Why do i often wake up with pins and needles really bad in my hands arm?

* Carpal tunnel syndrome: This condition is caused by compression of the median nerve in the wrist. Symptoms can include numbness, tingling, and pain in the hand and arm, especially at night.

* Ulnar nerve entrapment: This condition is caused by compression of the ulnar nerve at the elbow or wrist. Symptoms can include numbness, tingling, and pain in the hand and arm, especially when the arm is bent.

* Thoracic outlet syndrome: This condition is caused by compression of the nerves and blood vessels in the upper chest. Symptoms can include numbness, tingling, and pain in the hand and arm, as well as neck pain and headaches.

* Cervical spondylosis: This condition is caused by degeneration of the spine in the neck. Symptoms can include numbness, tingling, and pain in the hand and arm, as well as neck pain and headaches.

* Peripheral neuropathy: This condition is caused by damage to the nerves outside the brain and spinal cord. Symptoms can include numbness, tingling, and pain in the hands and feet.

If you are experiencing pins and needles in your hands and arm, it is important to see a doctor to determine the cause and get appropriate treatment.