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Why Are My Fingers Numb?

From Dr. Z - Carpal tunnel syndrome specialist

Why Are My Fingers Numb?

Finger numbness (left hand or right hand) can be caused by many things. They range from a pinched nerves to diabetes to carpal tunnel syndrome. Having finger numbness can also be a sign of more severe problem, like a stroke.


Finger numbness is a partial or complete loss of sensation in your fingers. It’s actually a relatively common problem. For instance, your hand may “fall asleep” because you put pressure on a nerve without realizing it. This feeling will usually disappear once you change positions.


But if finger numbness doesn’t disappear or it gradually worsens, it may be a sign of an underlying health problem that may require medical treatment.




The chances of finger numbness occurring in your left hand versus your right hand are almost the same. There's a slightly greater chance numbness will occur in your dominant hand if you have carpal tunnel syndrome.


Some conditions, like vitamin B deficiency, are not too serious and can be reversed with oral vitamin supplements. Others, like stroke, carpal tunnel syndrome, or cervical spondylosis are more serious and should not be taken lightly. And you certainly should not wait to give your finger numbness the proper attention.


This article describes what finger numbness might feel like, where it occurs, and its duration. It also lists possible disorders that can cause numbness and what other signs to watch for.

pins and needles in the hand and fingers

What the numbness can feel like

Finger numbness can feel differently from one person to another. But all numbness represents a type of paresthesia. That means an abnormal sensation due to nerve injury.


The numb feeling means your skin is not as sensitive to touch. This abnormality is often accompanied by feelings described as:


  • pins and needles
  • prickling
  • itching
  • crawling bugs
  • tickling
  • burning
  • falling asleep
  • hot or cold skin

Primary Causes of Finger Numbness

1. Poor positioning

man sleeping with his hand under his head

One of the primary causes of finger numbness is poor positioning of your hand. The two main nerves supplying the hand (median and ulnar nerves) run close to the skin surface at certain points. That’s where they are susceptible to temporary injury. 


The median and ulnar nerves are close to the skin at the wrist joint. The ulnar nerve is also close to the skin at the elbow. This means if you press on your wrist or elbow (or bend them) for prolonged periods of time, you can temporarily damage one of the nerve. Leaning on you elbow or “funny bone” which causes pinky numbness is an example.


The commonest way to damage these nerves is when you sleep. Cradling your head or pushing your elbows into the mattress (while sleeping on your back) are easy ways to cause temporary nerve damage and subsequent finger numbness. Of course, adjusting your sleeping position can eliminate the finger numbness.

2. Stroke

man with a droopy mouth corner, indicating a stroke

A stroke (also called "cerebrovascular accident" or CVA) means there's insufficient blood going to part of your brain. Finger or hand numbness due to stroke is unlikely, but it’s also very serious. If the numbness is sudden and you have any of the other symptoms listed below, call your doctor or emergency services immediately. Rapid response can save your life. 


Remember the acronym B.E.F.A.S.T. as follows:

  • B = Balance: Does the person feel a sudden loss of balance? Are they having difficulty walking? 
  • E = Eyes: Does the person have blurry/double vision, trouble seeing, or vision problems without pain?
  • F = Face drooping: Does one side of the person’s face or mouth seem lower than the other (see picture)?
  • A = Arm weakness: Does the person have weakness in one or both arms?
  • S = Slurring speech: Is the person having trouble speaking or is it hard to understand them (they may sound drunk).
  • T = Time to call 911: If any of the above happens, get medical attention fast. Call 911. Say you think it’s a stroke so the hospital can prepare a team.

3. Carpal tunnel syndrome

graphic of where carpal tunnel pain, numbness, and tingling appear on the hand

Carpal tunnel syndrome is caused by damage to the median nerve. Therefore, the hand or finger numbness (left hand or right hand) will occur where the median nerve is present, as shown by the diagram.


When carpal tunnel syndrome first begins, the numbness usually is most pronounced at night, while trying to sleep. As the condition advances, the numbness persists into the daytime.


Other symptoms associated with more advanced or "severe" carpal tunnel are finger or hand pain, burning, shooting electric shocks, hand weakness, hand clumsiness, and loss of dexterity.





Carpal tunnel syndrome is usually attributed to overuse of your hands. That's why people in certain occupations are infamous for having this condition. They are:



Aside from "risky jobs", other risk factors increase the probability of having carpal tunnel syndrome, These include being pregnant, having rheumatoid arthritis, diabetes, wrist fracture, and being under emotional stress.


It's important to understand which harmful finger and hand activities can cause carpal tunnel syndrome. They include prolonged gripping, wrist bending, and repetitive finger movements to name a few. The entire list of harmful activities is found here.


Carpal tunnel syndrome can be treated with 85-95% success using non-surgical techniques. Occasionally, carpal tunnel release surgery is needed, but the success rate is about 50%.

4. Cubital tunnel syndrome

surgical scar following cubital tunnel syndrome surgery

Similar to carpal tunnel syndrome, cubital tunnel syndrome causes hand or finger numbness. But it results from damage to the ulnar nerve. This causes finger numbness (left hand or right hand) in the little finger and half of the ring finger.


The ulnar nerve is also the nerve that runs close to the skin at the elbow. This "funny bone" reacts when you lean on it for a long time (or hit it), resulting in tingling on the pinky side of your hand.


Other symptoms of cubital tunnel syndrome are forearm pain. Weakness in the hand is also common, primarily when the elbow is bent. 


Treating cubital tunnel syndrome depends on its severity. Mild conditions can be treated with physical therapy and massage. More severe conditions may require surgery.

