Tingling in Hands: Exploring Causes and Potential Remedies
By Dr. Nayana Shetty +2 more
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By Dr. Nayana Shetty +2 more
Table of Contents
Feeling a tingle in your hands? It may be more than a minor annoyance and could signal an underlying health issue. That is why it is important to understand the possible causes and known when to see a doctor. In this article, we’ll explore why you experience tingling in the hands and discuss potential management options.
This article highlights the main reasons behind hand tingling, ranging from common causes like diabetes, vitamin deficiencies, and pinched nerves to less-known ones like vasculitis and Guillain-Barré syndrome. We will also discuss the role of autoimmune disorders and infections, along with possible management strategies to guide you.
What does tingling in your hands feel like? Most people describe it as a “pins-and-needles” sensation. It can accompany numb hands, aching pain, or weak muscles. Let’s understand what tingling really is and why it happens.
Tingling is a prickly or itching sensation. It may not always be painful, but it does cause discomfort. It is also important to understand that tingling in your hands and feet now and then can be normal, but if it keeps happening or is always there, it could point to a serious underlying health problem.
Hand tingling is usually perceived as
Tingling of the hands may be caused by many factors. It could be a temporary problem or may point to a bigger underlying problem. Let’s look closer at some likely causes of tingling in the hands.
Diabetic neuropathy is nerve damage caused by high blood sugar levels. It often affects the hands and feet and is characterised by tingling sensations in the extremities4. Therefore, managing diabetes and maintaining normal glucose levels is essential to reduce the risk of developing further complications.
Group B vitamins are key for supporting nerve health. If you’re deficient in these (especially vitamin B12), your peripheral nerves might be affected and cause hand tingling1.
When surrounding tissues put too much pressure on a nerve, it can become pinched, leading to tingling or numbness in the area that nerve serves1. Changing your body position or undergoing physiotherapy may relieve the symptoms.
Carpal tunnel syndrome is a common condition, where the median nerve in the wrist is compressed, causing tingling and numbness in the hands and fingers2. To help reduce carpal tunnel symptoms, wear wrist splints and adopt ergonomic practices to keep the wrist straight.
If kidney function is impaired, waste products can build up in the bloodstream and damage the nerves. This nerve damage can result in a tingling sensation in the hands5. Therefore, it is crucial to manage kidney diseases and maintain a healthy lifestyle.
Swelling and fluid retention during pregnancy can put pressure on certain nerves, sometimes causing tingling in the hands2. Simple measures such as changing hand positions, gentle stretching, and adequate rest may help ease discomfort.
Some drugs may damage the nerves, which can trigger a tingling sensation in the hands and feet. Consulting a doctor may help determine the most appropriate management plan.
Pain, numbness, or tingling in your thumb, index finger, middle finger, and part of your ring finger may be a sign of carpal tunnel syndrome. If it worsens at night or after a particular activity, it should not be ignored.
Dr. Ashish Bajaj, M.B.B.S., M.D. in Clinical Pharmacology and Toxicology
Some autoimmune and infectious diseases may also cause tingling in the hands. In autoimmune conditions, the body’s immune system mistakenly attacks its own cells (including the nerves, leading to a tingling sensation). In infections, the immune system attacks the invading germs, but the resulting inflammation may affect the nerves, causing a tingling sensation1.
Autoimmune disorders may lead to hand tingling if the immune system mistakenly attacks nerves or the tissues that support them. Identifying autoimmune disorders early and managing them well may help lower symptoms. Autoimmune disorders that may be associated with hand tingling include:
Rheumatoid arthritis is an autoimmune condition that triggers joint inflammation3. This may lead to hand tingling, especially in the wrists. To manage it, doctors may suggest pain-reducing medicines, anti-inflammatory medications, and physiotherapy.
Multiple sclerosis occurs when your immune system attacks the protective layer of the nerves, which is called myelin. This can cause nerve damage, bringing about tingling and numbness in the limbs, face, and other parts of the body. Detecting and managing this disease early may help to slow it down.
