Given the symptoms and their persistence, it seems possible your issue might involve peripheral nerve irritation or entrapment which could be contributing to the tingling and fatigue in your hands. For instance, repetitive activities or positions during computer use could exacerbate something like carpal tunnel syndrome or even cervical radiculopathy. Your described scalp pulsing and eye symptoms might suggest some form of trigeminal neuralgia if the nerve involved in that region is irritated. However, after two years of ongoing symptoms, a comprehensive reassessment is recommended. If your initial neurological work-up (EEG, MRI) didn’t address the peripheral nervous system in enough detail, further imaging of the cervical spine to rule out any spinal disc issues might be beneficial. An electromyography (EMG) can also evaluate for nerve damage outside of the central nervous system.
Considering your irritable bowel symptoms, there is a chance of a systemic or autoimmune condition contributing to nerve issues, like celiac disease or fibromyalgia, which could require a rheumatology consultation. Since you’re on nerve medication and vitamin B12, re-evaluating your current levels and possibly consulting a neurologist for a medication review considering the chronicity could help. Lifestyle modifications, like ergonomic adjustments to minimize strain during computer use, and physical therapy to strengthen and relieve nerve pressure points, may also provide some relief. It would be beneficial to schedule an appointment with your doctor to reassess these symptoms, considering the ongoing nature and impact on your daily life.
Hello
Persistent tingling and hand fatigue for two years after a neurological event, especially when worsened by computer use and relieved by rest, most commonly points to nerve irritation or compression rather than a progressive brain disease. Since your EEG and spine MRI were normal, serious structural conditions are less likely, but ongoing peripheral nerve or functional nerve issues can still cause chronic symptoms.
One common cause is Carpal Tunnel Syndrome or another repetitive strain–related nerve compression, particularly when symptoms worsen with keyboard or mouse use. Another possibility is Peripheral Neuropathy, which can produce tingling, fatigue in the hands, and fluctuating sensations. In some people, lingering nerve hypersensitivity after an injury or stress-related nervous system dysregulation can also maintain symptoms even when imaging is normal.
The pulsing scalp sensation and eye tingling without vision loss are often related to nerve sensitivity or muscle tension around the head and neck rather than a dangerous neurological condition, especially when stable for two years.
What you should do next is arrange a follow-up neurological evaluation because persistent symptoms for this long deserve reassessment. The most useful tests now are typically nerve conduction studies (EMG/NCS), vitamin B12 and vitamin D levels, thyroid function, and possibly evaluation of posture and ergonomics if computer use is a major trigger. Many cases improve once the specific nerve irritation is identified and treated with targeted therapy, splinting, physiotherapy, or ergonomic adjustments.
Seek urgent medical care if you develop new red-flag symptoms such as progressive weakness, loss of coordination, vision loss, severe persistent headache, or difficulty speaking again.
Overall, the pattern you describe is usually chronic but manageable, and often related to nerve compression or irritation rather than permanent neurological damage.
Take care
Your symptoms suggest a chronic but likely non-progressive neurological and functional condition that began after the initial injury, especially since serious causes were ruled out by normal MRI and EEG. The persistent tingling in your hands and arms—worsening with computer use and improving with rest—points toward nerve irritation or compression (such as repetitive strain or mild peripheral neuropathy) rather than a central brain disorder. The scalp pulsing sensation and eye discomfort may be related to nerve hypersensitivity or tension-type headaches, while the associated irritable bowel symptoms and fluctuating intensity over time suggest a component of autonomic nervous system imbalance or stress-related functional disorder. Since symptoms have persisted for two years without worsening into severe deficits, this is reassuring and not suggestive of a dangerous progressive disease; however, it does require a targeted re-evaluation, including possible nerve conduction studies, vitamin levels (especially B12, D), and ergonomic/lifestyle assessment. In summary, your condition is likely manageable and not life-threatening, but improvement will require a combined approach of medical reassessment, nerve care, posture correction, and stress regulation rather than expecting spontaneous resolution.
