A member asked:

What can i do about my hands falling asleep? it starts to hurt after a min and no matter what i do it doesn't go away in till its ready.

A doctor has provided 1 answer

The : The most common cause of hand pain and numbness is carpal tunnel syndrome. This is entrapment of the median nerve as it goes through the wrist. The median nerve supplies feeling to the palmar aspect of the thumb, index finger, middle finger and in most people half of the ring finger. Pain is typically worse at night. It usually affects both hands with the dominant hand more involved. A tinel sign is present. That is an electric shock feeling when the nerve is tapped at the middle of the wrist.The nerve also supplies the muscles that raise the thumb and bring it across the palm to allow you to pick things up. When cts progresses it can cause pain to radiate from the wrist up the arm and even to the shoulder. It is often seen during pregnancy, resolving after delivery. Arthritic changes at the carpal tunnel can contribute. There is a family tendency because development of cts is related to breadth and depth of the wrist. Early on the symptoms are relieved by wearing wrist splints or forearm massage. Later surgery to give the nerve more room by cutting the transvere carpal ligament relieves the complaints. Contrary to popular belief, using computers a lot does not cause carpal tunnel. The ulnar nerve or funny bone nerve runs down past the elbow and enters the hand through its own tunnel. It supplies the pinky and half of the ring finger. It is most often injured or entrapped at the elbow. Some people have an ulnar nerve that rolls in and out of the channel at the elbow. When that happens the nerve can be compressed by reading while leaning your elbows on the table or even during long phone calls. Emg test is the best way to determine which nerve is causing your problem and how serious it is. Good luck with your problem.

Answered 3/24/2018

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