Patients wake up with numbness and try to shake it out. Usually numbness or tingling symptoms first appear when trying to sleep at night. But the puffy feelings are just feelings there's no visible swelling or puffiness. Others say their hand or fingers feel puffy. Other patients report constant burning, itching or soreness. Bending your hand forward or back too far can produce finger numbness as well. These symptoms most often happen while holding a steering wheel, phone or newspaper. Sometimes the numbness or tingling can travel from your wrist up your arm. The electric shocks can shoot up the hand to the arm. Some patients may describe the tingling as electric shocks in the index, middle or ring fingers. Oftentimes, patients will describe a tingling or pins-and-needles feeling. Usually the fingertips are the first to feel numb or tingly. The most common early signs carpal tunnel are numbness or tingling (also called "pins & needles") in the hands or fingers. The early symptoms of carpal tunnel syndrome constitute the mild stage of the condition. But normally they appear within 6 months of each other. Symptoms on the opposite hand can start simultaneously. Doctors call this bilateral carpal tunnel syndrome. If symptoms start in one hand, then 80% of the time they'll also appear in the opposite hand. Symptoms may also linger in a mild form for a long time (usually up to a year) and then worsen suddenly. But in others it might take 2 or more years. For instance, some see symptoms go from barely felt to severe in just a couple months. The rate that symptoms worsen also varies. The time it takes for carpal tunnel to progress from mild to severe is different from one person to another. In contrast, overworked hands or wrist tendonitis symptoms usually appear while actually using your hands. In other words, they begin to appear when you're sleeping or sitting quietly. Unlike simple tired hands or even tendinitis, carpal tunnel symptoms first happen at rest.
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