What to do if the right side is paralyzed due to a stroke?

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Pins and needles, goosebumps, numbness in hands

All sorts of unusual sensations in the hands - pins and needles, goosebumps running down the arm, burning, numbness - are called paresthesia in medicine. There are a lot of possible causes for this phenomenon, and therefore the treatment of pins and needles, goosebumps and other strange manifestations of various diseases is not universal.

Etiopathogenesis

The main mechanism for the development of paralysis is stroke - damage to the artery with blood escaping beyond the vascular bed. As a result, a hematoma is formed, which gradually grows and compresses the brain tissue. Vital neurons die, loss of function is noted, control of skeletal and smooth muscles decreases, and sensitivity disappears.

This condition is predisposed to:

Eating disorders – the main role is played by a lack of calcium in the diet, which strengthens the walls of the arteries. In these cases, cardiologists repeat “where it’s thin, that’s where it breaks.” Weakened brain vessels that are prone to damage can cause a stroke;
Hypertension – the situation is aggravated by increased blood pressure, which can damage weakened blood vessels. In older people, there is a lack of calcium, which can cause artery rupture;
Compounded heredity - according to recent studies, there is a predisposition to vascular diseases, especially hypertension and strokes. The mechanism has not been fully studied; insufficiency of the neurohumoral mechanism and weakness of the vascular wall are assumed;
Obesity - this condition is accompanied by a lack of minerals, an increase in blood pressure, which increases the likelihood of developing a stroke with subsequent paralysis;
Cardiovascular diseases - valve malformations, heart failure, atherosclerosis and thrombosis predispose to cerebral hemorrhage;
Endocrine diseases - diabetes comes first, leading to hypertension and hemorrhages. Sometimes the causes are hypothyroidism, pathologies of the adrenal cortex;
Bad habits - nicotine weakens the walls of arteries and increases cholesterol levels in the blood. Natural alcohol in minimal dosages is useful, but an excess of surrogate or drunkenness often ends in stroke and paralysis.

The listed factors can provoke both left and right paralysis. According to statistics, the latter option is observed more often, which increases the patient’s chances of survival due to timely diagnosis.

Your hand goes numb in your sleep

Deterioration in the sensitivity of the right hand during sleep may occur due to an uncomfortable pillow or posture. Numbness often occurs because a person is used to placing their hands under their heads or hugging pillows. To get rid of numbness, you need to take a different position or choose a more comfortable pillow.

When the fingers on the right hand go numb at night, hidden pathologies appear:

The nerve processes are pinched by tendons or muscle tissue when osteochondrosis develops in the neck or a tunnel form of neuropathy.

Endocrine system disorders.
Severe hormonal disorders.
Hand injuries.
Problems with blood vessels.

Types of paralysis

After a stroke, the doctor’s main task is to determine the presence of paralysis and its type. All hemorrhages on the right and left sides are divided into two categories:

Peripheral paralysis is the most favorable variant of the disease, characterized by partial loss of function. The patient's motor neurons are damaged, which leads to loss of sensitivity and a decrease in complex and purposeful movements.
Central paralysis - indicates hemorrhage in the motor areas, as a result of which the right arm and leg are completely amputated. Such patients are unable to care for themselves and there is a high risk of disability.

Provoking factors

There are many reasons that cause numbness. Such symptoms appear at different times at night, during sleep, during the day, and while working. Taking into account the frequency and duration of numbness, you can determine the presence of the disease.

