Numbness & TinglingSymptoms
Understand common causes, what fluctuates symptoms, and how pacing and targeted loading support recovery.
What is numbness & tingling?
Sensory changes can arise locally (e.g., compression at the wrist) or from the spine (neck or low back). A careful assessment helps determine the source and guide treatment.
Seek urgent care if numbness occurs with severe weakness, sudden facial droop, speech difficulty, or loss of bladder/bowel control.
Who it affects and typical treatment
Who it affects
- Office and manual workers with repetitive tasks
- People with neck or low back irritation
- Those with metabolic conditions (e.g., diabetes) or after injury
Typical treatment plan
- Activity and position modification
- Neural mobility, graded strength and posture strategy
- Monitor irritability; escalate if red flags appear
Common causes
Nerve root irritation
Cervical or lumbar radiculopathy can refer numbness.
Peripheral compression
Carpal tunnel, ulnar nerve at elbow, tarsal tunnel.
Metabolic factors
Diabetes or B12 deficiency can affect nerve function.
Postural/loading
Prolonged positions or overuse can sensitize nerves.
Common symptoms
- Pins and needles, numbness, or altered sensation
- Symptoms that change with neck/back or wrist/arm position
- Intermittent weakness or clumsiness with tasks
- Night symptoms or with prolonged postures
How a physiotherapist can help
- Education on load/position and symptom pacing
- Nerve mobility drills and graded strengthening
- Workspace/ergonomic strategies and sleep positioning
Effective treatments
Neural mobilization
- Gentle slider/tensioner drills tailored to irritability
- Combined with posture and movement strategies
Strength & conditioning
- Progressive loading for neck, trunk or limb
- Return-to-task criteria and activity reintroduction
At‑home management
Positions
- Alternate postures; break up long sitting
- Neutral neck/wrist for desk tasks
- Night positioning that reduces symptoms
Movement
- Short walks and gentle range drills
- Gradual return to tasks within tolerance
- Track aggravators and adjust volume
Habits
- Sleep, hydration and pacing support recovery
- Gradually reintroduce hobbies
- Follow-up if symptoms persist or worsen
What to expect in physiotherapy
1) Assessment
- History, pattern, screening for red flags
- Movement testing to identify drivers
2) Plan
- Education, neural mobility and graded strength
- Progress based on irritability and goals
3) Progress
- Reduce sensitivity, restore function and confidence
- Return-to-activity guidelines
Medical Disclaimer
This information is for educational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.