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Constant Pins And Needles, Cold, Headaches, Chest Pain. Suggest?

I am a 36 year old women, who is experiencing constant pins and needles in my left arm and hand. My hands have always beenquite cold. I am having quite a few headaches and just feel genuinely under the weather! I have a few pains in my chest a few times a day, and feel quite sick sometimes.
Please can u advise my next steps.
Tanks, louise
Wed, 3 Jul 2013
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Neurologist,  's  Response
Hi,
Thank you for posting your query.
Pins and needles in the left hand could be due to carpal tunnel syndrome (CTS). In CTS, a nerve in the hand (median nerve) gets compressed at the wrist level. This can be confirmed by nerve conduction studies. Underlying hypothyroidism should be excluded.
Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My email: drsudhirkumar@yahoo.com
My blog: http://bestneurodoctor.blogspot.com/
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Constant Pins And Needles, Cold, Headaches, Chest Pain. Suggest?

Hi, Thank you for posting your query. Pins and needles in the left hand could be due to carpal tunnel syndrome (CTS). In CTS, a nerve in the hand (median nerve) gets compressed at the wrist level. This can be confirmed by nerve conduction studies. Underlying hypothyroidism should be excluded. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com My blog: http://bestneurodoctor.blogspot.com/