5. Thoracic outlet syndrome

diagram showing the thoracic outlet

Thoracic outlet syndrome is a term used for several different disorders that affect the blood vessels and nerves in the neck and shoulders. It's thought to originate as a repetitive stress injury that results in compression of the thoracic outlet. This is the opening between your upper chest and lower neck, through which nerves and blood vessels pass. 


The compression around the thoracic outlet presses against the blood vessels or nerves. This results in pain, swelling, tingling, and finger numbness (left hand or right hand). Symptoms are especially pronounced when you raise your arms. 


Thoracic outlet syndrome is a very common disorder, affecting up to 8% of the population.  And it's more common in women than men.




Other symptoms of thoracic outlet syndrome include:


  • Weakened hand grip
  • Cold arms, hand, and fingers
  • Arm swelling
  • Blue or pale color in the hand and fingers


You can tell if you have thoracic outlet syndrome by doing this series of self-tests. A partner is required to help perform the tests.


Most instances of thoracic outlet syndrome can be treated non-surgically with thoracic outlet syndrome exercises. More severe symptoms may require surgery to loosen the tissues from being compressed.

6. Diabetes

finger stick for diabetes testing

Diabetes creates problems all over the body. It results in starving the nervous system of nutrients. This causes nerve damage or neuropathy (more accurately, "diabetic neuropathy").


Diabetic neuropathy can cause hand or finger numbness in the left or right hand (or both). However, sometimes the entire arm is involved. Other times, the numbness may be in the feet and toes. 


Other symptoms of diabetic neuropathy may include:

  • Weakness
  • Pain
  • Burning
  • Pins and needles
  • Loss of balance

Diabetic neuropathy can be treated with some success using medicines. Additionally, by reducing the symptoms of diabetes, the neuropathy also diminishes. This occurs with good glucose management, proper diet, regular exercise, and medicines, 

7. Vitamin B deficiency

B vitamin capsules

Nerves require vitamin B (especially B12) to stay healthy. So, a B vitamin deficiency can lead to nerve injury. That results in hand or finger numbness (left hand, right hand, both feet).


Usually, vitamin B12 deficiency includes other symptoms such as:

Magnesium and potassium deficiency are also known to result in numbness when blood levels are low. Vitamin B12, magnesium, and potassium can be supplemented orally. Usually, numbness will diminish or disappear afterward.

8. Certain medicines

anticancer drug Oxaliplatin

A number of medicines are known to cause neuropathy. They result in hand or finger numbness (even foot numbness). It's a side effect of the medicine, and doctors usually warn patients of the potential problem.


Nerve damage (neuropathy) can be a side effect of drugs that treat everything from cancer to seizures. It can affect both your hands and feet.


The drugs most commonly recognized to cause hand or finger numbness (left hand or right hand) include:

Most people have other symptoms of nerve damage caused by medicines (or drug-induced neuropathy). These include:

  • Tingling
  • Weakness
  • Abnormal feelings in the hands

9. Cervical spondylosis

diagram of cervical spondylosis

Cervical spondylosis is a general term that includes wear and tear of the spinal disks in your neck due to age. The disks eventually dehydrate and shrink. This creates signs of osteoarthritis and bone spurs.


Cervical spondylosis is very common, and it gets progressively worse. It's estimated that over 85% of people over 60 years old are affected by it to some degree.


Most people experience no symptoms from cervical spondylosis. But when symptoms do occur, several non-surgical treatments can be effective.


People with cervical spondylosis frequently experience some of the following additional symptoms:

  • Weakness in the hands, arms, feet and legs
  • A popping sound when moving the neck
  • Headaches
  • Muscle spasms in the shoulders or neck
  • Loss of coordination and balance
  • Losing control over the bladder or bowels

10. Raynaud's phenomenon

white finger syndrome

Raynaud's phenomenon (or syndrome) can cause finger numbness (left hand or right hand). Even your toes can get numb due to this disorder. 


It usually occurs as a feeling of coldness along with numbness if you're exposed to emotional stress or cold temperatures. Also, the tips of the fingers become blanched or white, causing "white finger" as in the photo.


The cause of this disorder originates in the small blood vessels in your skin. They narrow in diameter (called "vasospasm"), which limits blood flow to the skin. This results in paleness, coldness, and numbness. Often, pain accompanies these symptoms.


Doctors treat Raynaud's disease depending on how severe it is. It also depends on what other health problems you may have. 

11. Alcohol-related neuropathy

young black woman drinking whiskey

Drinking alcohol in moderation is generally safe. But too much alcohol intake can be toxic. It may result in tissue damage all over the body. 


Nerves are especially susceptible to alcohol toxicity. That's why people who drink in excess, especially chronically, risk nerve damage. This can result in tingling or numbness in the fingers, hands, and feet.


The other symptoms of alcohol-related neuropathy are:

  • Muscle weakness
  • Pins and needles feeling
  • Erectile dysfunction
  • Muscle spasms or cramps
  • Difficulty controlling urination

The alcohol toxicity can usually be alleviated by reducing or eliminating the alcohol intake. Certain medicines can also help manage the symptoms. 

Other rarer disorders

The following disorders are rarer than the ones listed above. However, they are known to cause hand or finger numbness. Left hand or right hand distinctions are not necessarily relevant.


Conclusions

There can be a number of reasons you have finger numbness. Numb fingers in your left or right hand generally is not as serious as numbness in both hands. Once you pinpoint which fingers are involved, you can determine which nerve is causing the numbness. Then, you can narrow down the possible candidate conditions and treat accordingly.

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