Hi There My Name is Chris.

I’ve created a blog post to help anyone out who might need help discover why they are acquiring a tingling sensation in their hand or hands constantly. All it will take is about 5 minutes to read through this post and hopefully it can give you some vital advice to help you on the road of ridding this niggling annoyance once and for all.

About 12 months ago my mother’s friend started to get a slight tingling sensation in her right wrist; the tingling feeling would come and go usually when she’d finished work. She was a secretary to a Managing Director in a local company who duty was to type many letters and documents that had been dictated by her boss and the board members of the company’s. After a few months the tingling started to get more severe and constant until it came to a time where she was struggling to use her right hand at all. I remember her telling me that she never realised how much she relied on her hand as her ability to do simple chores like the cooking, the washing up, driving were all made the more difficult. Her ability to work was seriously compromised. Her doctor gave her a course of anti-inflammatory drugs. This seemed to ease the tingling slightly but once she had completed the course the uncomfortable sensation would come back. It made her realise that there was some form of a mechanical problem associated with her hand and that some form of intervention or specialist consultation was needed. After a few appointments with her doctor she was referred to a hand specialist but she had to wait a further 6 weeks for an appointment. She tried her best to bring the appointment forward through contacting the Consultants medical secretary but her local Hospital claimed that the waiting lists on the NHS were so long that there wasn’t any possibility for her to be seen sooner. She enquired about the likelihood of her appointment being brought forward if a cancelation did occur on one of his clinics but the Medical Secretary said she’d put her on the cancelation list but forewarned her against any high expectations as he had many patients waiting already for an appointment should one present its self.
She was resided to the fact that she’d have to wait the 6 weeks; one day she was explaining her frustration to my mum, my mum told her to get in contact with me as I work in the Healthcare sector at the BMI Private Hospital in Huddersfield. When we first met I asked her if she had already had a Nerve Conduction Study test performed on her hand in the last 12 months. She replied that she hadn’t and that she didn’t know what a Nerve Conduction Study test was. I explained that it was a neurophysiological test that is performed on the hand; the test would measure the nerve impulse function of the hand and arm to determine the cause of what was causing the tingling sensation in her hand. I said that the test could pin point the cause route of her tingly hand by diagnosing one or many impairment causes; such as Carpal Tunnel Syndrome, Ulna Nerve entrapment, Ganglions etc. I also informed her that it might not be a functionality physiological problem and that the test could pick up on a number of homeostatic conditions such as diabetes where the excess glucose could be damaging her nerve endings leaving her to chance of further long term complications to her hand and possibly her upper limbs. The test could give an early indication of a thyroid onset problem too.
If she hadn’t felt worse about having to wait six weeks to see the Consultant before- she did now. Now there was a possibility there could have been a problem that needed to be investigated sooner rather than later. Now I did manage to pick up her spirit though with the fantastic advice and info from my knowledge of referral pathways of which I was so heavily involved with. I informed her that it was highly probable that the consultant would see her and then refer her to a neurophysiologist to get the NCS test performed before he could determine the course of treatment she required. But she’d have to wait a further 3 to 4 weeks after seeing her consultant for the test; then it could probably take another week for the results to be ready. Once the results would be ready she’d have to wait for her follow up appointment with her consultant who if an operation was required she’d then be placed on the waiting list for an operation. I calculated the number of weeks she would have to wait if she needed an operation, and at best it’d take up to 12+ weeks before a decision was made to operate or not. This got her down too as she was struggling as it was with her hand being rendered useless and she had started to get a burning sensation in and around her hand as well. It wasn’t just her chores and work that was taking an impact but her psychological state too as the pain and the prospect of long time on a consultant’s waiting list was wearing her down. This meant she just couldn’t spend or do the activities with her friends and family that she enjoyed.

With me working in the Healthcare sector I gave her a suggestion that could help her save a bit of time off her waiting list if a procedure was required. I said that I could arrange for a neurophysiologist to do the NCS test for her within the next 10 days and that he could e-mail the results directly to her within 3 days after the test. Her results would show both the test readings and a findings summary so that when she had her consultation she would already be proactive and have a set of test results available to present to him so he could determine straight away if she needed an operation or not. The only downside was that she’d have to pay for the test to be done privately and she was expecting me to say that the cost would be around the £500 and plus mark. I expressed I’d go away and discuss with the consultant the best possible price for her. To my surprise the neurophysiologist had quoted a price of £350 which was £200 cheaper than what she was expecting and the way she was feeling £350 was a small price to pay to get her on the way to recovery.
So she received her appointment through me to see a Dr Choudhary who is a qualified clinical Neurophysiologist who works at a NHS Trust in the Stoke-on-Trent. With Dr Choudhary having clinics all across the UK he said he could organise a clinic at the BMI Huddersfield to accommodate for my mothers friend. She was seen within the week and the appointment only lasted 30mins. Dr Choudhary helped put her to ease throughout the test and was very helpful with answering the questions she had, she managed to get all my concerns and worries off her chest as she seemed to have ample time with the 30 minutes allocated to her, something she appreciated as her NHS appointments before usually lasted around 5 to 8 minutes at best. Better still the test results were e-mailed to her within 3 days so she printed the test results and presented them in time for her initial consultation. The findings suggested that she needed a Carpal Tunnel Decompression operation where the Consultant would ease the pressure around the collection of nerves where the nerve sheath was inflamed by making a tiny incision based on the location on her arm based on the results produced by Dr Choudhary. On reflection she realised that she’d saved around 8-9 weeks in waiting time for an operation based on my suggestion to be pro-active and to get a NCS test done before her initial consultation.
Looking back she wish she’d spoken to me 6 months prior to getting a NCS test, as this would have indicated the development of a Carpal Tunnel Syndrome in her right hand. This would have saved her the time, worry and hassle of trying to cope with the use of one hand due to the uncomfortable feeling she was getting due to the tingling and eventual burning sensation she had to endure in her hand. Afterwards I thought to myself that it could have been worse; what if it had been an early indication of diabetes or thyroid and she’d wasted 6 months going through the process of figuring out the main reason as to why there was a tingling feeling in her hand. My advice to anyone is if you’re suffering with any symptoms or dysfunction in your hands as she did then please email me on christopher.morris3@nhs.net I’d like to think that I’m here to help you out with any questions or worries that you have. I will kindly speak to Dr Choudhary to see if you need to have a NCS test or not so that you obtain a more accurate test result to determine and diagnose what is going on with your hands and upper limbs. As my mum’s friend had found a tingling sensation or burning sensation could indicate one of many diagnosis’s that need to be acted upon sooner rather than later.

