Symptoms. Symptoms include a “pins and needles” tingling and numbness in the affected hand and shooting pains from the wrist and up the patient’s arm. These pains are worse at night. The patient also suffers burning sensations in the affected fingers, and the thumb is weak. They may find doing normal, manual tasks difficult, and they may not be able to make a fist. The affected hand is stiff and cramped in the mornings, and the person may wake up feeling the need to shake their hand awake. If the nerve is severely compressed and the condition isn’t treated or doesn’t resolve on its own, some muscles in the hand can atrophy.