We list the main provoking factors:

Prolonged stay in an uncomfortable position. This is often due to professional work.
Prolonged exposure to cold.
Bags with hard straps that put pressure on the skin.
The hand is in a tense state for a long time.
Scalenus syndrome, in which the artery under the collarbone and the branches of the brachial plexus are compressed. For this reason, numbness and pain occur.
Problems with blood supply to the brain. This condition can be suspected when the patient suffers from hypertension and hypercholesterolemia. As a result, the movement of blood through the vessels becomes more difficult.
Hypertensive disorder is complicated by several prizes.
Carpal tunnel disorder occurs when the median nerve is compressed in the wrist area. The same type of hand movements can provoke this syndrome.
Raynaud's syndrome. There are problems with arterial circulation in the small arteries in the arm. The main factor provoking this condition is poor heredity.
Pathologies that provoke metabolic problems. Sensitive disorders develop according to the glove principle, when only the hand becomes numb.
Polyneuropathy caused by a lack of B vitamins. In this case, numbness of the fingers on the right hand is often observed.
Multiple sclerosis is diagnosed. In this situation, problems with sensitivity are accompanied by numbness and paresis.
Stressful situations and prolonged depression.
Adhesions and congestion provoke problems with blood flow. With such pathologies, the right hand goes numb at night. This occurs after pneumonia, uterine fibroids.

This is how a small number of pathologies and syndromes develop, when numbness is felt in the right hand, lengthy enumeration is needed. When a patient is bothered by prolonged numbness in the arm, they should consult a doctor.

Signs of right-sided paralysis

If there was a stroke in the left hemisphere, the patient’s right side of the body is affected, the muscles of the limbs are paralyzed and there is no speech. These are the main differences between this condition. Patients also develop the following symptoms:

Common symptoms are headache, nausea, vomiting and weakness. They appear in the first few days and are considered the body’s response to damage to brain neurons;
Loss of movement - with central paralysis, the right limbs are flaccid, there is no sensitivity, the patient cannot perform any actions with the right arm and leg. If peripheral neurons are affected, the patient experiences tremor, and some movements are difficult on the same side;
Reduced memory – there are difficulties in remembering sentences; in severe cases, it is difficult for a person to repeat individual words;
Paresis of the right facial nerve - this branch innervates all facial muscles on its side. In the absence of control, the muscles relax, the patient’s corner of the mouth and lower eyelid “hang”;
Spontaneous contractions of some skeletal muscles on the right - usually the arm is bent at the elbow joint, the leg is straightened, and inward rotation of the foot is noted.

The listed symptoms are observed a few minutes after hemorrhage. As health deteriorates, the patient develops stress, accompanied by depression and difficulties in communication.

When to see a doctor

Situations arise when you need to consult a doctor for medical help immediately.

These symptoms include:

The right hand goes numb, and coordination of movements becomes difficult.
The hand constantly goes numb and the pain gets worse.
The hand becomes numb, shortness of breath, weakness, and dizziness appear.
The upper limbs become numb, problems with speech function appear.
Temperature sensitivity worsens.

It should be borne in mind that all of the above symptoms may indicate serious conditions that complicate the health and threaten the lives of patients.

It is easier to prevent pathology than to treat its consequences later. For this purpose, you need to perform preventive procedures, maintain a healthy lifestyle, regulate your diet, and not be nervous.

When suspicious symptoms occur, you need to contact a specialist promptly. Only a doctor can determine the real cause of the disease and decide on a therapeutic method.

It is not common for the entire arm to go completely numb, but sometimes such symptoms appear in specific parts of the arm. When tingling occurs in the shoulders and fingers, among the causes are osteochondrosis in the neck and arthrosis . This often indicates a pre-stroke condition. When the fingers of the right hand go numb, especially at night, it means that problems arise with the functioning of the internal organs and respiratory tract.

Consequences of right-sided paralysis

In severe cases, right-sided lesions lead to irreversible complications that develop as a result of massive hemorrhage or violation of treatment rules. We list the most common conditions:

paralysis of both arms and legs;
lifelong speech dysfunction;
disturbance of thinking, memorization, social behavior;
the appearance of bedsores;
exacerbation of chronic diseases against the background of reduced physical activity;
enuresis and fecal continence disorders.

The main task of the doctor is to create conditions that ensure full recovery after a stroke on the right side, which will minimize the development of complications.

