PMR and arm numbness

[Sunnyday365]

Hello - at 7mg at almost a year with PMR. Doing okay until this week my thumb started going numb/tingly throughout the day. I tried to search for past posts but nothing showed up. Could this be part of PMR and reducing? Thanks so much for any thoughts.

[PMRpro Ambassador]

Just your thumb or the index and middle finger too? Nerve compression is the most likely reason

verywellhealth.com/why-is-m...

[Sunnyday365 in reply to PMRpro]

thumb only, thanks I will look into that

[PMRpro Ambassador in reply to Sunnyday365]

Any discomfort in the base of your thumb? That is the first place I feel a flare getting going when i reduce the dose.

[Sunnyday365 in reply to PMRpro]

no just tingling at the tip

[piglette]

I had trigger thumb a while back, which is now OK but I have noticed that I get numbness at the end of the thumb.

[SnazzyD]

Hello, Sounds like a nerve is irritated. Likely places to do this are the wrist such as in carpal tunnel syndrome or from the neck. I’d get it looked at so that other causes can be ruled out before blaming PMR. This is quite a detailed piece on hand pain.spine-health.com/conditions...

[Sunnyday365 in reply to SnazzyD]

thank you for the reply. I am hoping its not the PMR as I just reduced and am hoping I can stay at this lowered dose for a bit.

[SnazzyD in reply to Sunnyday365]

I wouldn’t leave it though if it is a daily occurrence.

[Sunnyday365 in reply to SnazzyD]

Thanks, just wondering if it PCP, Rheumy or ortho Dr. 🤔

[SnazzyD in reply to Sunnyday365]

Well a GP needs to decide if you need a referral and if so who to, perhaps a physio to start, it depends.

[PMRpro Ambassador in reply to SnazzyD]

Not necessarily in the US ...

[SnazzyD in reply to PMRpro]

Ah, I assumed it was UK because couldn’t see clues for it being US.

[DorsetLady PMRGCAuk volunteer in reply to SnazzyD]

Profile ? 😊

[SnazzyD in reply to DorsetLady]

Ooh! You know, I’ve never looked at that box on the left; just the writing at the top

[DorsetLady PMRGCAuk volunteer in reply to SnazzyD]

😊

[PMRpro Ambassador in reply to SnazzyD]

It is on the profile for a change but I took it first from the terms used: PCP, ortho doc

[Sunnyday365]

That is very true - I was hoping to bypass a step but without knowing the issue, I will start with GP (or PCP). I called today, and waiting... Thanks to all for the replies.