Lupus is an autoimmune disorder that can harm various body parts and cause nerve inflammation, leading to tingling sensation in the hands. Managing it involves taking medications and making lifestyle changes.
Celiac disease is an autoimmune disorder in which eating gluten damages the small intestine. It may cause hand tingling due to celiac neuropathy, sometimes even without digestive system symptoms. Following a strict gluten-free diet may help manage the condition.
Some individuals may develop a rare disorder called Guillian Barre syndrome after an infection like a stomach infection or the flu. The syndrome first starts as weakness and tingling in the hands and feet and then spreads, causing whole-body paralysis. In this condition, the immune system of the body starts attacking the nerves1.
If the tingling sensation in your hands does not go away in a few minutes or repeatedly appears over a few days, then it could be because of an additional condition or nerve damage. If you have been in an accident or think you have had an injury, seek medical help even if you don’t have any visible injuries.
Dr. M.G. Kartheeka, MBBS, MD(Pediatrics)
Infections can sometimes set off nerve inflammation, resulting in hand tingling. Thus, managing the infection correctly is key to possibly reducing related symptoms. Infections that may be associated with hand tingling include:
Ticks transmit Lyme disease, a bacterial infection. If not managed, it can affect the nervous system and cause hand tingling6. Timely treatment with antibiotics may help control the infection and possibly reduce the tingling sensation.
The varicella-zoster virus can reactivate and trigger shingles6, a painful rash caused by damaged nerve fibres. If it affects the nerves of the hands and arms, you may feel tingling and itchiness. Antiviral medications may help in reducing the rash’s duration and intensity.
Hepatitis B and C are viral infections that mainly affect the liver. If untreated, they can lead to inflammation, cirrhosis, or liver cancer and trigger peripheral neuropathy, resulting in occasional hand tingling. Identifying these conditions and managing them is essential to prevent their progression.
HIV weakens the immune system, increasing the chance of other infections and cancers. If left unchecked, it can worsen and severely damage the immune system6. The virus may also affect the nervous system, causing tingling and numbness. Managing and monitoring HIV in time is of paramount importance to help slow disease progression and help reduce complications like nerve-related tingling.
This bacterial infection affects the skin, nerves, and respiratory tract6. When it affects the nervous system, it can bring about tingling or numbness in the affected body parts, including the hands. Early diagnosis and treatment with appropriate antibiotics is important.
There may be other reasons for experiencing tingling in your hands, as follows:
Hypothyroidism occurs when the thyroid gland fails to make enough thyroid hormones. In severe cases, it may damage the nerves7, leading to tingling and numbness in the hands and feet. Its management usually includes thyroid hormone replacement therapy.
Some toxins and chemicals act as neurotoxins, harming the nervous system and causing tingling or other symptoms1. Avoiding heavy metals, industrial chemicals, and toxic substances may help reduce the chance of nerve damage.
Fibromyalgia brings about body-wide muscle pain, fatigue, and mood shifts. Some patients with fibromyalgia might feel tingling in their hands. Medications, exercise, stress reduction, and sleep hygiene may ease these symptoms.
Ganglion cysts are liquid-filled bumps that mostly arise around the joints. They can press against nearby nerves, causing tingling in the hand or fingers8. Treatment options include aspiration, immobilisation and, in some cases, surgery.
With age, changes in the cervical (neck region) spine can cause worn-out spinal discs, bone spurs, or arthritis. If these press on the spinal cord, they can lead to worsening neck pain and numbness or tingling in the arms and legs9. Possible management options may be physical therapy, drugs, or surgery.
Raynaud’s phenomenon affects blood flow to the hands and feet. Cold temperatures or stress can cause blood vessels to constrict, reducing blood flow, and leading to numbness or tingling in the fingers and toes. Warming the affected areas, avoiding triggers, and certain medications may help manage the symptoms.
Long-term alcohol use can damage nerves, leading to tingling in the hands and feet10. Cutting down on or quitting alcohol, improving the diet, and seeking medical support may help manage this condition.
Finding the root cause of hand tingling is key to proper management. Always consult a healthcare provider for diagnosis and management. They will consider your overall health, medical history, family history, lifestyle, and symptoms to identify possible causes.
