Thoracic Outlet Syndrome: Arm Numbness and Nighttime Arm Pain Explained. Why You Cant Sleep! Many people report arm pain when sleeping that disappears after waking. This pattern is rarely random. waking up with numb arm often reflects sustained compression and reduced tissue adaptability during sleep. nighttime arm nerve pain and pins and needles at night arm suggest reversible mechanical irritation rather than permanent damage. Understanding thoracic outlet mechanics helps explain why symptoms
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