Numbness & Shocking in the Fingers
Numbness and shock-like electrical sensations in the fingers can cause discomfort and lead to difficulty picking things up or weakness in the fingers. Nerve problems generally cause these symptoms. The burning, tingling or prickling sensations, called paresthesias, need evaluation if they last more than a few minutes. The sensations may come and go when you change position and take the pressure off a nerve or increase blood flow to the fingers. Three nerves cause symptoms in the hand: the median, radial and ulnar.
Potential Causes
Temporarily compressing the nerves that lead to the fingers can cause tingling or numbness in the fingers 4. Decreased blood flow can cause a similar sensation. This sensation, known as "pins and needles," normally lasts just a few minutes. More serious nerve compression can occur from damage in the nerves leading from the spine or neck down the arm to the fingers. Ulnar nerve compression can cause problems with your little finger and half of the ring finger, for example, according to the American Academy of Orthopedic Surgeons 5. Diabetes, stroke, carpal tunnel syndrome, problems with the cervical discs in your neck, infection or trauma also can damage nerves, as can vitamin B-12 deficiency, toxins and abnormal calcium levels.
Diagnosis
Signs & Symptoms of Pinched Nerves in the Arm & Neck
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Because so many different disorders, including medical diseases such as diabetes, can cause numbness and tingling in the fingers, see your doctor if your symptoms persist 246. Diagnosing nerve problems often requires specialized testing that traces the movement of electrical impulses down the nerve into the fingers. Slower-than-normal conduction of nerve impulses can indicate nerve compression along the route. Tests used to determine nerve damage includes nerve conduction velocity tests and electromyograms, also known as EMGs.
- Because so many different disorders, including medical diseases such as diabetes, can cause numbness and tingling in the fingers, see your doctor if your symptoms persist 2.
- Diagnosing nerve problems often requires specialized testing that traces the movement of electrical impulses down the nerve into the fingers.
Treatments
Surgery can release entrapped nerves from being compressed in some cases. If diabetes or other systemic illnesses are causing nerve damage, treating the disease will help improve the symptoms. If your doctor can pinpoint the source of nerve damage, he may be able to tell you how to avoid it. Hand rests, splints and avoiding certain positions, such as leaning on your elbows, can help relieve numbness and tingling in some cases 26.
- Surgery can release entrapped nerves from being compressed in some cases.
- Hand rests, splints and avoiding certain positions, such as leaning on your elbows, can help relieve numbness and tingling in some cases 2.
Complications
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Numbness and tingling can result in injury if you drop something you're trying to pick up 26. You also may have decreased sensation in the fingers, which can result in a burn if you can't accurately sense that an object is too hot to pick up. Around 50 percent of all diabetics have nerve damage, according to the American Diabetes Association; if you have diabetes, you may develop nerve damage in other parts of your body as well over time 3.
Related Articles
References
- NetDoctor UK; Tingling and Numbness in my Fingertips; May 2011
- Better Medicine: Tingling Fingers
- American Academy of Orthopedic Surgeons: Ulnar Nerve Entrapment
- MedlinePlus; Numbness and Tingling; April 2011
- Burton C, Chesterton LS, Davenport G. A painful tingling hand. BMJ. 2016;355:i6386. doi:10.1136/bmj.i6386
- U.S. National Library of Medicine, MedlinePlus. Stroke. Updated December 31, 2019.
- Meyer P, Lintingre PF, Pesquer L, Poussange N, Silvestre A, Dallaudière B. The median nerve at the carpal tunnel … and elsewhere. J Belg Soc Radiol. 2018;102(1):17. doi:10.5334/jbsr.1354
- U.S. National Library of Medicine, MedlinePlus. Radial nerve dysfunction. Updated December 2, 2019.
- American Academy of Orthopedic Surgeons, OrthoInfo. Brachial plexus injuries. Reviewed June, 2015.
- Ghaly B, Ghaly S. The use of neuromuscular ultrasound and NCS/EMG testing in the differential diagnosis of carpal tunnel syndrome and radiculopathy. Neurodiagn J. 2019;59(1):23-33. doi:10.1080/21646821.2018.1553873
- National Institute of Neurological Disorders and Strokes. Peripheral neuropathy fact sheet. Updated August 13, 2019.
- Christensen H, Cordonnier C, Kõrv J, et al. European Stroke Organisation guideline on reversal of oral anticoagulants in acute intracerebral haemorrhage. European Stroke Journal. 2019;4(4):294-306. doi:10.1177/2396987319849763.
- Azhary H, Farooq MU, Bhanushali M, Majid A, Kassab MY. Peripheral Neuropathy: Differential Diagnosis and Management. American Family Physician. 2010 Apr 1;81(7):887-92.
- Blumenfeld H. Neuroanatomy Through Clinical Cases (2nd ed.). Sinauer Associates, Inc.; 2011.
Writer Bio
A registered nurse with more than 25 years of experience in oncology, labor/delivery, neonatal intensive care, infertility and ophthalmology, Sharon Perkins has also coauthored and edited numerous health books for the Wiley "Dummies" series. Perkins also has extensive experience working in home health with medically fragile pediatric patients.