Condition
My fingers keep falling asleep. It is happening more at night and I am starting to wake up from it.
What we hear from numbness & tingling patients on the first call.
What it is
Numbness and tingling are nerve symptoms. Where you feel them tells you which nerve and where the trouble is. Upper extremity symptoms point to the cervical spine. Lower extremity symptoms point to the lumbar spine. Some carpal tunnel and tarsal tunnel mimics live further out from the spine.
What causes it
Disc compression on a nerve root, postural compression of the nerves at the thoracic outlet, carpal or tarsal tunnel entrapment, diabetic neuropathy. Foudy always screens for carpal tunnel as a courtesy even if you came in for back pain.
How we diagnose and treat it
Full neurological screen: dermatomes mapped, reflexes tested, Wartenberg pinwheel for pinprick. Imaging at the level of suspicion. If it is disc-driven, decompression. If it is muscular entrapment, the adjustment plus stretch lab. If it is peripheral, we refer to the right specialist.
Symptoms we look for
- Pins-and-needles in fingers or toes
- Numbness that follows a specific pattern (thumb and index, or pinky)
- Symptoms worse at night
- Weakness gripping or pushing off
Cost
First visit: $90. Adjustment-only follow-up: $90.
Timeline
Mild radicular numbness often resolves inside 2–4 weeks. Long-standing numbness with weakness takes longer and may not fully reverse. The goal is to stop progression and recover what we can.
Pillar service
Accu-Spina spinal decompression is often the workhorse for this condition.
91% success rate on candidate cases over 12 months of in-practice data.
Read about Accu-Spina decompressionRelated conditions
Sciatica
Pain that radiates from the lower back down one leg, often with numbness or tingling.
Neck pain
Stiffness, soreness, or sharp pain in the neck, often with a "knot" that keeps coming back between the shoulder blades.
Herniated disc
A disc between two vertebrae bulges or ruptures and presses on a nearby nerve.