I am Dr. Arun and will be helping you today.
This is most likely due to the pinched nerves in the neck which are giving you cold sensation in wrists and fingers. This can be due to;
1) Herniated/degenerated disc in neck
2) Cervical spondylosis; bone spurs in the neck vertebrae pressing on the nerves.
Following investigations would be required, if this persists;
1) X-ray of the neck spine
2) MRI of the neck
3) Nerve conduction velocity (NCV) study
4) Electromyography (EMG)
Following measures would be helpful;
1) Neck care in the activities of daily living.
a) No working on computer for more than half an hour in a single stretch. Same for TV.
b) Monitors and televisions exactly in front (180 degrees).
c) Contour pillow: Should fill the hollow when lying on back or straight. Available over the counter.
2) Cervical Collar or Brace
3) Cervical traction
4) Anti-inflammatory analgesics like Ibuprofen
5) Some physicians do give oral steroids in severe radiculopathy cases, in whom abnormal sensation is quite significant.
6) Physical therapy: gradually increasing exercises from passive stretching to active against resistance regime.
7) Electrotherapy in the form of TENS, interferential and laser and ultrasound.
8) Hot fomentation
9) Local analgesic patch / ointment / spray
You can consult following specialists;
c) MD in Physical medicine and rehabilitation.
The other possibilities of the diagnosis is neuropathy. This can be due vitamin B 12 deficiency, medications etc.
Small lump on the ankle can be bursa swelling or ganglion. This is usually self limiting. Cold compresses and rest would help with local analgesic cream.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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