
Waking up with numb hands is a common issue, often caused by sleeping on your arm or hand, or sleeping in an awkward position that puts pressure on a nerve. This can cause a temporary lack of blood flow to the hands, resulting in numbness or pins and needles. Usually, changing your sleeping position will relieve these symptoms. However, persistent numbness in your hands could indicate a more serious underlying medical condition, such as carpal tunnel syndrome, peripheral neuropathy, or cervical spondylosis. If you are experiencing persistent numbness, it is important to seek medical advice to determine the cause and receive appropriate treatment.
How to wake my severely numb, tingling, and sleeping hand:
| Characteristics | Values |
|---|---|
| Sleeping position | Avoid sleeping on your hands, stomach, or with your wrists bent at extreme angles |
| Pillow and mattress | Use a supportive yet soft pillow and mattress to reduce pressure points in the neck or shoulders |
| Wrist brace | Wear a wrist brace to bed to help stabilize your wrist during sleep |
| Medical attention | Seek immediate medical attention if numbness occurs with other symptoms like weakness, difficulty speaking, or a severe headache |
| Vitamin deficiency | Consult a doctor to check for vitamin B-12 or other vitamin deficiencies that can cause numbness |
| Nerve compression | Avoid sleeping positions that compress nerves, such as sleeping with your arm under your pillow |
| Carpal tunnel syndrome | Consult a doctor to check for carpal tunnel syndrome, especially if you have wrist injuries or perform repetitive hand motions |
| Peripheral neuropathy | Consult a doctor to check for peripheral neuropathy, a condition involving damage to the peripheral nervous system |
| Medical tests | A healthcare provider may perform various tests, including blood count, vitamin level tests, and nerve function tests, to determine the cause of numbness |
| Treatment | Treatment options may include changing sleeping positions, wearing splints or braces, medication, or surgery in severe cases |
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What You'll Learn

Sleeping positions
Sleeping on your hands or arms can cause numbness and a "pins and needles" sensation. This is usually caused by nerve compression or damage. Adjusting your sleeping position can alleviate pressure on your hands and wrists.
If you are a back sleeper, you should aim to maintain the natural curves in your spine from your head to your hips. Use a pillow that cradles your neck without placing your head too high or too low. This will protect the nerves that travel from your neck into your arms and hands. You can place a small pillow under each elbow to allow your shoulders to fall back naturally against the mattress and your arms to rest in a neutral position. This will also decrease the urge to put your arms up over your head, reducing pressure or tension on the nerves. You can also place a pillow under your knees to maintain the curve at the base of your spine and decrease pressure on your lower back and knees.
If you are a side sleeper, the goal is to maintain a level line from your neck to your hips. Place your hand on your thigh, and avoid putting your hand under your pillow—the weight of your head can put pressure on the nerves. You should also avoid sleeping on your stomach, as this has been associated with nerve compression.
If you are experiencing persistent numbness or tingling in your hands, you should consult a doctor to rule out any other issues.
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Carpal tunnel syndrome
Numbness in the hands can be caused by various factors, and it is often nothing to worry about. However, if the numbness is persistent and interferes with your sleep, it may be a symptom of an underlying condition such as Carpal Tunnel Syndrome.
The symptoms of Carpal Tunnel Syndrome include wrist pain, tingling, numbness, and weakness. These symptoms often first appear at night and may wake you up. Over time, the symptoms may start affecting your daily life, making it difficult to hold or control objects. The pain associated with Carpal Tunnel Syndrome can feel like sharp, burning stabs or a constant ache, and it usually feels like it's coming from inside the hand or wrist rather than the skin surface.
If you suspect you have Carpal Tunnel Syndrome, it is important to consult a healthcare provider. They will examine your medical history and perform a physical exam, and they may recommend electrodiagnostic tests to stimulate and assess the muscles and nerves in your hand. Treatment options for Carpal Tunnel Syndrome range from non-invasive treatments such as splinting or hand therapy to surgical procedures, depending on the severity and persistence of the condition.
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Vitamin deficiencies
Vitamin B-12 deficiency is a common cause of numbness in the hands. This is because vitamin B-12 is essential for nerve function, and its absence can lead to nerve conduction problems and nerve damage. The pins-and-needles feeling in the hands or feet, medically known as paresthesia, can become permanent if left untreated.
Vitamin B-12 is also crucial for the production of red blood cells, which are responsible for transporting oxygen to the organs. A deficiency in this vitamin can lead to a reduction in red blood cell production, resulting in less oxygen reaching the organs and causing symptoms such as shortness of breath and fatigue.
