One of the most common reasons for which a patient will come see me in my office is due to a tingling sensation in their hands. This oftentimes happens at night when sleeping, and can severely disrupt the quality of their sleep. These patients oftentimes say that a burning sensation, or pain in their hands wakes them up throughout the night, and they either need to 1) shake the hand, 2) hang it off the side of the bed, or 3) raise the hand up in the air to alleviate the symptoms.