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Neurology  (Expert Forum)
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4th and 5th finger numbness
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4th and 5th finger numbness

by zoey302, Oct 10, 2005 12:00AM
I had a giant cell tumor removed 8 months ago left 5th finger. 2 weeks ago I developed constant numbness to inner aspect 5th finger and to less degree in 4th finger.  The 5th finger seems to want to adduct and flex.  At times the 5th finger is tremoring on its own.  My surgeon is out of the country now and I'm not sure who to see.  Could this be related to the surgery and possibly the GCT returning? Or should I see a neurologist?  I'd appreciate any info.  Thanks...zoey

by CCF-Neuro-M.D.-PW, Oct 13, 2005 12:00AM
I'm not sure how extensive the surgery was but there are nerves that run up and down the sides of the fingers (the digital nerves) which if damages could cause sensory symptoms. There is not much that can be done to reverse nerve damage when it has occurred - it gets better over time and can be treated symptomatically with medications liek neurontin or pregabalin. The adduction and flexion might be some stiffness and contraction of the tendons rather than motor nerve damage which would have to occur farther up in the hand. Physical therapy and/or finger splints esp at night should prevent any development of contractures (a fixed deformity). You may want to see who is covering for your surgeon while he is out.

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