Tingling in fingers one and two belongs specifically to the C6 nerve root; typical is lower arm pain radiating into the thumb and pointer.
Paresthesias can be a vague ache but, when a nerve root in the neck is pinched, the symptoms can be very specific and severe. Arm pain is a common complaint in the chiropractic clinic.
When you have these symptoms in the upper extremity and first two digits then we know exactly where the problem is. There should be no talk of carpal tunnel syndrome which will also affect the middle finger and usually the ring finger too; a wrist operation will do nothing to relieve the discomfort. The problem is exhibited precisely in the C6 dermatome.
Derm meaning skin; that patch of skin innervated by the C6 nerve root. The problem almost certainly lies in the neck between the fifth and sixth cervical vertebrae.
The highly sensitive nerve root of a cervical spinal nerve emerges between numerous structures that can affect it:
The hyaline cartilage in all these structures is highly dependent on movement within the joints to provide normal nutrition.
Spinal fixations caused by injury, poor posture, weak muscles, sleeping on the tum will have a very detrimental affect on the nerve root causing, in this instance, tingling in the thumb and index finger.
As the cartilage, starved of nutrition and oxygen, begins to release toxic waste products of degeneration, not only the nerve root is irritated, but the joint begins to develop osteoarthritis.
Muscles causing arm pain
Many of the shoulder muscles and the capsule of the shoulder joint, are innervated by the C6 nerve. Not only does tingling in fingers one and two begin, but the shoulder becomes weak and vulnerable as the rotator cuff muscles waste resulting in many of the shoulder syndromes like frozen shoulder ...
The arm pain can be severe and may appear muscular in origin, but frequently the underlying problem is in the lower neck or in the interscalene triangle; notice how many nerves and the artery pass through this area.
The muscle most usually affected is the triceps which extends the elbow. Try doing press ups. Does the affected upper arm tire much more quickly?
Whilst there is a place for the limited use of anti inflammatory drugs in the treatment of these arm pain and tingling syndromes, it should be viewed as symptom treatment.
This is not essentially an inflammatory process.
In the view of chiropractic it's vital to treat the cause, not the symptoms. Get that fixated joint that is causing the tingling in fingers one and two moving again.
Whilst no treatment is perfectly safe, no one dies from the chiropractic adjustment of the lower cervical spine, and certainly people can and certainly do bleed to death from taking anti inflammatory drugs for an extended period. Watch the stool for black blood.
But, yes, cervical manipulation of a herniated disc may not be successful in reducing the nerve root pressure in severe cases, but it will only very rarely aggravate the problem.
You can do the relatively simple Upper Limb Tension Test for a pinched nerve at home, though the interpretation of the results requires some experience.
There is today a growing plethora of autoimmune diseases like multiple sclerosis, or MS, which cause bizarre symptoms not unlikely the tingling in fingers one and two that we have been considering.
No one is certain of the causes but, in my opinion, it's almost certainly related to vast array of chemicals being added to our foods, and the removal of vital minerals by the food processing industry.
Take simply the degradation of healthy whole wheat into white flour, or the hydrogenation of oils and use of margarine, for example; or the chemical process to remove the caffeine from coffee. The list is endless.
Get back to the foods that granny served, and not the crap mother bought from the supermarket. Start perhaps by considering the whole issue of smart bran.
More about those neurological diseases; tingling in arms and hands ...
If there is any swelling of the joints in the first two fingers, or a history of trauma, then that two may cause tingling in one or both fingers; then it's usually clear that it has nothing to do with the cervical spine, though a fall on the hand can injure the neck too. Testing the ranges of motion of the neck, and doing the upper limb tension test will help to rule out a spinal injury causing the tingling in fingers one and two.
Index finger sprain is a potentially disabling injury too.
Interesting questions from readers
I receive many questions at Chiropractic Help. It might be help for a spinal condition, but it could also be about a failed Carpal Tunnel operation, or some such thing.
I will do that by answering your questions personally, but it will be converted to a Web Page so others can benefit from your questions. Omit your surname if you like.
However, do understand that, in the main, I'm going to be directing you (should it be pertinent) to a Chiropractor in your neck of the woods. I'll respond to all reasonable inquiries, but please be specific, and give some details: which fingers, what increases the pain, and relieves it, injuries, do x-rays show anything, does placing your arm on your head relieve or increase tingling in the arm... without these sort of details, I'm unable to give a sensible answer.
Stop! Are you about to start typing on your smartphone? The chances are good you are wasting your time and won't get a reply. Google downgrades sites that use not-so-smart grammar.