Thumb

What happens when the thumb on the right hand goes numb? Symptoms are often caused by carpal tunnel syndrome. It manifests itself with prolonged stress on the wrist joint, which causes pinching of the wrist and cardiac nerve. It is undesirable to ignore such a condition, since muscle tissue atrophy manifests itself. When numbness does not last longer than an hour, you need to consult a doctor.

When the thumbs go numb at the same time on the hands, it means that the vertebrae in the cervical region have shifted. In this case, weakness and pain occur in numb fingers.

Drug therapy

If the right side is paralyzed due to a stroke, you should start with drug therapy. The drugs of choice are:

Antiplatelet agents and anticoagulants (Curantil, Warfarin) - thin the blood and improve its passage through the arteries. The use of these drugs is effective for atherosclerosis, thrombosis or vascular spasms;
Diuretics (Hypothiazide, Veroshpiron) – remove excess fluid, prevent cerebral edema and hypertensive crisis;
Antispasmodics (Papaverine, Vincamine) - relax blood vessels and improve blood circulation;
Agnioprotectors (Parmidin, Alprostan) – have a beneficial effect on the arteries, preventing the development of spasms;
Nootropics (Piracetam, Actovegin) - improve brain function. They are taken for a long time, including the rehabilitation period.

The doctor prescribes medications based on the patient’s condition. In severe cases, a complete list is written out, and daily blood pressure monitoring is carried out.

Causes

The reasons can be divided into simple and complex.

Simple ones include:

Problems with blood circulation when the hand becomes numb.
Staying in a constant position for a long time.
Using a heavy bag with a shoulder strap.
Activities that involve constantly holding the hands above the level of the heart.
Hypothermia.
Prolonged physical stress.

Serious reasons:

Osteochondrosis.
Problems with the circulation of the nervous system.
Injuries.
Problems with the functioning of internal organs, difficulty in blood supply due to pneumonia, fibroids, etc.
Regular stressful situations.

Diet

Diet is necessary to improve blood circulation and maintain immune resistance. A well-chosen table should contain everything necessary for the regeneration of damaged tissues, but not overload the weakened body.

The basic rules for the diet are as follows:

exclusion of smoked and fatty foods;
meat can only be eaten with the approval of a doctor, in small portions and pureed. The menu includes only lean varieties;
enrich your diet with vegetables and fruits;
exclude coffee, strong tea, soda and alcohol;
food should be fractional, in small portions.

For seriously ill patients, the menu is prepared by a nutritionist, taking into account the state of the body and the necessary energy costs.

Exercises

It is recommended to perform therapeutic exercises every day for 2 approaches for about 3-4 weeks. Exercises require caution; it is not advisable to allow severe pain to occur. Moderate tolerable symptoms caused by tendon stretching when performing such exercises are inevitable. At the same time, it is better to do everything rationally.

A gradual increase in muscle load and joint mobility is required. It should be borne in mind that if gymnastics is performed correctly, improvements occur gradually. Within 2 weeks of training, the pain gets worse, after 3-4 weeks you can feel the first symptoms of improvement.

A symptom that is insignificant at first glance requires attention, since problems with blood supply and innervation cause atrophy of muscle tissue and deterioration of sensitivity, indicating irreversible processes that are eliminated in the first stages of development.

Let's figure out when it is undesirable to perform therapeutic exercises:

If your wrist has been recently injured.
Arthritis (with stable remission, procedures are permitted).
Heat.
Flu, acute respiratory infections, sore throat. Gymnastics is allowed 3-4 days after recovery.
Minimum 3 months after surgery.

If you experience sudden pain during exercise, you should stop doing it.

Massage

This method is aimed at preventing bedsores and is used from the first days of paralysis. The right side of the body is warmed up, after which blood circulation and tissue trophism are improved, and mobility in the joints is restored.