Other symptoms of vitamin B-12 deficiency include:
- Oral problems
- Confusion
- Irritability
- Cognitive impairment, including difficulty thinking or reasoning and memory loss
- Pale skin and jaundice
- Heart palpitations
- Anemia
- Movement problems, including clumsiness and weakness
Vitamin B-12 is naturally found in animal products such as fish, meat, eggs, milk, and cheese. It is also added to certain plant-based milk and breakfast cereals. For those who follow a vegetarian or vegan diet, it is important to consume vitamin B-12 through fortified foods or supplements.
If you suspect that your numb and tingling hands are due to a vitamin B-12 deficiency, it is important to consult a healthcare professional. They may recommend altering your diet to include more vitamin B-12 or taking supplements. In some cases, further tests may be required to determine the underlying cause of the deficiency.
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Nerve damage
Sleeping positions that put pressure on the hands, arms, or elbows can lead to nerve compression and restricted blood flow, resulting in numbness and tingling sensations. Side sleeping is considered the least likely position to cause hand numbness, as long as the wrists are kept straight.
Underlying medical conditions, such as carpal tunnel syndrome, cervical spondylosis, or TOS (a group of disorders involving irritated, injured, or compressed nerves in the lower neck and upper chest), can also cause nerve damage and numbness in the hands. Wrist injuries, whiplash, and even injuries as far away as the neck can affect nerve function in the hands.
Vitamin deficiencies, such as a lack of vitamin B12, can contribute to nerve damage and numbness. Certain medications, such as cancer treatment drugs, are also known to cause tingling and numbness in the hands.
If you are experiencing severe or persistent numbness and tingling in your hands, it is important to consult a healthcare professional. They can perform a thorough examination, including medical history, physical exams, and specific tests, to determine the underlying cause and provide appropriate treatment. Treatment options may include changing sleeping positions, wearing wrist braces, hand therapy, vitamin supplements, medication adjustments, or, in some cases, surgical procedures.
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Medical conditions
Numbness in the hands can be a symptom of many different medical conditions, ranging from mild and temporary to serious. The most common cause is damage or compression of the nerves in your hand. This can occur as a result of sleeping in a position that puts pressure on your arm or hand, such as sleeping on your stomach or with your arms overhead.
However, there are other medical conditions that can cause chronic circulatory problems or nerve damage, leading to ongoing hand numbness. These include:
- Carpal tunnel syndrome: This is caused by compression of the median nerve in the carpal tunnel, a narrow passageway on the front of your wrist. It is often associated with repetitive hand motions, obesity, or wrist trauma.
- Cervical spondylosis: This condition involves the narrowing of the cervical spine, which places pressure on nerve roots or the spinal cord. It is commonly caused by everyday wear and tear on the spinal discs in the neck as people age.
- Transverse myelitis (TOS): This is a group of disorders that develop when nerves or blood vessels in the lower neck and upper chest area are irritated, injured, or compressed.
- Peripheral neuropathy: This refers to several conditions that involve damage to the peripheral nervous system, which sends signals between the central nervous system and the rest of the body. There are over 100 types of peripheral neuropathy, and symptoms depend on the nerves affected.
- Fibromyalgia: This condition can cause numb hands and forearms, often with aches and pain. The muscles causing these problems are usually those in the neck and shoulder regions.
- Vitamin B-12 or other vitamin deficiencies: Deficient levels of certain vitamins and nutrients can affect proper nerve function.
- Ganglion cysts: These are noncancerous lumps that grow along the joints or tendons in the wrists or hands. If a cyst presses on a nerve, it can cause hand numbness.
- Herniated disc: A herniated disc can put pressure on spinal nerves, leading to hand numbness.
- Tumors, infections, or enlarged blood vessels: These conditions can cause nerve pressure and subsequent hand numbness.
- Alcoholism: Heavy alcohol use is often associated with a poor diet, which can lead to deficient levels of vitamins and nutrients necessary for proper nerve function.
If you are experiencing persistent hand numbness or other symptoms, it is important to consult a healthcare professional for a thorough evaluation and appropriate treatment.
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Frequently asked questions
If you are experiencing severe numbness, it is best to seek immediate medical attention. Your doctor will be able to determine the cause of your symptoms and advise on the best course of treatment.
There are several reasons why your hand may be experiencing numbness. The most common cause is due to the temporary compression of nerves during sleep, such as sleeping on your arm or hand, or in an awkward position. Other causes include carpal tunnel syndrome, nerve damage, vitamin deficiency, or an underlying medical condition.
If the numbness is persistent, accompanied by other symptoms like weakness or tingling, or if it occurs frequently without an obvious cause, it is important to seek medical attention.
There are a few things you can try to relieve the numbness in your hand. Firstly, try adjusting your sleeping position and using pillows to alleviate pressure from your nerves. You can also try exercises such as fist clenches and wrist rotations to improve blood circulation and grip strength.











