Please also don't write from your blackberry or iphone. Many many people will be reading what you write, and I don't want gobbledygook at chiropractic help. It lowers the tone of the whole site, and Google is now downgrading sites with poor grammar and spelling. I just won't answer.
There is no charge for this service, however if you find my answer useful, you might like to consider purchasing my latest book, Stones in my Clog. Gems, both funny and healthful, from the life and work of a Chiropractor. It's only $2.99. Use the site search function.
Pose Me A Question! Pretty please, in decent grammar and spelling.
I will never give or sell your e-mail address to anyone.
PS. If you find my answer instructive, would you please ask a friend to rate the page. Many thanks.
Click below to see contributions from other visitors to this page...
I've been having this annoying feeling of tingling in my right arm down to my thumb. Had a nerve test done and no nerve warnings
Tingling in right arm down to my thumb. Have had a nerve testing done and the results were cleared. No nerve damage. The doctor concludes that they don't …
tingling and numbness in right hand and arm
Tingling and numbness in right hand and arm started in my elbow 3 weeks ago then went up to the right shoulder blade; it hurts worse at night and I can't …
Tingling in right thumb, pointer finger, forearm.
I'm a 40 year old man who works as a chef, and works out including with heavy weights frequently. For over a month I have been experiencing recurring …
Tingling in two fingers after shingles. Not rated yet
In Early December 2017 I was diagnosed with shingles. It effected my right arm and part of my right upper back. By the end of May 2018, the shingles …
tingling in fingers and 1 and 2 Not rated yet
What is the best vitamin that can be taken to help reduce the problem of disc degeneration? Hello Fathimath, The best solution is not a vitamin but …
Tingling and numbness from elbow to tips of fingers especially thumb and pointer Not rated yet
2 months ago I had a lot of pain in the right shoulder that went into my arm. I had one massage thinking if I could relax the muscles it might relieve …
Thumb and Pointer finger tingles, knot in neck and shoulder Not rated yet
Active 27 y.o. female. Lots of shoulder movement -rock climbing, tennis, softball. Two weeks ago, after a busy wedding weekend of travel and dancing, …
upper back pain with numbness in the index finger and thumb Not rated yet
hello, I have a knotted/pinched nerve pain toward my left upper back that extends down my arm and causing my index finger thumb to become numb at the …
slight numbness and tingling in the thumb Not rated yet
Slight numbness and tingling in the thumb after a slipped disc in the neck means the C6 nerve root is being irritated. Hello, Your article was very …
Numbness of thumb and index fingers Not rated yet
Numbness of thumb and index fingers points to a lower neck problem. About three weeks ago I noticed that my left hand had been going numb more often …
Tingling left arm near bicep runs down to the first joint in the thumb Not rated yet
Tingling in my left arm outside bicep runs down to the first joint in the thumb. 69 yr old female. Good health. Started a month ago. It happens often …
Foot. Numbness with age Not rated yet
Any suggestions please? You've got to be more specific, Bob. Dr B
Deep ache in arms and tingling hands/arms which is worse at night Not rated yet
My arms and hands ache and tingle most of the time, but is worse at night and waking me up at night. My neck is also aching at the top of my shoulders, …
Tingling in my left forefinger and thumb when I turn or tilt my head to the left Not rated yet
Tingling in my left forefinger and thumb when I turn or tilt my head to the left. I have no constant pain only when I turn my head. The thumb and forefinger …
Arm and fingers go numb at night Not rated yet
I have no neck pain. I get a tingling sensation ( electric current) in my left shoulder, sometimes in the same area there is a sharp pain. My fingers in …
Arm pain radiating to the middle finger Not rated yet
I get pain under my arm down my elbow to my middle finger; I can't bend my arm as it makes the pain worst. Hello Louise, To give you an answer that …
Excruciating neck pain Not rated yet
Excruciating neck pain ... scared I'm being misdiagnosed I'm in excruciating pain all day unless i sit back against a chair with my shoulder pressed …
Tingling in thumb and index finger Not rated yet
Neck and midback pain and tingling in index and thumb fingers I used to have pain in my left back since 5 years after an injury during gym. But now …
More interesting questions from readers
"My thumb, forefinger and middle finger went weak after cuff surgery."
"Hello John, I take it you've been back to the surgeon.
It's probably temporary inflammation of the median nerve, but of course could be worse... I'm afraid I don't think chiropractic has anything to offer at this stage.
Once everything has healed up, if you don't get the strength back, or your fingers remain numb and tingly, then I'd consult a local chiro to see if there is also a problem in your neck or the first rib.
Letter from reader looking for advice.
How bad is your arm shoulder hand pain?