How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Abby Your Own Question

Dr. Abby
Dr. Abby, Board Certified MD
Category: Health
Satisfied Customers: 10330
Experience:  Family Physician, practicing medicine for over 10 years, United States
20297917
Type Your Health Question Here...
Dr. Abby is online now
A new question is answered every 9 seconds

my hand hurt a great deal at night, but gets better during

Resolved Question:

my hand hurt a great deal at night, but gets better during the day. It seems like it gets better when I stand up and get moving. The pain is centered in the palm and fingers. I do have some niumbness and tingling in the hand during the day.
Submitted: 4 years ago.
Category: Health
Expert:  Dr. Abby replied 4 years ago.
Hello,

Are there certain fingers that seem to be more affected?
Any pain in the wrist?
Do you work a lot with your hands? (typing, etc)
Any neck pain?

Dr Abby
Customer: replied 4 years ago.
I don't type a lot. I do take notes by hand with clients during the day. I think I might have injured myself a lttle bit at the gym last August and did not go back. I did not get this pain until recently; probably in the past three weeks. My thumb feels tinglind. My middle and ring fingers ache. It is usually tnigling, but at night the pams and past of the hand feels preety painful. It wakes me up. If I drape my hand over the side of the bed and get some circulation going it seems to remit a bit. When I get going for the day, it becomes increasing less of a problem. I am not noticing neck pain. I saw a chiropractor for one session two weeks ago. She did not feel that I had much misalignment. She thought that I probably had a Sprain in the muscles around the breast and that this is radiating down my arm to my hand. It feels like my hand is getting worse and not better.
Expert:  Dr. Abby replied 4 years ago.
Thank you for the additional information,

It sounds like you have some type of nerve irritation. Nerve irritation is what causes the tingling and numbness and can often cause a burning type of pain in the hand as well.

One of the most common causes of tingling in the hand is carpal tunnel syndrome. This develops when the nerve that supplies the thumb, pointer and middle finger becomes irritated or compressed as it passes through a tunnel/band of tissue in the wrist. Usually, people have numbness mainly in these fingers, but some people describe tingling of the entire hand. It can also cause pain in the hand as well.

For many people, the symptoms are worse at night, as you are describing.

People at risk for the development of this syndrome include pregnant women (wrist swells during pregnancy) and people who work on computers/typewriters or do a lot of repetitive work with their hands. (writing...)


The nerve that supplies the hands/forearm can also be irritated anywhere along its course. It does not have to be the wrist, it can occur at the elbow or at the level of the neck.

A nerve conduction test/EMG test is performed in order to determine exactly where the problem is occuring. Your doctor may be able to tell by physical exam where the likely area is, but the EMG is the test of choice.

Until you can see your doctor for an exam and testing, you can try wearing a wrist splint that keeps your wrist in neutral position at night.
Also try taking an anti-inflammatory such as ibuprofen or aleve (as long as you do not have any contraindications).

The treatment depends on where the irritation is occuring. Steroid injections in the wrist and physical therapy are often the first steps if the splints do not work.

It does not sound to me like a muscle strain at all, to be honest.

Here is more information for you if you would like to read about it:

http://familydoctor.org/online/famdocen/home/common/pain/disorders/023.html


Let me know if you have any follow up questions and I will be happy to answer them for you,

Dr Abby

If you are satisfied with my help, please remember to click accept. Thank you!!
Dr. Abby, Board Certified MD
Category: Health
Satisfied Customers: 10330
Experience: Family Physician, practicing medicine for over 10 years, United States
Dr. Abby and 6 other Health Specialists are ready to help you
Expert:  Dr. Abby replied 4 years ago.
You are welcome to ask any other questions you have...
Customer: replied 4 years ago.
I am hoping to finish with Dr. Abby. Is it possible that this could be created by a virus. Evidently last August, I had a viral infection that affected my inner ear and affected my hearing. Although the symptoms are gone, I am wondering if you have any sense that the nerve problem could be affected by the virus. It's interesting that the ear is on the right side and the hand challenge is also on the right side.
Expert:  Dr. Abby replied 4 years ago.
It is possible, but there are more common causes.

The ear problem that you had is commonly caused by viruses.

It would be unusual for a virus to cause the symptoms you are having though.

Herpes viruses and the Epstein barr virus can affect the nerves of the arms, but the resultant effects are usually weakness and loss of sensation.

Dr Abby

Customer: replied 4 years ago.
First I want to thank you so much! I am a psychotherapist and it is the holidays and I now think I can wait to see my doctor in January instead of trying to cancel my patients this week! That all makes sense.. When you say use a splint, what do you mean? Does it improve potentially if I try to stop writing and using it during the day, or is it a function of something not related to use at this point? Again thank you and I hope that you are having great holidays.
Expert:  Dr. Abby replied 4 years ago.
Here is a link to a wrist splint that you can get at Walgreens.

What the splint needs to do is to prevent you from being able to bend the wrist when you are sleeping.
You can also wear it during the day (if you can write with it on)...it may make a difference.

http://www.walgreens.com/store/catalog/Braces-and-Supports/Carpal-Tunnel-Wrist-Brace---Maximum-Support/ID=prod3227158&navCount=1&navAction=push-product

You are very welcome and I hope that you enjoy your holidays as well!

Dr Abby

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery