Pins and needles in the fingers in Perth


Developing pins and needles into your hands and fingers can be quite concerning, at times disrupting daily activities or even waking you from sleep.

There are many different causes of tingling into your hands. While some pins and needles may develop following trauma with direct stress to nerves; others gradually appear. Overuse and poor posture can lead to shortening of muscles and increased pressure on nerves and joints. Impingement of different nerves can occur at many different places along the path of the nerve, including your wrists, elbows, neck, as well as various muscles. The location of the tingling in your hands suggests which nerve is likely to be involved.

Some causes of pins and needles into your fingers include:

  • Carpal Tunnel Syndrome
  • Thoracic Outlet Syndrome
  • Cervical Radiculopathy
  • Stingers/Burner€™s Syndrome

Chiropractors understand the paths of all nerves into your hands and through performing various tests will be able to determine the location of any impingement. Chiropractic are well trained in the examination of such symptoms and are able to detect the cause of your symptoms and treat it accordingly.

Treatment will depend on the cause of your nerve impingement. It may include manipulation/mobilisation of any joint from your neck through to your wrist, as well as lengthening of any muscles in the same region. Our chiropractors at Central City Chiropractic will address any external factors including ergonomics, as well as provide you with appropriate exercises to minimize the chance of your symptoms recurring.

Carpal Tunnel Syndrome


Carpal Tunnel Syndrome is a compression neuropathy which involves pressure placed on the median nerve as it passes through the carpal tunnel. The carpal tunnel is a passageway in your wrist through which the median nerve, blood vessels and tendons transit. Carpal Tunnel Syndrome typically presents with pins and needles in your thumb, index and middle fingers. You might also notice a clumsiness and weakness of your hand, with occasional referral of pain into your wrist, elbow and sometimes even shoulder. Often people report numbness and night pain, which is relieved by shaking of their hands. There are various causes of Carpal Tunnel Syndrome, with the most common being overuse of the wrists and fingers. Other causes include: trauma, local obstruction, and any systemic change which can cause generalised swelling (such as pregnancy, obesity and diabetes).

Our Chiropractors are well trained in the diagnosis and treatment of Carpal Tunnel Syndrome. They will perform an appropriate examination to determine the cause of your Carpal Tunnel Syndrome and treat it accordingly. Treatment options may include mobilisation or manipulation of the joints in the wrist, as well as stretching of muscles in the forearm. Advice on exercises and ergonomics which may provide further benefit and quicker recovery will be incorporated into your management.

Thoracic Outlet Syndrome (TOS) treatment Perth


The thoracic outlet is a passageway near your shoulder and collar bone (clavicle) through which nerves and blood vessels supplying your arms pass through. It can be associated with pain in your neck, chest and arms, as well as tingling into your fingers. There are many structures which can contribute to the presentation of thoracic outlet syndrome, and symptoms will vary depending on the cause, as well as the type of compression present. Thoracic outlet syndrome can be arterial, venous or neurogenic in nature, depending on what structures are being compressed. Arterial TOS can cause pain, numbness and cold intolerance, while venous TOS has been associated with deep chest, shoulder and arm pain as well as a feeling of heaviness and swelling. Neurogenic TOS can cause pain, numbness, tingling or weakness from your neck and chest down into your hands.Tight muscles, an elevated first rib and the normal variant of cervical ribs are just some of the causes of thoracic outlet syndrome. Treatment will be determined by the cause of the TOS but may include dry needling, muscle stretching, ischemic compression and adjusting. Our chiropractors at Central City Chiropractic are well trained in the examination and treatment of thoracic outlet syndrome and will be able to tailor a management plan accordingly.

Cervical Radiculopathy


Cervical Radiculopathy is the term describing a disorder in which the spinal nerves exiting through your neck are compressed. Compression occurs at the roots; with the cause varying. In younger patients it is often as a result of disc herniation or trauma, while in older patients degenerative changes occurring in your neck can result in the spaces through which the nerves exit becoming smaller. In both cases compression on these nerve roots is the result.

When suffering from a Cervical Radiculopathy common complaints include deep aching neck pain with sharp shooting pain into your shoulder, arm or hands. Numbness, tingling or weakness in your arms may also result. You may find that your neck motion is reduced and that certain movements as well as coughing, sneezing or straining may increase your symptoms.

If Cervical Radiculopathy is suspected your Chiropractor will evaluate your muscle strength, reflexes and sensation to determine which nerve root is likely to be involved. In some cases your Chiropractor may also send you for X-rays or other further investigations. Once the cause and extent of nerve root compression has been established your Chiropractor will develop a suitable and comprehensive treatment plan, including education and exercises; to help decrease any inflammation and compression on your nerves.

Stinger€™s/Burner€™s Syndrome


Stinger€™s/Burner€™s Syndrome is the term given to describe a compression or stretch injury to the brachial plexus. This syndrome is common in contact sports such as rugby, wrestling or football. A hit to the head or shoulder can cause overstretch or compression to the brachial plexus, resulting in damage to the nerves. The brachial plexus is a complex of nerves in your neck/shoulder region which the nerves running from your neck form on their way to your arms.

If suffering from a Burner€™s syndrome you may experience immediate sharp neck pain following a trauma, which may extend into your shoulder, arm or hand. Pins and needles, as well as weakness may also occur. If presenting to Perth™s Central City Chiropractic with a Burner€™s Syndrome your Chiropractor will first determine the extent of your injury and if any further investigations, such as X-rays are required.
Your treatment will initially focus on methods to decrease any inflammation present. Following this any residual injury will be addressed. This may involve work on the muscles and joints in your neck and shoulder region; with stretching, massage and joint mobilisation/manipulation all being possible treatment options.