Conversation: The conversation between human and AI assistant.
[|Human|] I have numbness, tingling, shooting and severe pain in my hands especially my right hand. The worse time is when I wake up during the night. The pain wakes me up - usually wake up at least 3 times a night. I get up and do stretching exercises when possible if I m hurting too bad I just get up. I average about 5 hrs of sleep. I am retired so I can sleep some during the day. I don t have diabetes but have fibermyalgia and dermatomyositis.
[|AI|]  Hello, Is tingling and numbness affecting all fingers or only thumb and adjacent two fingers? If all fingers are involved likely cause is cervical nerve compression. If only outer three fingers are involved likely cause is carpel tunnel syn Chat Doctor.  Two investigation needed to confirm diagnosis are 1. Nerve Conduction velocity studies of both upper limbs and 2. MRI of cervical spine. They will differentiate between above two conditions. Treatment of carpel tunnel syn