### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
A few months ago, I noticed the middle finger on my left hand started getting stuck in the closed position when I would wake up in the morning. I also noticed there is a small bump at the inner base of that finger. After doing some research online, I found that this might be pointing toward arthritis (specifically trigger finger ). I am 33 years old, so this seemed odd to me, but I made a mental note and went about my business. Plus, it started getting a little better as time went on. Recently, I ve found that anytime I sleep on my left arm it starts to go numb and tingle (it falls asleep ). This has been going on for about a week, or so. And, for a couple of days within that timeframe, my left pinkie finger would tingle throughout the day. That sensation has gone away, but my arm still falls asleep when I lay on it. I am young (33), athletic (slender/muscular 230lbs, 6 5 ) and have always thought of myself as a generally healthy person, but this is starting to worry me a bit. I have thought this might be stress related, as I ve been working long hours at work, or that maybe I just need to get more sleep, as I am lacking in that area, as well. Any thoughts or recommendations would be appreciated. Thank you!

### output:

HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, You seem to have a complex problem from the disturbed forearm compartments, mostly due to the-overwieght issues with service spondylitis/ and due to the hypothyroid entrapment of the forearm nerves / or could be due to the? Rheumatic nodule with synovitis, on the base of the left-hand middle finger / or could be due to the accompanied dupeutrans contracture, which may start like this/ or due to the psoriasis teno-synovitis of the left hand. All these possibilities would need to be ruled out by check up with and Second Opinion from your Physician or with your Orthopedic doctor/ or Sports doctor, as you are an athlete. Remedy-1-Check out with Ortho-Surgeon and Physician team if need be, would be needed to find out the cause of the stuck middle finger with nodule at the base of the left middle finger. Only after proper X-ray and CT study of the indicated parts as advised from OrthoSurgeon, you could get the correct treatment either with the medicines and or with the surgical correction if need be.2-At 33 with 6ft 5 inches, you are still overweight, though muscular, and need to reduce on at least 20 kg to reduce the load on the hormonal system, which appears to be stressed with the stressed immune system, which seems to be causing this teno-synovitis or rheumatic problem in your upper arm and hand. Hope this reply would help you to resolve your sever anxiety. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS