Understanding Numbness, Tingling, and Weakness in the Hands
Numbness or tingling in the hands is often blamed on carpal tunnel syndrome. But what if your symptoms don’t quite fit that pattern, or treatments haven’t worked? In many cases, the real problem is peripheral neuropathy nerve damage that affects more than just the wrist.
At the Neuropathy Relief Center of Miami, we see patients from Miami, Fort Lauderdale, Miami-Dade County, Broward County, and the Florida Keys, along with others from Florida, the USA, Central and South America (including Colombia, Chile, Argentina, and Mexico), and the Caribbean, who are unsure whether they have carpal tunnel, neuropathy, or both. Getting the right diagnosis matters, because it determines how you should be treated.
How Carpal Tunnel and Neuropathy Are Different

Both conditions involve nerve problems but in different locations:
- Carpal Tunnel Syndrome.
- Involves compression of the median nerve at the wrist.
- Often related to repetitive hand use, wrist position, fluid retention, or structural narrowing in the carpal tunnel.
- Peripheral Neuropathy.
- Involves damage to nerves throughout the peripheral nervous system, not just one spot.
- Can be caused by diabetes, metabolic issues, chemotherapy, vitamin deficiencies, inflammation, and more.
Sometimes, patients can have both a “double crush” where nerves are stressed in more than one location.
Symptoms That Suggest Carpal Tunnel
Carpal tunnel symptoms typically focus on:
- Numbness or tingling in the thumb, index, middle, and part of the ring finger.
- Symptoms that worsen with repetitive wrist use (typing, gripping tools, driving).
- Nighttime numbness when the wrist is bent.
- Weakness in grip or difficulty holding objects.
These symptoms are often one-sided or more severe in the dominant hand.
Symptoms That Suggest Neuropathy in the Hands
Signs of peripheral neuropathy affecting the hands may include:
- 🔥 Burning, tingling, or “electric” sensations in the hands and feet.
- 🧤 A “glove-like” pattern of numbness, not just one nerve distribution.
- 🤲 Symptoms in both hands and both feet at roughly the same time.
- 💪 Weakness, clumsiness, or dropping objects due to reduced sensation.
- ❄️ Sensitivity to temperature or a mix of numb and painful areas.
If your symptoms involve both hands and feet, or if you also notice balance changes or leg symptoms, neuropathy is more likely to be part of the picture.
Why Misdiagnosis Matters
If your problem is primarily neuropathy but is treated as only carpal tunnel, you may:
- Undergo wrist injections or surgery without lasting relief.
- Continue to lose sensation and coordination in the hands.
- Miss the chance to address blood sugar, inflammation, or other root causes.
On the other hand, if you have both carpal tunnel and neuropathy, focusing only on one area may not fully resolve your symptoms.
That’s why a comprehensive evaluation of the entire nervous system is critical.
How the Dr. Alfonso Neuropathy Treatment Protocol Helps Hand Symptoms
Whether or not carpal tunnel is present, if neuropathy is contributing to your hand symptoms, the Dr. Alfonso Neuropathy Treatment Protocol at the Neuropathy Relief Center of Miami aims to:
- 🩸 Improve microcirculation to the hands and arms, bringing more oxygen and nutrients to damaged nerves.
- ⚡ Stimulate nerve repair and communication using advanced, non-invasive technologies.
- 🌿 Reduce inflammation and oxidative stress that silently damage nerve tissue.
- 🧠 Support metabolic and nutritional balance, including blood sugar and key vitamins.
As nerve health improves, many patients report:
- Less burning and tingling in their hands.
- Improved grip and fine motor control.
- Greater confidence performing tasks like buttoning clothes, typing, or cooking.
- Better energy and less frustration from constant discomfort.
If carpal tunnel is also present, improved nerve health can support better outcomes from other treatments as well.
Everyday Habits to Support Healthy Hand Nerves
You can support nerve health in your hands by:
- 🧊 Avoiding prolonged wrist flexion keep wrists neutral when sleeping or using a keyboard.
- ⌨️ Using ergonomic tools adjust your workspace to reduce strain.
- 🥗 Eating a nerve-supportive diet rich in B vitamins, omega-3 fats, and antioxidants.
- 🚶 Staying active to improve circulation throughout the body.
- 💧 Staying hydrated, especially in warm climates like South Florida, Central America, South America, and the Caribbean.
- 🧘 Managing stress, which can amplify pain and nerve sensitivity.
These strategies complement the Dr. Alfonso Neuropathy Treatment Protocol and help protect your hands long-term.
Why Patients from Florida, the Americas, and the Caribbean Trust Our Clinic
Patients choose the Neuropathy Relief Center of Miami because we offer:
- Non-surgical, drug-free neuropathy care.
- A focus on true nerve repair, not just symptom masking.
- Personalized plans based on each patient’s nerve patterns and risk factors.
- Bilingual care in English and Spanish for patients from:
- South Florida: Miami, Fort Lauderdale, Miami-Dade County, Broward County, and the Florida Keys.
- The rest of Florida and the USA.
- Central and South America (Colombia, Chile, Argentina, Mexico).
- The Caribbean.
Ready to Find Out What’s Really Behind Your Hand Symptoms?
If you’ve been told you have carpal tunnel but the treatments haven’t worked our symptoms involve both hands and feet, it’s time to look deeper.
Learn more Neuropathy Treatment Miami
Book your consultation today: Appointments
👉 Schedule your consultation today: Call 305-274-7475 to contact the Neuropathy Relief Center of Miami.

Sincerely Yours for Health,
Dr. Rodolfo Alfonso, D.C.
8585 Sunset Drive,
STE 104
Miami, FL 33143
Ph: 305-275.7475
www.neuropathyreliefmia
