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Nurse Mandy
Nurse Mandy, Nurse
Category: Health
Satisfied Customers: 498
Experience:  LPN since 2000. Experience in Orthopedics, Dermatology, Cardiology & Ear Nose and Throat
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Tingling sensation in right hand, fingers, and arm

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I have developed tingling sensation in my right hand, fingers, and arm. It feels like they are falling "asleep". I recently began working long hours hanging dry wall, mudding dry wall, and sanding on my job.

Did not have prior to this change in my routine. No injury or strain in my upper neck or shoulders. No diabetes. Lipid levels are within normal range. I have noticed some of the same beginning in the left arm. After about 4 hours sleep it gets so bad it wakes me up.

Thanks.

Thank you for using JustAnswer. I am happy to help you with your concern today.

First let me give you a little information on your neck. Your neck has 7 bones that are called vertebrae. Discs sit between each vertebrae. The discs in your neck are shock absorbing sacks that contain jelly like fluid. Think of them like a water balloon. If you just hold it it is round, if you push on it a little it flattens out but if you push too hard it ruptures. A disc bulge is like you pushing on the water balloon, where it flattens but does not burst. When the disc bulges it can press on a nerve. This is what a pinched nerve is, or it can bugle into the spinal canal this can cause spinal stenosis. This is also known as a herniated disc. You have joints on each vertebrae called facet joints. The nerves come from the middle of the vertebrae from the spinal cord.

Even though you do not recall an injury or strain to your neck, it sounds as if you have a pinched nerve in your neck. You do not have to have neck pain to have a pinched nerve.

A pinched nerve can present symptoms of arm pain, numbness/tingling and weakness that can begin at your neck or shoulder blade and radiate down your arm to your fingers.

The good news is a lot of the time these can correct themselves. Things you can do to help are rest the neck as much as possible. Take an anti-inflamatory medication on a regular basis. I suggest 400mg of ibuprofen three times a day with food (watch for stomach upset) Some basic neck stretches/exercises can also be beneficial. Here is a link for you. http://physicaltherapy.about.com/od/flexibilityexercises/ss/NeckStretches.htm

If after 2 weeks your symptoms do not improve or if the worsen before that then you should see your doctor to have a MRI of your neck done. Sometimes formal physical therapy is needed or steroid injections into the neck. Surgery is only needed in severe cases and should be a last resort.

If you have any further questions please let me know. I hope you get relief soon. Have a nice day.

Customer: replied 5 years ago.
I understand all about herniated discs, have had lower back problems before. Could this sudden onset be in anyway connected with increased use of specific muscles being used that would effect the nerve or even blood flow to my extremities? Thanks.

If it was just a strained/pulled muscle your arm wouldn't feel asleep or tingling. You would just have point tenderness at the muscle itself. Decreased blood flow to your extremities is not likely either. Most likely this is a pinched nerve in your neck.

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