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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Relieve Numbness And Tingling In Feet Despite B12 Medication?

I have tingling and numbness in first 3 toes of left foot. Numbness is on bottom of foot the toes have both numbness and tingling. When foot is at rest the second toe sort of drops down. Saw a neurologist had MRI and blood work. All they could find was That my B12 was low. I take a B12 pill but have not noticed a difference. This was been an issues for a few years now. What should I do next?
Tue, 8 Mar 2016
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Orthopaedic Surgeon,  's  Response
hello
There should be checkup with an neurophysiologist and mapping of muscle power in foot should be done alongwith neurophysiological studies for any conduction defect in nerves, secondly, Blood and urine sugar levels must be checked for ruling out diabetes.Alsoa physician should rule out Hansens disease , although, uncommon now, but may be present in endimic areas.After all this check up, the neurologist will decide for course of futher action, if B12 is normal now
best wishes
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How To Relieve Numbness And Tingling In Feet Despite B12 Medication?

hello There should be checkup with an neurophysiologist and mapping of muscle power in foot should be done alongwith neurophysiological studies for any conduction defect in nerves, secondly, Blood and urine sugar levels must be checked for ruling out diabetes.Alsoa physician should rule out Hansens disease , although, uncommon now, but may be present in endimic areas.After all this check up, the neurologist will decide for course of futher action, if B12 is normal now best wishes