The treatment of hand numbness in middle-aged and old people, including drug treatment, surgical treatment, etc., should be decided according to the specific cause of the disease, considering cerebral hemorrhage, cervical spondylosis, carpal tunnel syndrome and so on. 1. Cerebral hemorrhage: cerebral hemorrhage is a kind of primary non-traumatic intracerebral hemorrhage, there will be hematoma and bruise in the brain, and the compression of nerves at the lesion will cause hand numbness. If the amount of bleeding is small, medication can be chosen. If the amount of bleeding is large, surgical treatment is needed, and the commonly used surgical methods are craniotomy hematoma removal and decompression of bone flap. 2. Cervical spondylosis: cervical spondylosis is based on degenerative disc disease, the herniated disc will cause numbness after compression of the nerve root, you can choose to relax the muscles of the drug treatment, such as cloxacosazone, epirubicin, you can also use methylcobalamin, vitamin B12 and other drugs to nourish the nerves. Surgical treatment is needed for more severe symptoms, including anterior decompression and fusion. 3. Carpal tunnel syndrome: is the median nerve in the carpal tunnel pressure caused by nerve compression can also cause hand numbness, you can choose to nutritional nerve drugs, such as vitamin B12, methylcobalamin, the more serious symptoms can also be lifted by surgical methods of compression, including open carpal tunnel decompression and endoscopic carpal tunnel decompression and decompression surgery. Hand numbness in the middle-aged and elderly should be symptomatic treatment for the cause of the disease, the above drugs need to be used under the guidance of a doctor, can not be used blindly.