The most common presentation where the hand goes to sleep.
There are various causes.
Usually it follows a nerve getting pinched in the wrist or the inner side of the elbow.
Carpal tunnel syndrome is a situation where the nerve is pinched at the level of the wrist.
Often seen in females, both hands getting affected and disturbs sleep.
Tingling is in thumb , index and middle fingers or at times in all the fingers.
They may drop objects and find it difficult to hold a cell phone in the hand.
Initially they may be relieved with a wrist support called cock up splint.
If this does not help, the next stage is a single local steroid injection.
The persistence of symptoms in spite of these measures requires a short surgery of the palm where the flexor retinaculum is released.
Ulnar nerve compression. The patient gets tingling in ring and small finger usually when doing elbow bent activities ,like computer operation or driving a vehicle.Avoiding activities where the elbow is bent helps . if the symptoms are relentless , this may require surgery .While there are several options available,releasing the nerve from its location and anterior transposition over the length helps all the patients.