Treatment should be decided by a neurologist. Medications offered can include prednisone, intravenous gamma globulin (IVIG) and anticonvulsants such as gabapentin or gabitril, amongst others.

In some cases, rocking the head from side to side will painlessly remove the “pins and needles” sensation in less than a minute. A tingly hand or arm is often the result of compression in the bundle of nerves in the neck. Loosening the neck muscles releases the pressure. Compressed nerves lower in the body govern the feet, and standing up and walking around will typically relieve the sensation. ^[1]

An arm that has “fallen asleep” may also be “awoken” more quickly by clenching and unclenching the fist several times; the muscle movement increases blood flow and helps the limb return to normal.

In general;

• Immobilization
• Support vitamin deficiency
• Treat infections or diseases that may be underlying

• NSAIDs, acetominophin, epidural steroids (if severe)
• Painful peripheral neuropathies – treat with amitriptyline,desipramine, phenytoin, carbamezapine or topical capsaicin cram