Conversation: The conversation between human and AI assistant.
[|Human|] I am waken off/on during the night with my thumb,index finger and middle finger numb. Sometimes the numbness is more extreme than others and when this happens I usually have excrutiating pain in that arms, arm pit. It seems my issues are on the side that I have woke up on. As if laying on that particular side has a barring on the problem. Help!
[|AI|]  Welcome to Chat Doctor. Numbness of the fingers typically is a result of conditions that affect the nerves and/or blood vessels that supply the hand. Carpal tunnel syn Chat Doctor. You have also pain at arm. Rule out it by x-ray cervical to confirm any nerve root compression. Take B12,folic acid, minerals,calcium,d3 and supplement. Take nsaid to subside pain. Apply NSAID gel to get some relief. Consult orthopedic to confirm diagnosis and medications.