Left hand and arm pain at night

[PoloQT]

Lately, I have been awakened  by pain and numbness/tingling in my left hand  5-6 after falling asleep.  It s painful enough that I am unable to sleep, even though I am getting exhausted from this.  I am writing this after being up for about 2 hours and the pain remains.   I had hoped it would resolve itself, since I only experience this at night.  I wonder if it could be related to a severe head injury suffered exactly 2 months ago.  I was kicked in the head by a horse (trampled, actually) and was barely conscious--that is, I don't remember anything until the next morning when I woke up at the hospital.  I was told I had been somewhat responsive (told them I was going to throw up; told them they were hurting me when they shaved part of my scalp to put in staples, etc.)  Anyway, they did a CAT scan of my brain, neck, spine, and pelvis and found them to be OK.   Three weeks later,  I was still having dizzy spells upon standing or leaning forward, as well as when lying down with my eyes closed.  I did a follow up last  with a neurologist who had me get an MRI and an EEG.  He found the results to be typical for someone in ther 60's (I am 59).  He said there were dots/spots on the brain which were "probably" mini-strokes.
I am active and work out 4-5 times a week.  I am about 5-10 lbs. overweight (wear about a size 6-8).  I do not drink or smoke, and my BP is 118/78 consistently.  

Could my hand numbness/pain be a result of this head injury?  Should I go back to my neurologist?

[caregiver222]

Your pain is consistent with a condition known as a subluxion injury, common after a blow causing sudden flexure of the neck. The first line of treatment is provision of intermittant axial traction, eight to fifteen minutes at a time, every hour or so the first few days, then diminishing in frequency, along with anti-inflammatories. Most physicians start with a regimin of a steroid, then switch to Ibuprufin. Others only recommend Ibuprifin. A cervical collar is contraindicated. This condition is also common after a "whiplash" injury, and tends to get worse and more painful munless traction therapy is utilized.

[Dr. Kokil Mathur]

Hi
Welcome to the forum!
The hand numbness and pain can be due to brain injury or even due to the mini strokes in your brain. Another possibility is pinched cervical spinal nerve. While you were trampled by the horse, there is a possibility that your cervical spine too suffered some injury or the nerves got compressed. The nerve compression can also cause dizziness. Hence a MRI of the cervical sine would also be required.
Yes, you should consult your neurologist regarding this.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!