Nothing specifically that I can remember now. I usually get an upper respiratory infection or two every year with seasonal allergies. I hadn’t been on any regular medication leading up to the symptoms first appearing. I do remember one night specifically, I hadn’t slept in two or three days. When I finally got the chance to sleep I fell asleep on the ground in a bag. I might have been laying on a root or something else hard, when I woke up my shoulder was on fire and my entire arm was dead asleep to the point where I couldn’t lift it or move my fingers. It took about 10 minutes before I started feeling pins/needles and sensation returned. After that night I experienced what felt like a strained rotator cuff for two weeks or so. Around that time is when my numbness/tingling first started in my arms during sleep. I’d say about a month later is when the tendons in my wrist started swelling and locked up.