Tingling and numbness in my fingertips

Question

I have been suffering over the last four days with a tingling and numbness in the fingertips of my right hand.
I am right handed.
My wife wants me to go to the doctor, she thinks it's something to do with poor circulation.
The condition is more uncomfortable than painful – but nothing I do seems to make it go away.
Can you give me any suggestions as to what might be the problem?

Answer

Sorry to hear you have this problem, but it's very unlikely to be anything to do with your circulation, as it is so well localised to your right hand.
Another thing people worry about with these sort of symptoms is a stroke, but I think that too is very unlikely.
With the symptom of numbness as well as tingling it sounds much more as if this is a nerve entrapment.
That means that somewhere along the line of the nerves that supply this part of your hand, there is some pressure on a nerve.
There are two likely places:
The neck is a possibility because the nerves that go to your hand exit the spine in the neck and travel down the arm into the fingers.
A bit of wear and tear, or even a bit if a twist to the ligaments here could cause pressure on the nerves that would then be felt as tingling and numbness in the fingers.
The other likely possibility is pressure in the wrist. The nerves to the fingers go through a small tunnel at the wrist to get into the hand – called the carpal tunnel.
Pressure here will produce similar symptoms.
Usually it is the middle fingers that are most affected. It can be worse at night and cause pain or discomfort that may wake you, or the hand may feel particularly numb and heavy first thing in the morning.
This condition is called carpal tunnel syndrome.
There are usually no serious reasons for these symptoms.
Nevertheless, it would be sensible to tell your doctor about them, so he or she can confirm the likely cause and advise you about treatment if that becomes necessary.
This may be the case if the symptoms do not soon settle on their own.
Yours sincerely
The NetDoctor Medical Team

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