<s>[INST] Shortly after getting out of bed this morning the top part of my right arm is numb......from my elbow to the top of my hand....lost some control over my arm, fingers and fist.....can t write very well or hold a full cup of coffee......up at 4:30AM this morning and there hasn t been much improvement in about 3.5 hours .......no pain.....What might this be caused by and what might I be able to do for relief........ [/INST] Hello,Your symptoms are related to a wrong position of the arm during sleep, which has lead to a pinched nerve (Saturday Night palsy). I recommend trying to move your hand as much as you can. Your situation will improve within a day or two.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist </s>