wax build up in he ear, certain medications, vascular issues. It can be episodic and at times constant and debilitating.

Carpal tunnel syndrome (CTS) is related to the impingement of median nerve as it passes through the wrist. There is a sensation of burning, tingling, weakness, numbness, and pain that radiates to the thumb, index and middle fingers. It is caused by repetitive motions of the hand and wrist, certain medical conditions, trauma, hypothyroidism, rheumatoid arthritis, bursitis, pregnancy and menopause Thoracic outlet syndrome is caused by the impingement of the cervical nerves as they pass under the clavicle and the shoulder. It causes, tingling, numbness, cramps, pain and heaviness of the arm and hand, neck and shoulder pain. Sciatica is the impingement of the lumbar (low back) nerves as they enter the pelvis and legs because of vertebral or disc or muscle abnormalities. It can cause pain, tingling, numbness of the leg radiating from the back or buttocks to the knee, calf, and ankle.