Hi there, just carrying on from my previous blog; I’ve made a quick piece on the possibilities that can cause the feeling of constant tingling in the hands.  The five causes that I’m looking in to could have been brought in to effect due to structural or physiological damages made to the body at one time or other.

One cause of making your hands tingle is atherosclerosis, this is a condition where hardening of the arteries occurs when fat, cholesterol, and other substance deposits build up in the walls of the arteries. These deposits are called plaques and over a period of time, these plaques can block the arteries.  This has an effect on causing your hands to tingle as it restricts the blood supply to the area causing this sensation to occur.

Frost bite is a condition where there is damage to the skin and underlying tissues caused by extreme cold temperatures. This too has a restricting effect on the blood supply of the body area to cause a tingling, numbness or a burning sensation to occur.  Remember that this could be damage to the underlying tissue and/or on the surface our skin that has experienced frost bite, the frost bite could appear to have healed but the damage underneath could be causing continuing effects on our hands.  Another condition where a lack of blood supply can cause a physiological problem is vessel inflammation (vasculitis).

Abnormal levels of calcium, potassium, or sodium in your body is another trigger for your hands to experience a tingling sensation.  This is usually where your body is losing these vitamins and minerals either through passing urine or via a deficiency in your blood.  A nerve conduction test wouldn’t recognise this but a pathological blood test would.

Another cause would be certain medications that you might currently be using, once again if you’ve noticed any sensation such as tingling, numbness or burning then please consult your doctor immediately.

Over time excess amount of substances in to your body could lead to your nerve endings being damaged.  Substances such as lead, alcohol, tobacco and chemotherapy drugs can transpire this to happen.

Alcohol neuropathy is where an individual has damaged their autonomic nerves (those that regulate the internal body functions) and the nerves that control our movement and sensation.  This is caused through chronic alcohol abuse over a number of years.  It is likely to be caused by the nerve being poisoned by the alcohol or it has been the effect of poor nutrition which can occur due to alcoholism.

An excess of tobacco use can do the similar effect as alcohol neuropathy as the nerves in the body can be damaged due to consistent exposure of tobacco over a long period of time.  Usually the nerve pain and nerve damage is caused from peripheral neuropathy.  This is a disorder that occurs when nerves malfunction due to the damage they have received or that they have been destroyed from the excess toxicity from substances like alcohol and tobacco and other drugs that are used such as chemotherapy as an example.

Hi there,  during the time my mothers friend had been suffering with an episode of tingling hands I’ve investigated in to a lot of information as to the possible causes of the tingling feeling people experience in their hand.  To my surprise there was more than a couple of causes of why I was suffering.  I’ve gone through the list and grouped them per blog.

The first cause is staying in the same position like sitting or standing for a prolonged period of time can be what triggers your hands to tingle.  This can occur when the weight of your body is pressing the limb on to another object like another body part or a chair.  This prolonged pressure squashes the nerves so that the impulses going through your neural pathway are affected.  This causes your body to inform you with a response of numbness, tingling or burning sensation in an area of your limb.  Tendency is that this wears off after a short while when you move your body position to relieve the built up pressure but if the effects are still there a few hours later then it might be worth looking in to through your doctor or physician.

You may have incurred an injury to the neck or the back.  If the sensation is down the arm this could suggest that it is a neck problem.  Or if the sensation is running down your leg then this could be a problem with your back.  The reason why the pain isn’t noticed in a local area in your neck or back problem is that you are experiencing what is known as referred pain.  The nerves are reacting to a problem in a different area of the body from where the root cause is.  This is because the neural pathway that runs away from the source of the damaged area responds further down the pathway and signals the problem further along the neural pathway towards the nerve end.  Hence the pain or tingling sensation has been referred to another part of the body where the nerve pathway tends to end.

Herniated discs in the spine are a classic example where a dysfunction in the body mechanics can cause a body object to compress against the nerve.  As seen in the previous two causes, nerves don’t like to be touched let alone compressed for a period of time.  A nerve conduction study test could pin point this out straight away so that your doctor can refer you to the ideal specialist, even if it’s a case of Physiotherapy treatment at least it will save you from going to one practitioner and then to the next until you find the right one.

 

When there is pressure exerted on the peripheral nerves this could be a sign of either a infection, tumor, scar tissue or an enlarged blood vessel.  The fact that a underlying tumor could be the cause of your tingling hands was a worry and something that I wanted to investigate as soon as possible.

Another cause for your hands to tingle is an early onset of shingles where a virus attacks your nerves in the body which has remained dormant since you’ve had chicken pox (if you’ve experienced chicken pox before)  herpes zoster infection is the more clinical name for this type of condition.