Conversation: The conversation between human and AI assistant.
[|Human|] for the past two days I have pins and needles in both hands. I am 48 years old and a smoker. I exercise regularly and I m in my healthy weight range. I have had no health issues in the past. No cough or shortness of breath and no blood pressure problems
[|AI|]  Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pins & needles in hands. Well there can be many reasons for symptoms you mention in query like pressure on hand, trapped nerve, diabetes or injury. I would suggest you to take proper rest, do not sleep on your hand, apply warm compresses on hand several times a day and do gentle message with sesame oil. Consult orthopedic surgeon if condition doesn't get better. Doctor may order CT scan, nerve conduction test, blood test to rule out diabetes and physical examination. Doctor may prescribe muscle relaxant along with anti-inflammatory. Doctor may also recommend physical therapy or may refer you to neurologist for nerve problem or endocrinologist for diabetes. Hope your concern has been resolved. Get Well Soon. Best Wishes,