I have POTS and fibromyalgia just for some context. For months I’ve been having the weird sensation of not necessarily pins and needles but not totally asleep portion of my hands. It lasts all day. Now, it’s getting worse. My hands are pins and needles that last for hours at a time and sometimes a full 12 hours. And my feet have pins and needles even when they’re both planted on the floor when sitting. My rheumatologist said this might be a form of neuropathy and gave me a packet about having a nerve study test in the future. But I don’t have the lightning bolt of pain/tingling effect when he hit my elbow. My hands get extremely hot as well only at night. It’s a definite difference and I’m usually colder. It’s typically only one hand at a time and feels like a 10 degree difference of the two. I’ve been doing some research and taking my other diseases into account. It sounds like small fiber neuropathy but I want some help on what you think or experience. Either way, it’s pretty scary the thought of experiencing neuropathy at the age of 24. I’m already taking gabapentin as well for it but still progressing slowly.