Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query. you haven t mentioned your age, sex , and associated medical conditions like diabetes etc .. depending upon the age of the patient , such as hot needle stabbing, pain , numbness and burning sensations can be of different causes ... in most of the candidates , if there symptoms persist for long then there is some pathology in the Spinal cord s regions ( Lumbosacral area) or the roots which come from the spinal cord to supply these area s skin and muscles. routinely, we do take complete biodata from such patients including age, their past history of diabetes, hypertension , previous trauma/fall, and off course profession then a complete assessment and evaluation is done by General Physical followed by neurological examination The combination of bio data & Clinical examination then further reveals whether there is need of Nerve conduction studies and or Radiological assessment ( X-Rays. MRI etc) for further treatment / management Hope this may help you. Let me know if anything not clear. Thanks.