Why is my hand tingling?

Most people have experienced a tingling or dead hand in the middle of the night that settles quite quickly upon moving.  This is commonly related to a combination of a decreased blood pressure at night and an awkward position further reducing blood supply to the nerves.  By moving the affected limb blood flow is increased and the tingling settles quite quickly. 

 But what about tingling at other times, especially if it continues?  There are a number of potential issues that could be the cause of this sensation, such as:

Carpal Tunnel Syndrome

Cervical nerve root (radiculopathy)

1st rib dysfunction (thoracic outlet syndrome)

 Carpal tunnel is a restriction of the median nerve as it passes through the carpal tunnel on the palm side of your wrist.  It is often worse at night.

Cervical nerve root radiculopathy is dysfunction of a nerve as it leaves the spinal canal at the cervical spine.  This can also be associated with pain, weakness and numbness in the affected limb.

1st rib dysfunction relates to the area where the nerve branches from the cervical spine (the brachial plexus) pass between the scalene muscles and 1st rib.  Tightness of the scalene muscles can elevate the 1st rib causing irritation to the nerves of the brachial plexus.  This problem is commonly posture related. 

So tingling in the hand could be due to a number of potential issues.  It is important to thoroughly assessed so that the appropriate treatment may be commenced.

If you’re looking for a physio in Brisbane, Fortitude Valley, New Farm and surrounding suburbs the team Physio on Brunswick can help. Call us on 3252 5277 to arrange your appointment or pop in to meet our friendly reception team for assistance. 

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