What Is Paresthesia?
My neurologist has recently diagnosed me with paresthesia. He did this without any test. I do have to go in for a NCV study next week.
Thank you for posting your query.
Paresthesia refers to abnormal sensations, which one experiences in hands and feet. These sensations are commonly described as tingling, pins and needle sensations, burning, etc. So, paresthesia is a symptom (as described by the patient). So, no test is required to diagnose this.
Paresthesia is a symptom of nerve disease. Commonly, it is because of nerve disease in feet and hands, which can be diagnosed by NCV- nerve conduction velocity. It can also occur due to disc prolapse in the lower back, which is present in your MRI report, that you have enclosed.
I hope it helps. I would be pleased to answer any follow-up queries.
Best wishes,
Dr Sudhir Kumar MD (Vellore), DM (Neurology, CMC Vellore) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad
If the NCV test shows features of nerve damage, then one needs to find out the reasons for that. These include testing for diabetes, thyroid problems, biopsy may be done.
Treatment options for paresthesias include pregabalin or gabapentin. In addition, the underlying cause would require treatment.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
I have mentioned the common causes of nerve diseases causing paresthesia above.
Less common causes include infections such as leprosy, vasculitis (lack of blood flow to the nerves), trauma or compression of the nerves, damage to the nerve coverings (demyelinating illness), etc.
Your doctor's examination and NCV may give a clue to the likely cause in your case.
Please get back if you want to ask me any more questions.
Dr Sudhir Kumar MD DM (Neurology)