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Find a Top Neurologist Near You. Tingling and numbness of the pinky and ring finger can be a sign of ulnar nerve compression in the arm. Tingling and numbness of the thumb, index, middle, and half of the ring finger can be caused by carpal tunnel syndrome.
Possible Causes. 1  Carpel Tunnel Syndrome â If you have carpel tunnel syndrome, there is a nerve that is nicked in your wrist that passes through your carpel tunnel. 2  This is commonly done to help relieve pressure associated with the median nerve. 3  In doing so, it often leads to twitching of the thumb or index finger. Side Effects â Certain drugs such as diuretics, corticosteroids and estrogen are often causes of twitching in your fingers. 2  Caffeine â It is reported that too much caffeine or withdrawals of caffeine can cause muscle twitching. 3  This includes coffee, soda and chocolate.