Your healthcare provider may use different tools to find the exact cause of hand tingling, as follows:
Once the root cause is identified, your healthcare provider may advise the best way forward, which may include:
Managing stress, regular exercise, a healthy diet, and good sleep hygiene may help keep hand tingling away.
Depending on the cause, prescription drugs, over-the-counter remedies, or vitamin supplements may be advised by your doctor to help manage your symptoms.
Physical therapy, chiropractic care, massage therapy, acupuncture, or other alternative options may be able to offer relief for tingling hands1.
Important: Treatment must always be done as per your healthcare provider’s advice. Self-diagnosis and self-medication must be avoided at all costs.
If you have frequent occurrences of hand tingling, especially with other worrying symptoms, you should consult your doctor as soon as possible.
Watch out for symptoms like swelling in the limb or poor limb strength, numbness, dizziness, or breathing problems, along with hand tingling, as they can indicate serious conditions. In such a case, you need to consult your doctor immediately.
The earlier you find the cause of hand tingling, the better. Timely management may reduce symptoms and stop further issues.
Rarely, hand tingling or numbness might hint at a life-risk event, like a stroke or heart attack. If you experience symptoms like face drooping, slurring of speech, shortness of breath, cold sweats, or discomfort in the chest, neck, jaw, or stomach along with hand numbness11, call an ambulance at once.
Following healthy habits and taking appropriate steps to address the root cause may keep hand tingling at bay.
Adopting simple lifestyle changes can support overall health and may help reduce hand tingling. Some helpful practices include:
A diet with a lot of vitamins and minerals may keep nerves healthy. It may also help reduce vitamin deficiency that often triggers tingling.
Regular workouts and good body posture may help avoid pinched nerves. It may also boost blood flow in the body, reducing the chance of hand tingling.
Lowering your stress levels may reduce the chance of conditions that can trigger hand tingling.
Working with your healthcare provider to manage existing conditions (like diabetes and autoimmune disorders) may help reduce tingling.
Hand tingling may result from temporary issues or more serious underlying causes. Identifying the cause is key to finding the most suitable management options and may also help prevent further health complications. Adopting healthy lifestyle habits, addressing existing conditions, and seeking timely medical advice can support overall well-being and may help reduce tingling in the hands.
Worry about hand tingling when it persists, gets worse, or is accompanied by other concerning symptoms, such as swelling, poor limb strength, numbness, dizziness, or severe pain. You should see a healthcare professional for a proper check and management.
Tingling in the hands can be a symptom of carpal tunnel syndrome, which is common during pregnancy due to fluid retention. However, it’s best to consult a doctor to discuss all potential causes2.
Yes, tingling in the hands and feet can be a sign of dehydration. When the body lacks sufficient fluids, electrolyte imbalances can occur, affecting nerve function and causing tingling sensations in the extremities. Rehydration is crucial to alleviate such symptoms.
Yes, tingling in the hands can be a sign of anxiety. During periods of heightened anxiety or panic attacks, the body can experience symptoms like tingling or numbness in the extremities due to increased adrenaline and changes in circulation patterns.
Tingling in the hands in the morning can be due to sleeping positions that compress the nerves, such as sleeping on the arms or hands. The compression can temporarily reduce blood flow and cause tingling sensations.
Tingling in the hands itself is not usually painful; it’s often described as a pins-and-needles sensation or numbness. However, the underlying conditions that causing the tingling, such as nerve compression or neuropathy, can sometimes be associated with pain or discomfort in addition to the tingling sensation.
Vertigo itself typically does not cause tingling in the hands and feet. However, some conditions, such as multiple sclerosis (MS) or vestibular migraines, may cause both vertigo and tingling. It’s important to consult a healthcare provider to determine the underlying cause.
High cholesterol typically does not directly cause tingling in the hands. However, complications related to high cholesterol, such as atherosclerosis (narrowing of arteries due to plaque buildup), may lead to reduced blood flow to the extremities, potentially causing tingling sensations. Managing cholesterol levels through lifestyle changes and medications can help reduce the risk of such complications.
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
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