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What Causes Numbness And Tingling In Lower Limb?

Posted on Sat, 7 Nov 2015

Question: Hands feel tight and veins feel like there are swollen,feet are numb around toes in morning all bloods and nerve convention test good did have pins and needles

Answered by Dr. Neeraj Kumar (19 minutes later)

Brief Answer:
Possibility of peripheral neuropathy. Get investigated as advised

Detailed Answer:
Hello XXXXXXX
I have gone through your question and understand your concerns.
The symptoms of pins and needles in lower limb with numbness is a manifestation of peripheral neuropathy. In some cases with small fiber neuropathy the routine conventional nerve conduction studies may be normal.
You need to get investigated for blood glucose, vitamin B12 levels, renal and liver function tests. Additionally workup for immune mediated neuropathy or myeloma may be require.
For treatment you can take vitamin B12 supplementations and pain modulators like pregabalin, gabapentin or amitriptyline/Nortriptyline.
You can upload your reports for further analysis.
Hope you found the answer helpful.
Do get back with further queries.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Neeraj Kumar (10 hours later)

This is on going with times of little or no symptoms for 14 months with many blood test done have gone thru a period of sharp pains and pins and needles now just have what i mentioned before feels good with movement u have me worried now with the suggestion of myeloma also massage helps

Answered by Dr. Neeraj Kumar (13 hours later)

Brief Answer:
Additional work up and neurological examination required

Detailed Answer:
Hello XXXX,
If all investigations and nerve conduction are normal then you may consult a neurologist for additional work up required if any.
For relief of symptoms you can take pregabalin or gabapentin or amitryptiline.
There are many etiologies for neuropathy including myeloma but it does not means it is the cause in every case.
visit a neurologist for assessment and treatment prescription .
Regards
Dr
Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Neeraj Kumar (2 days later)

I have seen a neurologist and his last commment was go back to your GP and if they wAnt me to i can investigate more i dont take any pain relief,as it more annoying than painfull my head feels light at times but i take a sudafed sinus tablet and that helps hands now and feet feel more like really sensitive at times more s than pins and needleso

Answered by Dr. Neeraj Kumar (10 hours later)

Brief Answer:
Upload consultation prescription and take medication

Detailed Answer:
Hello XXXXXXX
If neurologist has assured no major disease then be calm.
Upload your neurologist consultation so that findings can be analysed.
For tingling and pins and needle take pregabalin or amitryptiline for some time.
Hope you recover early.
Regards
Dr Neeraj Kumar

Above answer was peer-reviewed by : Dr. Prasad