3 Main Anatomical Changes That Can Cause Pins and Needles or Numbness in the Hands

Physiotherapist Robbie Braz

March 2025

Experiencing pins and needles or numbness in the hands can be concerning. Here are three common anatomical changes that may contribute to these sensations:


1. Nerve Compression

Compression of the nerves, particularly in the wrist (as seen in carpal tunnel syndrome), can lead to numbness and tingling in the hands. The median nerve can be compressed due to swelling, repetitive movements, or anatomical variations, resulting in symptoms that can radiate into the fingers.


2. Cervical Spine Issues

Degenerative changes in the cervical spine, such as herniated discs or cervical spondylosis, can affect the spinal nerves. When these nerves are compressed or irritated, they can cause radiating pain, numbness, or tingling sensations down the arms and into the hands.


3. Thoracic Outlet Syndrome

This condition occurs when blood vessels or nerves between the collarbone and first rib are compressed. Anatomical changes, such as an abnormal first rib or tight muscles, can lead to symptoms in the hands, including numbness and tingling, particularly when the arms are elevated.


Conclusion

Understanding these anatomical changes can help in identifying the causes of hand numbness and pins and needles. If you experience these symptoms, consulting a healthcare professional for a proper diagnosis and tailored treatment plan is essential

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