RFI: My hands have gone stupid

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I wasn't really sure what terms to put in the search engine, but I don't think this has been covered before.

Anyway, I have a doctor's appointment for Friday. It's with a GP and I expect to get referred elsewhere. Here's the deal:

* For as long as I can remember -- at least since early teens -- my hands have been shaky. I don't mean problems with coordination, as such -- I mean that people have always said "hey, what's wrong, your hands are shaking," and it wasn't nervousness or anything, it was just ... my hands shake. Just a little, but frequently. There is a name for at least one condition that causes this, but I don't remember it; a friend I'm no longer in touch with to ask had it, and took pills for it in the mornings, and her hands didn't shake anymore. I always figured it wasn't worth the bother. What's a little shakiness? It's not like I was performing surgery.

* From time to time, I'd have a "spell" when my hands were worse. Just sort of ... muffled dexterity, like when you're drunk or feverish. A poor omen for my juggling career.

* In the last year, and especially the last few months, those spells have become more common and much more severe.

* What has changed in the last year:

(1) I'm on daily medication for chronic migraines. But they're just beta blockers, and I wouldn't think they would exacerbate this. The Imitrex which I take less frequently -- for the migraines that shove their way through the beta blockers -- definitely does make my hands shut down, and the migraines themselves used to do so sometimes. But that seemed to be part of a more general inability to function. (My migraines, before I started the beta blockers, were severe and just shy of incapacitating; I have talked about them far past the point of spamminess before, there's no need to do so again.)

(2) I sprained my hand or wrist or something this summer and didn't see anyone about it, because I didn't have insurance. Nothing was broken, and I iced it and splinted it and went through a lot of Icy Hot (a mentholated topical analgesic). But it is perhaps not coincidental, the timing. This week, I'm trying to pay attention to my left (uninjured) hand to see if it's as bad off as the right hand is.

* What's actually happening vis-a-vis my hands:

(1) I have cut or burned myself more times this year, in the course of cooking, than in all previous years combined. Frequently enough that I've pretty much always had a cut "in progress," if you see what I mean, one or another not yet healed to invisibility. At the moment I have a long scar on my finger from, um, dropping the knife and catching it by the blade.

(2) I often "forget" how to open doors and jars, and how to turn faucets. It's like ... telling my hand to turn, but it won't do so.

(3) I drop things a lot. Every day. Sometimes it's like when your leg is asleep and you start walking and it feels funny, only without the tingling; sometimes I just think I have ahold of something, but then it slips, or my fingers don't come together in a grip. We've lost a lot of plates, poor things.

(4) Sometimes my hands just "feel funny," like I'm wearing oven mitts, and although they do what I tell them, it feels like their motions are not as smooth or accurate as nature intended.

(5) I can type fine. I don't notice any change in my typing at all. This is perplexing. Mouse use and touchpad use, definitely affected. Typing, perfectly okay.


So that was lengthy and all, but I couldn't think of a quick way to explain it/sum it up. What I wanted to ask was: has anyone had any experience with something like this, first- or secondhand (so to speak)? It's very frustrating, almost humiliating, to drop things all the time, or hover in front of a door waiting for my hand to remember how to turn the knob, or to have to ask people to dice peppers because I'm not positive I won't cut my finger open again. It seems silly to whine about, which is why I've put off doing anything about it for so long, but for all I know it's part of some other thing that'll get worse over time.

Tep (ktepi), Tuesday, 2 November 2004 15:19 (twenty years ago)

I hope everything turns out OK at the doctor. That's weird stuff & it could be a lot of things .. best not to speculate/worry what's causing it until the doctor checks it out .. Let us know how it goes.

dave225 (Dave225), Tuesday, 2 November 2004 15:29 (twenty years ago)

Jeepers, Tep, that sounds horrid. Can't say I've ever heard about anything like that in my own circle. Best of luck indeed in getting that settled.

Ned Raggett (Ned), Tuesday, 2 November 2004 15:31 (twenty years ago)

Oh, thanks, I'm sure it'll be fine. It's been going on long enough at this point that I think I'm too frustrated to worry, which is probably good.

I have to admit I was hoping someone would say "Oh, that happens to me all the time, you just aren't getting enough chocolate!" or something, though.

