why does my hand tingle when i wake up
Tingling hands, feet, or both is an extremely common and bothersome symptom. Such tingling can sometimes be benign and temporary. For example, it could result from pressure on nerves when your arm is crooked under your head as you fall asleep. Or it could be from pressure on nerves when you cross your legs too long. In either case, the "pins and needles" effect -- which is usually painless -- is soon relieved by removing the pressure that caused it. In many cases, however, tingling in the hands, feet, or both can be severe, episodic, or chronic. It also can accompany other symptoms. such as pain, numbness, and muscle wasting. In such cases, tingling may be a sign of, which can result from causes as varied as traumatic injuries or repetitive stress injuries, bacterial or, toxic exposures, and systemic diseases such as. Such is known as because it affects nerves distant from the and spinal cord, often in the hands and feet.
There are more than 100 different types of peripheral neuropathy. Over time, peripheral neuropathy can worsen, resulting in decreased mobility and even disability. More than 20 million Americans, most of them older adults, are estimated to have peripheral neuropathy. It's important to seek prompt medical evaluation for any persistent tingling in your hands, feet, or both. The earlier the underlying cause of your tingling is identified and brought under control, the less likely you are to suffer potentially lifelong consequences. is one of the most common causes of peripheral neuropathy, accounting for about 30% of cases. In, tingling and other symptoms often first develop in both feet and go up the legs, followed by tingling and other symptoms that affect both hands and go up the arms. About two-thirds of people with diabetes have mild to severe forms of. In many cases, these symptoms are the first.
My first recommendation to these patients is to avoid bending the wrist and elbow for prolonged periods at night.
How is this done? A simple wrist splint worn to bed can keep the wrist in a neutral position, which maximizes the diameter of the carpal tunnel, and minimizes chances of that nerve being pinched and awakening you. Similarly, a towel placed around the elbow, held with either tape or an Ace bandage, can be used to comfortably keep the elbow straight at night. I tell patients, "If you donБt irritate the nerve for 6-8 hours while youБre sleeping at night, it tends to be much less irritable to you throughout the day. " There are several non-surgical treatment options for carpal and cubital tunnel syndrome, such as splinting, anti-inflammatories, postural changes, and nerve gliding exercises ( and ). When these fail, surgery can oftentimes be very beneficial.
A research study published recently in the assessed the quality of sleep in patients before and after carpal tunnel release surgery. In a study of 398 individuals with carpal tunnel syndrome, they found that carpal tunnel release surgery significantly improved quality of sleep as rated by seven aspects. After carpal tunnel surgery, patients had: Improvement in daily functioning, concentration, and memory The benefits were seen almost immediately after surgery, and all 7 of these variables were significantly improved as soon as 2 weeks after surgery. Again, oftentimes carpal tunnel syndrome (and cubital tunnel syndrome) can be managed successfully without surgery. Unfortunately, non-operative management is not always successful. Surgical release of the compressed and pinched nerve can quickly decrease symptoms, and, it turns out, may make you feel much more rested. Click here to read more about and.
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