The pins and needles are not only in my hands they go up until my wrists, it occurs on both hands?

Doctor can evaluate: One's primary care doctor can examine the area to see if there is a problem with the wrist. The doctor may refer to a hand surgeon, physiatrist (physical medicine & rehabilitation), occupational medicine doctor, or a neurologist, to check for bone, joint, or nerve problems... such as with symptoms of carpal tunnel syndrome. Physical therapy may be needed, depending on what the doctors find.