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Neurology consultation needed..cspine tspine xray or mri..ct brain..vitb12..cbc..sugarlipid ..crp..orthopedic consultation too needed

Rub oil as masage  before  sleep to increase  circulation n activate nerve. It's age related, nothing  much required. Yet pain unbearable  use zerodol sp after food sos.

Get her vit b12, Haemoglobin,  blood sugar random, hba1c, X ray cervical spine,  done and share results. For pain, she can take tab zerodol sp,  one sos, i.e. when pain occurs. For numbness, tab neurobion forte one daily for 4 to 6 weeks. Tab pregabalin 150mg one morning and one evening for 2 weeks. She will avoid high pillow for sleeping.

Your mother’s symptoms — pain in both hands at night while sleeping + occasional numbness in both hands during work or at night — are very classic for carpal tunnel syndrome (CTS). This is one of the most common nerve problems in middle-aged and older women. It happens when the median nerve gets compressed inside the carpal tunnel (a narrow passage in the wrist). Typical features that match: • Pain and numbness in both hands (bilateral CTS is common) • Worse at night (many people wake up with numb/painful hands) • Numbness or tingling during daytime activities (holding phone, reading book, working with hands) • Often linked to: repetitive hand use, diabetes, thyroid issues, pregnancy (though less likely here), or just age-related changes Other less likely but possible causes: • Cervical spondylosis (neck arthritis pressing on nerves) • Peripheral neuropathy (e.g., from diabetes or vitamin B12 deficiency) • Rheumatoid arthritis or other inflammatory conditions (usually have joint swelling too) Since it is bilateral and night-dominant, carpal tunnel is the most probable diagnosis.

She need to evaluate first, check nerve sensitivity, vitamin b12 level and d3 also.feel free to connect for further management.

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need a few more details please consult for further evaluation and treatment