A reader asked me about pain in her pinky fingers (baby finger.) Here is her question:
"I have noticed for the past week that both pinky fingers have been numb. The numbness extends up to each elbow and is aggravated by almost anything I do. I work on a computer and I try to have good posture and relax my shoulders. When I set my arms down, use the mouse, type I feel it in my right
shoulder (I am righty) like now, last week it was my left shoulder. I did not have an accident or injury. It is a nerve issue because I get that "funny bone" feeling radiating from both elbows down to my fingertips. Hot water does not feel hot on both pinky's either. I woke up one morning last week with both pinkies totally numb and pins and needles (parasthesias?). It started a week ago when I think I had a panic attack. Went to the ER for it - but normal BP, sugar, CAT scan of head. It felt like someone was forcefully squeezing both forearms. When the nurse took my BP I cried because it felt like my left arm would burst it hurt that bad. Never had that before..."
Here is my shortened response:
"As I check the Trigger Point Manual by Doctors Travell & Simons, and based on your symptoms, here are my thoughts. Please remember, I'm not a doctor but I am a muscle specialist.
Your finger muscles are actually in your lower arms. If there is a trigger point on the palm side of your lower arm, toward your elbow, that will cause pain in your pinkies. But, you describe nervy sensations rather than pain. They, too, can be caused by trigger points in muscles. Still, you also indicated tenderness or tightness in your shoulders and lower arm. Hmmm.
That's very good news that all of your tests came back negative. That almost always indicates that the problem is with the soft tissues or muscles. That's good news because
muscles can be released or relaxed. When they press on nerves, or have trigger points which are causing symptoms, your muscles can cause symptoms as you describe.
My best suggestions are: Continue to watch your posture; have massage to your lower & upper arms, neck, your back around your shoulder blades, the outsides of your back (under your armpits,) shoulder tops (trapezius) and chest (pectoral muscles.) Somewhere
in these muscles groups, tight muscles are compressing your nerves or have developed trigger points that are causing your sensations.
Although this type of symptom can be caused by impingement of nerves in the neck, the question is: What is causing the impingement? Muscles, of course. Muscles move bones. That's their job.
What position were your arms in when you woke up with pins & needles? That's a clue, too.
Panic attacks are miserable. Also, since you get dizzy, that can indicate "forward head" posture (poor or collapsed posture.) Therapeutic massage can help you regain better posture, if that's an issue. Also, getting a strong back side (see the articles at Simple Strengthening) will help your posture.
When your muscles are tight around your jaws & ears, that can cause symptoms of dizziness.
Another suggestion might be to take a class in yoga. It will help you feel more relaxed and uses all of your muscles to help create a balanced body. A balanced body has far fewer symptoms."
I also told her that she, like you, has a smart body and it wants to be well. It just needs a little help from her to get rid of her symptoms of pinky finger numbness.


Hey thanks for the information and guidance. I have heard that yoga is great for relaxation, maybe that's a good route to try.
Posted by: Ajlouny | July 22, 2009 at 10:55 PM
Yes, yoga is great for relaxation because it helps your body become balanced. When all of your muscles are being used--stretched and strengthened--your body is in balance. A body in balance is a happy body. Stress goes down and so do aches and pains.
Posted by: Kathryn Merrow - The Pain Relief Coach | July 23, 2009 at 10:36 AM
I had carpel tunnel surgery Wednesday Aug 4 & had the half cast off today.It is on the left hand. I can move, bend stretch all the finger but the pinkie finger. If I bend it it shoots pain up my palm & into the wrist. I had not had trouble with the pinkie just the common CTS symptoms. I asked the therapist about it & all he said was That nerve was not involved in the surgery. I have been working with it today & the pain seems to be getting worse. I am confused because when I had my right hand done years ago. It did not hurt my pinkie at all. Just asking what your thoughts are. if this continues i will go back Friday but hate to have to waste the time if it is nothing. Thanks
Jan Keith
Posted by: Jan Keith | August 11, 2010 at 02:04 PM
Hi Jan, It's not "nothing" if it hurts you. Here's my best long-distance guess:
If the pain is on the palm-side of your baby finger, try this: Turn your palm up. Search deeply in the upper part of your lower arm 2/3 to 3/4 of the way toward the crease of your elbow on the side closest to your waist. You are looking for a tender area. That place can cause baby finger pain on the palm side of the finger. Press into the painful area and if it lessens, that's it!
If the pain is on the back side of your baby finger, there is muscle about mid-way on the back of your hand on the baby finger side. Press into the muscle on the outer side and between the outer bones and see if you find a tender place. If it is tender to the pressure and if it seems to lessen, that's it.
Don't be shy about exploring and pressing into these areas. Apply enough pressure so that you can feel discomfort.
Perhaps your brace was pressing into and aggravating one of these muscle areas.
I hope this helps.
Kathryn
Posted by: Kathryn Merrow - The Pain Relief Coach | August 11, 2010 at 06:54 PM
Hi Kathryn! I don't know how to send you this message so i will just leave a comment here. I hope you will respond. I have some of the symptoms that the other reader posted. My symptoms are: numbness from time to time in my pinkie finger, pain in my forearm and upper arm (near the arm pit). I'm in the office all day (accounting job) but not typing for 1 hour straight. I also answer the phone or do phone interviews, paperworks or forms and other stuff not related to the computer. I'm on worker's comp right now because i was thinking that it was due to the computer. my doctor said that it's tennis elbow and i'm doing therapy 3 times a wk. I just want to know if this is really tennis elbow and not impingement of nerves. He said it's definitely not carpal tunnel based on my physical exam. Pls also let me know what i can do to help myself.
You're advice will be greatly appreciated.
Thanks!
Honey
Posted by: Honey V. | February 14, 2011 at 01:13 PM
What is "it" if this is where there is pain and you aren't wearing a brace. What exactly is wrong?
"If the pain is on the back side of your baby finger, there is muscle about mid-way on the back of your hand on the baby finger side. Press into the muscle on the outer side and between the outer bones and see if you find a tender place. If it is tender to the pressure and if it seems to lessen, that's it."
Posted by: Miss C | September 07, 2011 at 05:57 PM
Hi Miss C -
"It" is the place on the muscle that needs attention. The attention is pressure or pinching or rubbing. "It" is in the muscle.
"It" could be a trigger point if "it" causes pain on the back side of your baby finger when you press it.
I hope this helps. Thank you for asking and for helping me write more clearly.
Kathryn
The Pain Relief Coach
Posted by: Kathryn | September 08, 2011 at 07:55 PM