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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31326
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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As I get older my hands and arms (especially the left) go to

Customer Question

As I get older my hands and arms (especially the left) go to sleep more frequently under these conditions:
1) Sleeping.
2) Holding arms in certain positions for a period, especially when supporting my body.
3) Driving for long periods.
4) Repeatative exercises of my arms, like on the eliptical.

My blood pressure is fairly low, although with the norm.
Got any ideas for a fix?
Submitted: 6 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 6 years ago.



There is a condition called as thoracic outlet syndrome, which can be responsible for your symptoms. Due to an inadequate passageway from neck to arm pit, the nerves and arteries are pinched and this can cause sleeping of arms and hands. Please read about the thoracic outlet syndrome in this resource;


Investigations needed to establish the thoracic outlet syndrome are;


a) Chest x-ray

b) Neck x-ray

c) Magnetic resonance imaging (MRI) and computed tomography (CT) scanning

d) Doppler and plethysmography studies


Treatment is as following;


1) deep electrotherapy (therapeutic ultrasound),

2) electric stimulation,

3) superficial heat (Hydrocollator packs),

4) stretching exercises,

5) postural correction exercises,

6) strength and endurance exercises

7) surgical intervention like first rib resection.


Please feel free for your follow up questions.


Dr. Arun

Customer: replied 6 years ago.
What kind of exercises would be useful?
Expert:  Dr. Arun Phophalia replied 6 years ago.



This is the resource, on which you can learn the exercises;


It is pleasure and privilege assisting you.


Dr. Arun