Peripheral Arterial Disease (PAD) Expert Forum
finger sensitivity, numbness and Sleep apnea
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Questions in the Peripheral Arterial Disease forum are answered by Dr. Lee Kirksey, associate professor at The University of Pennsylvania School of Medicine. Topics covered include abdominal aortic aneurysm , amputation, arteriovenous fistula, atherectomy, carotid artery surgery , cholesterol , claudication, deep vein thrombosis (DVT) , endovascular aortic stent graft (EVAR), stent placement , stroke prevention, varicose veins , and venous insufficiency .

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finger sensitivity, numbness and Sleep apnea

Hello,
I am a 65 year old male and I am in fairly good health. Over the past 3-4 years my fingers have become increasingly numb and my toes to a lesser extent. I am finding it increasingly difficult to do ordinary actions such as buttoning my shirt, folding clothes, grasping objects. My gait when I walk is a little unsteady at times espc in a.m. and p.m..  I usually wake up with severe neck pain and discomfort. Ocassionall my hands will cramp on me and likewise some parts of my leg muscles, usually when I try to stretch. In addition to this it seems I have sleep apnea which I am going to begin cpap treatment for in the coming week. Are any or all of these conditins related? my inability to use my hands effectively is giving me some grave concern. I take Cymbalta, VyVanse,Lipitor,chantix and use androgel. If memory serves me I am pretty sure that most of these medications I started taking post symptoms.

Thank You
CHG
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Great question. The symptoms of peripheral vascular disease are quite extensive. They can range from calf cramping with exertion in the legs to pain at rest in the most severe form. 50% of individuals with carotid artery stenosis have no symptoms before having there first stroke event.

Your symptoms including the numbness of the fingers, difficulty grasping objects and severe neck pain suggest a non vascular etiology.
These symptoms may be suggestive of nerve compression ("pinched nerve") which is affecting your motor function and sensation in your hands, probably on both sides. Thoracic outlet syndrome or arthritic changes in the cervical spine can cause these symptoms as well

A thorough physical examination of your upper extremities should be able to quickly eliminate the possibility of arterial disease and determine if there is nerve damage.

Finally PAD of the upper extremities occurs much less commonly than that of the lower extremities and usually does not progress to a severe state
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Lee Kirksey, MDBlank
The Cleveland Clinic Foundation
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