
Waking up with tingling, numb, or “pins and needles” sensations in your hands is a common but often alarming problem. While many people assume it’s just a minor circulation issue, the cause frequently involves nerve compression in the wrist, neck, or shoulder — areas chiropractors address effectively.
At Family Chiropractic of Clark, we help patients identify the source of nighttime hand numbness and provide safe, gentle strategies for relief.
Why Hands Go Numb at Night
1. Carpal Tunnel Compression
Pressure on the median nerve in the wrist — often from sleeping with bent wrists — can cause classic carpal tunnel symptoms, including tingling, numbness, or pain in the thumb, index, middle, and part of the ring finger.
2. Neck and Shoulder Nerve Tension
Nerves that travel from the cervical spine through the shoulder and down the arm can become irritated or compressed, producing sensations in the hands, even if the wrist itself is healthy.
3. Sleeping Position
Bending elbows or wrists under your body, propping your head on one arm, or sleeping on your shoulder can compress nerves and reduce circulation.
4. Circulatory Factors
Although less common, poor circulation due to underlying conditions may contribute to nighttime tingling or numbness.
Quick Self-Checks You Can Try
- Wrist Position Check
Place wrists in a neutral, straight position while lying down. Do symptoms lessen? - Neck and Shoulder Mobility Test
Gently turn or tilt your head and shrug shoulders. Tingling that changes with movement suggests nerve involvement from the cervical spine or shoulder. - Arm Elevation Test
Raise your arms above your head for a short period. Persistent numbness may indicate nerve irritation along the arm or shoulder.
Gentle Fixes to Try Tonight
- Neutral Wrist Splints: Wearing a soft wrist brace can keep the wrist straight and reduce nerve compression.
- Sleep Position Adjustments: Avoid sleeping on your arms or with wrists bent. Try lying on your back or side with neutral wrist alignment.
- Stretching Before Bed: Gentle shoulder, neck, and wrist stretches can relieve tension along the nerve pathway.
- Heat Therapy: A warm shower or compress can relax muscles and improve circulation.
- Stress Reduction: Slow breathing or light meditation can reduce unconscious muscle tension in the neck and shoulders.
How Chiropractic Care Helps
Chiropractors assess the entire nerve pathway from the neck, shoulder, and down the arm to the hand. At Family Chiropractic of Clark, care may include:
- Cervical and thoracic adjustments to relieve nerve pressure
- Shoulder and upper back mobilization
- Soft tissue therapy to release tight muscles contributing to nerve compression
- Posture and ergonomics guidance for sleep and daytime activities
- Targeted exercises to strengthen supporting muscles and prevent recurrence
With proper evaluation and care, many patients notice a significant reduction in nighttime numbness within weeks.
When to Seek Professional Help
Seek immediate evaluation if you experience:
- Persistent numbness that doesn’t improve with position changes
- Weakness in your hand or arm
- Pain radiating up the arm or into the shoulder
- Loss of fine motor skills or grip strength
Early chiropractic assessment ensures the correct cause is addressed and helps prevent long-term nerve issues.

Final Thoughts
Nighttime hand numbness is often a sign of nerve compression or tension along the wrist, shoulder, or neck. By combining sleep position adjustments, gentle stretches, and chiropractic care, you can reduce discomfort and restore a full night of restorative sleep.
At Family Chiropractic of Clark, we evaluate each patient individually to identify nerve stress points and restore proper alignment, helping you wake up pain-free and refreshed.
👉 Don’t let numb hands disturb your sleep. Schedule your appointment today and take the first step toward overnight relief.