My right hand is tingling. like little needle points.

Paresthesias: Paresthesias refers to tingling secondary to nerve irritation. One of the most common causes for paresthesias in the hand is carpal tunnel syndrome. The next would be an ulnar neuropathy. And lastly the differential would include cervical spine disease. Vascular disorders would be unusual as both hands would likely be involved. Similarly, a peripheral neuropathy prefers the lower extremities.

Carpal tunnel?: As dr. Mccarren said, carpal tunnel syndrome is probably most likely. If you have a job that requires repetitive most of your right wrist, cts is more likely. Cts symptoms are commonly worse in the am when you get up and classically, the fingers that are most symptomatic are your thumb, index and middle fingers. Besides the other things he mentioned, it could also be tendinitis or bursitis.