Tep (ktepi), Tuesday, 2 November 2004 15:33 (twenty years ago)

The Beta-blockers you take should theoretically stop you from shaking: politicians take them before speeches to prevent shakiness, and my doctor suggested I take some for my shakiness. My tremor is cause by my medication (lithium, anti-depressants, etc.) so I don't really want to add any more medication on top of it. It doesn't really bother me, but it can be embarassing, especially if people at the pub ask if you're okay and wonder why you shake, or if I eat out and keep shaking food off the fork. But your doctor will probably be able to help you out with it.

Kevin Gilchrist (Mr Fusion), Tuesday, 2 November 2004 15:39 (twenty years ago)

Tep, I'm sorry to hear about your hands. My mom had something similar. She would just drop things randomly. Then she got surgery in her wrist. I think she had carperel (sp?) tunnel syndrome.

Sarah McLusky (coco), Tuesday, 2 November 2004 15:42 (twenty years ago)

The inability to grip and hold sounds a bit like carpal tunnel syndrome? ooh x-post

Markelby (Mark C), Tuesday, 2 November 2004 15:42 (twenty years ago)

It doesn't really bother me, but it can be embarassing, especially if people at the pub ask if you're okay and wonder why you shake, or if I eat out and keep shaking food off the fork. But your doctor will probably be able to help you out with it.

Excellent, this is encouraging news (albeit not as good as chocolate).

Isn't carpal tunnel painful? I hadn't considered it because this doesn't hurt.

Tep (ktepi), Tuesday, 2 November 2004 15:54 (twenty years ago)

I'll ask my mom.

Sarah McLusky (coco), Tuesday, 2 November 2004 16:00 (twenty years ago)

Thanks, Sarah!

Tep (ktepi), Tuesday, 2 November 2004 16:05 (twenty years ago)

Good luck, Tep old bean.

Begs2Differ (Begs2Differ), Tuesday, 2 November 2004 16:12 (twenty years ago)

Carpal Tunnel Syndrome

Here is a list of the most common symptoms:

Numbness in one or both hands which comes and goes or stays all the time.

Numbness often feels like it is in the entire hand even though it's in the thumb, index and middle fingers.

Numbness starts while writing, driving, sewing, holding a book or newspaper or when typing.

You wake up with your hands feeling numb or painful. You hang your hand down and shake it to get relief.

You drop things, especially small objects, from your hand.

Sometimes you feel "shocks" from the center of your wrist into your hand.

Sometimes you may feel all these symptoms or you may only have one or two of the symptoms.

Markelby (Mark C), Tuesday, 2 November 2004 17:05 (twenty years ago)

You hang your hand down and shake it to get relief.
I first read this as, "You hang your head down and shake it.." And I was thinking, "Um, why? Because you're angry at your hand? Or at God?"

Sarah McLusky (coco), Tuesday, 2 November 2004 17:12 (twenty years ago)

Wow, some of those definitely apply or are close. I would have thought I'd have trouble typing! I'll bring it up to the doctor.

Tep (ktepi), Tuesday, 2 November 2004 17:14 (twenty years ago)

CTS is most common in women aged 40-55 - but ANYONE can suffer from it

Markelby (Mark C), Tuesday, 2 November 2004 17:27 (twenty years ago)

You hang your hand down and shake it to get relief.

*obvious joke here*

The Ghost of Dan Perry (Dan Perry), Tuesday, 2 November 2004 18:41 (twenty years ago)

Numbness often feels like it is in the entire hand even though it's in the thumb, index and middle fingers.

I don't understand this at all - how can you be mistaken about where you are numb? Isn't it like feeling pain, in that it's an a priori truth that you can't be wrong about feeling pain?

Kevin Gilchrist (Mr Fusion), Tuesday, 2 November 2004 18:44 (twenty years ago)

It could also be a really rare form of "arthritis" that my dad has, not so much stiffness in joints from manual labor like normal arthritis, but constantly dropping things and a loss of dexterity. It's caused by a kind of virus that seats itself in your joints, and then when it gets inflamed it hampers flexibility and muscle control. I don't think he had problems typing either, but he broke several of his favorite coffee mugs when they just fell out of his hand without him realizing it.

jocelyn (Jocelyn), Tuesday, 2 November 2004 18:47 (twenty years ago)

(It took forever for doctors to diagnose it properly. He's on medication now and much better, but sadly can only drink 1 or 2 drinks a month, this from the man who had at least 2 glasses of red wine at dinner every night.)

jocelyn (Jocelyn), Tuesday, 2 November 2004 18:49 (twenty years ago)

my cousin had something similar to this very suddenly after having the flu a few years ago; he essentially lost the ability to grip anything, his hands would not do what he wanted them to do. This also wound up spreading to his legs to the point where he couldn't walk very well and couldn't lift anything. Doctors could not figure out what the problem was. And then, after a few months, it went away.

