Hand Numbness
HISTORY:
Hand for
Location:
Type:
Onset: , ,
Worsening factors:
Alleviating factors: ,
Other elements:
EXAM:
Wrist:
- Inspection:
- Palpation: on
- Range of motion:
- Flexion:
- Sensation: over
- Strength: throughout upper extremities, except on
- Reflexes: throughout upper extremities, except on
- Special tests:
- Phalen test:
- Tinel sign:
- Carpal compression test:
ASSESSMENT:
DDx:
PLAN:
- Blood work: , , ,
- Nerve conduction study
- EMG
- Cervical spine X-ray
- MRI of the cervical spine
-
-
- Physical therapy
- Occupational therapy
- Wrist splint for carpal tunnel syndrome
- Referral to neurologist
- Referral to orthopedic surgeon
- Referral to plastic surgeon
- Follow-up in
- Return if numbness worsens, if new symptoms develop such as weakness or pain, or if symptoms do not improve with treatment