My right hand is numb tingling in the fingertips with throbing pain up to elbow no numbness anywhere else any ideas?

Carpal tunnel: If the tingling is in the thumb and first two finger it is most likely carpal tunnel or irritation of your median nerve.

Hard to say: There are many possible causes, but probably the most common are carpal tunnel syndrome (which is a pinching of the median nerve at the wrist), a pinched nerve in the neck, or a neuropathy. Usually a detailed exam and possibly a nerve conduction test can tell what the diagnosis is and what her options are. Thank you for the question.