To eliminate the effects of paralysis, a standard warm-up includes:

stroking - from the periphery, along the blood flow;
rubbing – carried out more intensively, similar to the previous method;
vibration movements – in the area of soft tissues;
The procedure ends with stroking.

To prevent new bedsores from arising, it is recommended to massage daily, regularly change the patient’s position and rub the skin with alcohol (if there are no wounds).

Treatment of pins and needles and goosebumps in the hands at the MART clinic

Goosebumps in the hands, pins and needles, numbness and other similar sensations in the hands, as a rule, indicate the presence of serious disorders in the body. Some of them can even be dangerous, and therefore you should not try to solve the existing problem yourself or using traditional methods. Prescribing the necessary treatment for goosebumps, burning sensations, pins and needles and other discomforting sensations in the right or left hand is possible only after determining the exact cause of their occurrence.

To identify the cause of paresthesia in the hands, it is necessary to undergo a thorough examination, which is recommended to begin with a visit to a neurologist. Effective treatment can only be prescribed by a doctor based on examination and additional research methods: laboratory tests, ECG, MRI, ultrasound.

At the MART medical center, treatment courses for pins and needles in the fingers and goosebumps in the hands are selected individually. If osteochondrosis or other neurological pathologies are detected, manual therapy, therapeutic massage and regular exercise therapy are prescribed. Physiotherapeutic procedures and reflexology are also used to restore normal sensitivity in the hand.

Visit to a speech therapist

To restore speech, daily training is required, which will be supervised by a specialist. The patient is given homework, including systematic exercises.

The objectives of such therapy are:

restoration of oral speech;
rehabilitation of writing;
normalization of speech memory.

It is very important that a person not only learns to speak, but also understands the speech of others. Experts recommend that patients not isolate themselves, but constantly contact people.

Prevention of numbness of the upper extremities

If the disease that caused the numbness of the hands is still incurable (rheumatoid arthritis, osteochondrosis, diabetes mellitus), then you should prevent its relapses. Increased stress and hypothermia should be avoided. Doctors recommend giving up smoking and alcohol, and losing weight if necessary. Including fresh fruits and vegetables and low-fat fermented milk products in the diet will help replenish the reserves of vitamins and microelements in the body. But the best prevention for impaired hand sensitivity is considered to be daily exercise therapy.

My arm goes numb from shoulder to elbow. Prevention

To prevent pain, it is recommended to promptly treat emerging diseases and refrain from self-medication.
Moderate physical activity and daily walks in the fresh air are recommended. To prevent inflammatory pathologies, including gout, it is recommended to monitor your daily diet. Avoid excessively fatty, spicy, fried foods, purines, refined foods, and white sugar. The basis of the diet is whole grains, unrefined foods, legumes, clean drinking water, fiber (greens, fresh vegetables), berries, nuts, seeds. People on any type of diet need to promptly identify and compensate for deficiencies of important micronutrients. Provide sufficient amounts of Omega-3 and Omega-6 polyunsaturated fatty acids.

Hypothermia is avoided; when working sedentarily, it is necessary to do regular warm-up. Timely treatment of infectious and inflammatory processes and adherence to work and rest regimes are indicated. It is recommended to normalize body weight, maintain a drinking regime, exclude large amounts of animal protein in the diet, and give up bad habits.

For patients with pain in the arms from the shoulder to the elbow, it is important to remember that this is not an independent disease, but a symptom that occurs with prolonged progression of the underlying pathology. Symptomatic treatment with medications and diet can reduce warning signs, but does not guarantee complete recovery. The patient is recommended high-quality care and supervision by a qualified orthopedic doctor.

When the pathological process becomes chronic, all conditions are met to put the disease into remission and prevent repeated exacerbations. It is important to promptly treat emerging symptoms and remember to follow a diet and exercise. If there is a hereditary predisposition to the development of the disease, it is necessary to monitor blood counts and the results of other diagnostic methods.