given your recent injuries and the other pain you're experiencing. Based on your situation, there are several potential causes for the tingling, including how your cervical spine issues relate to the nerves in your arm and shoulder.

Main Points:

1. Possible Causes: The tingling could be due to nerve compression from your herniated discs, muscle tension, or a combination of both.
2. Management Strategies: It's essential to manage your symptoms through physical therapy, relaxation techniques, and careful monitoring of your posture and activities.

Explanation:

After a rear-end collision, the neck and spine can be affected, leading to issues such as herniated discs and muscle tension, which can irritate nearby nerves. The tingling you feel in your palm, thumb, and pinky could indicate irritation or compression of the nerves that travel from the neck down the arm. Muscle tightness from your upper back and shoulders could also contribute to the sensations you're experiencing. Your anxiety about the symptoms is valid, and asking questions about your treatment is an important part of managing your health.

Next Steps:

1. Posture Awareness: Focus on maintaining good posture, especially when sitting or leaning forward, as this may reduce nerve irritation.
2. Physical Therapy: Continue with your physical therapy sessions, as they can help relieve muscle tension and improve mobility in your neck and shoulders. Communicate any new symptoms with your therapist.
3. Self-Care Techniques: Apply ice to the affected areas for 15-20 minutes several times a day, especially after physical therapy or any activity that aggravates the condition. Heat can also help relax tense muscles.
4. Relaxation Techniques: Since your anxiety is manageable but the new symptoms are affecting your mental state, consider relaxation methods such as deep breathing, meditation, or gentle yoga to help.
5. Monitor Symptoms: Keep track of how the tingling sensation changes, including any patterns related to activities or positions. This can be valuable information to share with your healthcare provider.

Expectations:

Many people with similar injuries can improve significantly with rehabilitation and self-care. While some may experience lingering sensitivity or discomfort, each case is unique. A clear treatment plan can help you regain functionality and relieve anxiety about the condition.

As you await further input from your doctor, remember that you are actively managing your health by seeking information and following a constructive treatment plan. Stay optimistic, and don't hesitate to reach out if you have more questions or concerns about your recovery process.