Pins and Needles in Hands

pins and needles in hands at night

The numbing sensation felt in limbs is most frequently described as pins and needles. Paresthesia is the medical name for pins and needles. In most cases, the impacted party feels no pain, and just small pain – it might likewise hamper acts associated with the influenced area, like clutching or walking. Normally pins and needles in hands is a short-lived sign, nevertheless in uncommon cases it can be chronic. This post explored the reasons for pins and needles in hands too how it is detected and dealt with.

Reasons for Pins and Needles in Hands

Every human being feels the annoying results of this syndrome in their hands, feet and even both. Typically, it is benign and idea of as a simple inconvenience, and just strolled off. Different elements lead to pins and needles- for instance, resting with curved arms beneath the head can trigger the sensation or crossing the legs for a prolonged duration can also apply pressure to the nerves, triggering pins and needles. In these cases, the numbing feeling is neutralized by easing off the pressure on the arms or legs.

In rare cases, the irritating sensation may persist longer than typical- in this case not looking for medical help is practically a primary sin. Much like most syndromes, the earlier the cause is exposed, the better the possibility of preventing a possible lifelong issue.

The worrying causes for pins and needles are:

Peripheral Neuropathy

Peripheral neuropathy is a nerve disease that assaults the peripheral anxious system. Given that the nerves are harmed due to this illness, the pins and needles syndrome persists until dealt with.


In this condition, peripheral neuropathy is a complication occurred by diabetes, and happens when the blood has excessive glucose, causing nerve damage.

Vitamin Deficiency

Since nerves require a certain amount of nutrients to work optimally, a lack of vitamins can cause nerve damage, which leads to paresthesia. The vitamins you do not have may be Vitamin B12 and Vitamin B6.


Heavy consumption of alcohol over time starts to damage nerves, leading to paresthesia.

Trapped Nerves

Carpal tunnel syndrome, perennial nerve palsy and radical nerve palsy are all consisted of. In fact, carpal tunnel syndrome is among the most frequent conditions affecting the upper limb. It can cause irritation, pain, pins and needles and often deteriorates the hand. The pain has actually been understood to trigger a disruption while sleeping too.

Systemic Diseases

Liver condition, kidney disorders, blood diseases, amyloidosis, chronic swelling and connective tissue conditions, hormonal imbalances (consisting of hypothyroidism) and growths can all lead to tingling sensations in hands.

Herpes Zoster

The preliminary symptoms for herpes zoster infection are headaches and fevers, followed by paresthesia.


The numbing impacts of anesthesia have been known to continue long after administration of the drug. It is sometimes irreversible.


Some medicines have been known to be the source of nerve damage. Typically, the issue is addressed by stopping the medicines. Some medications associated with paresthesia include, chemotherapy medicines (for breast cancer and lymphoma) and antiretroviral– which are made use of to treat HIV/AIDS.

Other Causes

  • Chemotherapy has been known to cause neuropathy in approximately 30-40 % of the patients.
  • Any physical injury, like frostbite may cause neuropathy, and thus persistent paresthesia.
  • Contaminants from heavy metals like lead or mercury can likewise cause neuropathy.

Medical diagnosis of Paresthesia (Pins and Needles in Hands)

To detect paresthesia, it is necessary to remember case history and nutritional routines of the patient. Generally diagnosis starts with identifying the part of body affected by paresthesia. Often physicians ask whether the signs are associated with one or both sides of the body. They likewise question the sensation of the detected region.

Keeping tabs on the experience throughout the day is likewise valuable in diagnostics, it is important to note if the feeling exhibits any modification. Retracing your footsteps is likewise an excellent method to identify paresthesia- events in the day like workout, tension, medication and nutritional practices can assist underline the source.

An assessment of case history is also suggested, as illness like diabetes or perhaps physical trauma have been linked to paresthesia. A closer inspection of the work environment can narrow down the medical diagnosis, as chemicals like nitrogen oxide and carbon monoxide cause paresthesia.

Stress and anxiety and anxiety ought to also be kept under control to avoid the pins and needles feeling; antidepressants can be used to minimize the result. Keeping an eye on dietary and smoking habits is not only vital for a longer life, it is likewise imperative to stopping paresthesia.

Treatment of Paresthesia (Pins and Needles in Hands)

pins and needles in hands and feet all the time

Pins and needles in hands with pain

The treatment of paresthesia is entirely depending on the diagnoses. For momentary paresthesia, the diagnosed location can be eased by moving or extending the impacted limb. For paresthesia created from migraines, medications like aspirin or ibuprofen are advised by physicians.
In chronic cases, like paresthesia due to diabetes or chemotherapy-induced peripheral neuropathy, the treatments target at relief from the numbing feeling.

For severe cases of pins and needles in hands, doctors in some cases prescribe antidepressant drugs like amitriptyline; however, the dose is fairly lower than for patients who show anxiety. Considering that anti-depressant drugs are concentrated on changing the patient’s perception of pain, they are thought about beneficial for people dealing with paresthesia. Drugs such as codeine are in some cases administered to patients suffering from severe paresthesia.

For paresthesia caused by vitamin deficiency or lack of nutrition, dietary treatment can be practical in curbing the signs of paresthesia. An example of nutritional treatment is the B complex vitamin supplementation. The drawback, however, is that while vitamin supplementation can be helpful, if done too much, an overdose of Vitamin B6 can happen, which is among the reasons for paresthesia.

Because alcohol is likewise a cause of paresthesia, avoiding alcohol needs to be an obvious decision for anyone struggling with paresthesia.
Various procedures like acupuncture and massages likewise relax the nerves and are thought to minimize the impacts of paresthesia.
Capsaicin including ointments are also known to help, in addition to fragrant oils.

Last modified: August 8, 2016


The Author

Reyus Mammadli

As a healthy lifestyle advisor I try to guide individuals in becoming more aware of living well and healthy through a series of proactive and preventive measures, disease prevention steps, recovery after illness or medical procedures.

Education: Bachelor Degree of Medical Equipment and Electronics.

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