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Arrange a medical evaluation when: Numbness or tingling repeatedly wakes you at night Symptoms are becoming more frequent Numbness remains during the day You are dropping objects or losing grip strength Fine hand tasks are becoming difficult The muscles below the thumb appear smaller You cannot distinguish temperature normally Symptoms began after a wrist injury Home treatment is not improving the condition Seek urgent medical care for sudden hand or arm weakness, severe swelling, major trauma, loss of circulation, rapidly spreading numbness, or symptoms accompanied by facial weakness, speech difficulty, chest discomfort, or other signs of a medical emergency