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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31636
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I get a throbbing, burning pain in my hands at night. My ...

Resolved Question:

I get a throbbing, burning pain in my hands at night. My fingers swell and I have difficulty opening and closing my hand. During the day the condition improves and my hands and lower arms just ache. Any idea as to the cause?
Submitted: 8 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 8 years ago.

Greetings.

This can be carpal tunnel syndrome. Nighttime symptoms are more specific of carpal tunnel syndrome, especially if your symptoms are relieved shaking the hand/wrist. Bilateral phenomenon is common, although the dominant hand is usually affected first and more severely than the other hand. Read the details here;

http://www.mayoclinic.com/health/carpal-tunnel-syndrome/DS00326

The use of ultrasound, phonophoresis, iontophoresis may provide relief. It may be possible to enlarge the carpal tunnel by specific stretching techniques. A specific stretching/strengthening program for the hand and wrist may be useful in improving strength. Patients whose condition does not improve following conservative treatment should be considered for surgery. Surgical release of the transverse ligament free the median nerve and improve the symptoms.

Another possibility may be pinched nerves in neck. Read here;

http://www.mayoclinic.com/health/pinched-nerve/DS00879

Cervical traction, deep heat therapy, physical therapy and anti-inflammatory analgesics are some of the part of treatment protocol.

Dr. Arun

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