What is causing numbness and tingling in fingers with shoulder pains?
Patient: I have had numb & tingling fingers (middle, ring,pinky) on my left hand for 2 months. Also, loss of grip strength in left hand. I have also been awakened @ night (3 times) during the past 2 months w/ left arm pain, muscle twitching in both arms & from arms falling asleep . I am extremely fatigued by 1p.m. or so, and frequently fall asleep on the couch @ this time. I am 60 years old, active my entire life- I still swim, spin, jog, attend pilates class, love gardening. I have lessened my swim workout these past 2 months do to shoulder pain.I also have difficulty raising my left arm above shoulder height to wash my hair. Until 2 months ago, I experienced none of these symptoms. Doctor: Hi,  In my opinion, you need a good medical examination including tests for diabetes and blood levels of Vitamin B12. There could also be cervical disc disease. I suggest you visit your Physician for complete examination and investigation.  Hope I have answered your query. Let me know if I can assist you further.  Take care  Regards, Dr Gopal Goel, Orthopaedic Surgeon