Hope yours turns out well.

kyle (akmonday), Tuesday, 2 November 2004 18:50 (twenty years ago)

Maybe it means that if you're just ... uh, thinking about your hand, I guess, it "feels" numb all over, but if you were to touch the pinky-side of your hand with a pencil and then touch the thumb, you'd realize it's only numb on the thumb-side?

Numbness at rest, I guess, vs numbness demonstrated.

xpost; joint virus, wtf! (I mean, it's good that that's something that can be dealt with, but it sounds terrible!)

Tep (ktepi), Tuesday, 2 November 2004 18:50 (twenty years ago)

Shaky hands? This used to be called 'palsy'. (Not the cerebral sort, of course. Just plain old garden variety palsy.)

This name dates back to when doctors would slap a name on a condition they knew squat about, dust their hands together and call it a good day's work. Like 'quartan fever' or 'galloping senility' or 'hysteria'. Thank goodness doctors today never do that!

Aimless (Aimless), Tuesday, 2 November 2004 18:55 (twenty years ago)

Had my doctor's appointment today, took reflex and muscle tests, failed them. In most cases, I'm at the edge of the normal range, where you might not take notice of it if I weren't complaining of things like dropping stuff, but in combination it adds up to a referral to an expensive neurologist with a six month waiting list -- five months of which were hacked off since someone had just cancelled, so I now have an appointment for a few days before Christmas.

Neither carpal tunnel nor arthritis are suspects, but they haven't been ruled out entirely, I guess.

I don't like, but am not surprised by, hearing "you need to see a neurologist," but it's better than a lot of other things you can hear.

So it goes, you know the drill -- see a few doctors, wait a bit, see a few more, eventually stuff comes together.

Tep (ktepi), Friday, 5 November 2004 22:10 (twenty years ago)

sorry I missed this the first time, tep, hope all goes well. If you want a second opinion, I can forward your description to Kristin who we had dinner with at GenCon; she's a family doctor with no specialty in neurology though.

teeny (teeny), Friday, 5 November 2004 22:24 (twenty years ago)

Oh sure, that'd be cool -- tell her I said hello.

Everything'll be fine, although I admit I was hoping the doctor would tell me "nothing is wrong, stop whining and go home." But I bought beer and Holiday Spice Pepsi on the way home, so I got nothing to complain about.

Tep (ktepi), Friday, 5 November 2004 22:27 (twenty years ago)

weirdly enough, Kristin is visiting in town for the weekend and we are all over at a friend's house playing games. She pretty much echoed what your doctor said though. Good luck!

teeny (teeny), Saturday, 6 November 2004 20:33 (twenty years ago)

This sucks, Tep, I hope the doctors can work it out. I've been reading about some pretty incredible (non-surgical) things they can do to treat carpal tunnel et al these days.

I hope this doesn't come out the wrong way, but be thankful you aren't a musician (i.e., your living doesn't depend on fine motor control).

Jordan (Jordan), Saturday, 6 November 2004 20:41 (twenty years ago)

Oh, it's not the wrong way at all, don't worry. I know what you mean. If this were affecting my typing, I would've been in the emergency room ages ago, demanding they fly Dr Geiger and Ben Casey in, and maybe Dick Van Dyke for good measure.

And thanks, teeny!

Tep (ktepi), Saturday, 6 November 2004 20:48 (twenty years ago)

one year passes...
Hmph - after my advice on carpal tunnel syndrome it looks like I might now be suffering from it! I was pushing with my right index finger this afternoon and it was like I only had a fraction of the usual pressure combined with discomfort running up my arm!

I'd love to hear if this is actually something else temporary or non-worrying!

Markelby (Mark C), Sunday, 18 December 2005 21:48 (nineteen years ago)


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