For the last few days you have had a pins and needles feeling in both your pinkie ring fingers its also slightly numb what can this be?

Potential causes of a pins and needles feeling in both pinkie ring fingers, accompanied by slight numbness, could include:

- Ulnar nerve compression: The ulnar nerve is responsible for providing sensation to the ring finger and half of the little finger on each hand. Compression or entrapment of the ulnar nerve, often at the elbow or wrist, can cause pins and needles and numbness in these fingers. This condition is commonly known as cubital tunnel syndrome.

- Carpal tunnel syndrome: Carpal tunnel syndrome occurs when the median nerve is compressed at the wrist. While it typically affects the thumb, index, middle, and half of the ring finger, it can occasionally involve the entire ring finger.

- Peripheral neuropathy: This refers to nerve damage in the peripheral nervous system, which includes the nerves outside of the brain and spinal cord. Conditions like diabetes, vitamin deficiencies (especially vitamin B12), alcohol abuse, certain medications, and certain medical conditions can cause peripheral neuropathy, leading to tingling and numbness in the fingers.

- Cervical spine issues: Problems with the vertebrae or discs in the neck (cervical spine) can affect the nerves that supply the upper limbs, leading to symptoms like numbness in one or both pinkie fingers.

- Radial tunnel syndrome: This is less common than carpal tunnel syndrome and involves the compression of the radial nerve as it passes through the forearm and into the hand. It can cause numbness in the back of the hand and the base of the thumb, sometimes extending to the ring and middle fingers.

- Thoracic outlet syndrome: Thoracic outlet syndrome occurs when blood vessels or nerves in the area between the collarbone and the first rib are compressed. This can cause symptoms such as numbness, tingling, or weakness in the arm and hand, potentially involving the ring finger.

- Vasculitis: Vasculitis refers to inflammation of the blood vessels. Some forms of vasculitis can affect small blood vessels in the hands and feet, leading to symptoms like numbness and tingling.

- Raynaud's disease or phenomenon: Raynaud's disease is a condition characterized by reduced blood flow to the extremities, such as the fingers and toes. Episodes can cause the affected areas to feel cold, numb, or tingly.

If you're experiencing persistent or worsening symptoms, it's important to consult with a healthcare professional for a proper diagnosis and appropriate treatment. They may perform a physical examination, order imaging tests, or conduct nerve studies to determine the exact cause of your symptoms.