Tingling in the Little Finger (Guyon's Canal Syndrome)

Tingling in the pinky finger can be caused by a disorder of the neck spine, anatomical abnormality around the clavicle (cervical rib, anomalous muscles resulting in thoracic outlet syndrome), disorders of the elbow (cubital tunnel syndrome), wrist (Guyon's canal syndrome), hand (hammer hand syndrome) or the pinky finger itself (injury).

Guyon's Canal Syndrome

Tingling in the pinky finger resulting from the entrapment of the ulnar nerve on the pinky-palmar side of the wrist, in the canal called ulnar canal or Guyon's canal, is called Guyon's canal syndrome. Often there is no visible change in the wrist or hand.

Main causes include:

- Anatomical abnormality in the wrist (anomalous bones, accessory muscles...)

- Ganglion cyst, lipoma, neuroma or other benign tumor

- Rheumatoid arthritis

- Overuse of the wrist (assembly workers)

- Constant or repeating leaning on the wrist(s): (cyclists, crutches users, weight lifters...)

Typical symptoms:

- Tenderness or stiffness in the wrist

- Tingling or, later in the course of a disorder, numbness in the pinky finger and the adjacent half of the ring finger

- Difficulty closing (adducting) the little finger after all fingers has been spread — this can result in hooking of the pinky finger at the pocket edge.

- Weaker grip, dropping objects

- Difficulty make a pinch with a thumb and index finger

Treatment include:

- Rest (if the main cause is wrist overuse)

- Wearing a splint (at least at night)

- Nonsteroidal painkillers

- Steroid injection

- Decompression surgery at the wrist


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14 Replies

  • Hello

    Just visited your site, what is your position regarding same ?? Where are you located ??

    What is your purpose on this site ?? Are you after custom

    Are you a doctor

    A student

    What is the reason you have visited here

    Have you contacted HEALTHUNLOCKED, PAIN CONCERN regarding your questions

  • He or she has responded to a couple of other questions Bob.

    Pat x

  • Hello Pat

    Just feel here that this could be a fishing exercise, for treatments on hands and shoulders, The site that this one comes from I feel is a little suspect. Trying to look after members and self as we have had things like this here before

    Read the site

    All the best


  • Thanks Bob - I for one certainly need saving today.. it's been horribilis.

    Now I'll go read his reply.

    pat x

  • I'm a man and I have written the original article as well. I have finished medical faculty in Slovenia/Europe; I do not work as a doctor but as a health writer and researcher. I believe I can contribute here with some realistic information.

  • Hello

    Do you suffer from the aforementioned problems,

    Have you contacted HEALTHUNLOCKED, PAIN CONCERN with regard to using material from this site

    as our members are patients that have extensive complaints, that cause chronic Pain. What will you be using these members for, is it for too discuss problems or will this lead to A COMMERCIAL CONCLUSION

  • In Australia it is called Carpel Tunnel and what the gentleman described is what I have been told by my Doctors. They also said that if it is extremely bad then they can operate. Mine is caused partly from playing games on the computer and because I curl my hand under my cheek when I sleep.

  • Hi, Lqcy, in carpal tunnel syndrome the median nerve is pinched and tingling is in the thumb, index, middle and half of the ring finger. In Guyon's canal syndrome, the ulnar nerve is pinched and tingling is in the pinky and the adjacent half of the ring finger. Someone can experience both syndromes at the same time with tingling in all fingers, but they are two different syndromes.

  • I do not sell any products and usually do not recommend any treatments directly, because this is often not safe to do online. I'm not recruiting anyone for any kind of health or other service.

  • Can you contact healthunlocked/painconcern

    You will be able to get the address to contact them on this occasion

  • Hi, I posted a comment some weeks ago that I had carpal tunnel syndrome and asked of others experience of this post operative. Since then I have had surgery and am at present at the end of the first week post surgery. I find it an inconveience being on my own and almost one handed. However ,with having tracksuit bottom with elasticated waist band makes life easier as does having pre prepared frozen main meals. As plastic gloves are impossible for me to get on I cover tne bandaged hand with thin plastic bags (two if they have the two small holes as with those from the super-markets) twisted at the wrist and tucked into the bottom of the bandage to keep everything dry near water. I can use my fingers on the bandaged hand to a limited degree and with the above bags in place use the hand to help with jobs involving water except bathing which requires waterproof covering up to the elbow and firmly taped,altough not ideal, it allows a reasonable overall body wash.

    I only used pain killers at bedtime on the first day and two times the second day. These were co-codamol 30/500. There had been limited pain after surgery and after leaving off the pain killers, except sharp twinges at point of surgery if twisting the the fingers too much when doing jobs.Not to be advised to often. I'm not looking forward too eagerly to the secong hand at a later date..Best of luck to those having the same or similar surgery.

  • sargrith,

    can you describe the operation a little (if you want): how long did the procedure take, what kind of anesthesia did you get (local, general), what was the cost, and for how long the doctor said you should wear a splint or bandage?

  • Hi, In reply to your questions : The op took about half hour from time of local anesthetic injection; I had it on the NHS; I'm to have the stiches out 11 days from op. I can't speak too highly of the whole way I was treated on the day. My only concern was that I was seen initially at refferal early last Febuary and had the op 10th October. I think this was rather too long waiting. The op itself was not too bad an experience. I think the inconveniece after is rhe worst aspect

  • OK, I appreciate.

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