instruction: hi doctor I am writing this to inform you that I have had a crushing pressured injury in my hands while I was at work three weeks ago as I was pushing set of 10 chairs with the chair troll and they were quite heavy as I was pushing the troll forward it managed to almost lean towards me in other words it pressed on my right hand underneath my knuckles back hand to be specific for at least seven seconds my colleague and I managed to push the chairs away from me eventually my right hand was sore causing me to hand tingling feels and irritation to cold weather which I did not have before but no pain this monday that had gone by it started causing me burning sensations on both my back hand including the one that has not been injured it was extremely discomfortable and unpleasant feeling I even found it hard to sleep at night by tuesday and wednesday it began to slowly progress the burning sensations inflammation towards my wrist and towards my arms through the biceps and even towards my neck I have started taking amitriptyline and anti inflammatory medicines which have slightly helped but not much I did see an emergency doctor in between and suggested that it could be potentially cops or nerve irritation but they cannot know for certain due to the pandemic of couid 19 it is very difficult to see any doctors at this present moment and I am self isolating myself at home having said that I am very worried about my situation and would like to get more clarity to this situation is this a continuous problem that will go on is this cops and if so can I recover can it be a nerve compression and is my nerves misfiring or is this a sign of recovery currently these are the following feelings I currently experience burning sensations in my hands and neck now hypersensitivity skin irritations wearing clothes using blankets etc affected areas feel weak and sore
output: hello I read carefully your question and would explain that your symptoms are suggestive of a pinched nerve compression the nerve compression could be on the wrist carpal tunnel or in the neck a possible bulging intervertebral disk which is causing radicular nerve pain in the arm and hand for this reason it would be necessary consulting with a neurologist for a physical exam a cervical spine ray study and nerve conduction studies anyway considering the virus infection I think that all these tests can wait as it is not a serious medical condition I would recommend avoiding weight loss and wearing a splint in the hand during the night wrist splint for carpal tunnel syndrome which you can find in the drug store if it helps improve your situation it would indicate carpal tunnel syndrome as the main cause underlying your complaints I would also recommend taking gabapentin to help relieve the burning sensation I hope this helps