Numbness in Hands and Feet: Causes and Treatments

Numbness in the hands and feet?

Hello, Doctor Gao.
I have been taking sleeping pills for insomnia from the clinic, and I experience a tingling sensation in my head, as if blood is rushing out.
I mentioned this to the doctor when I first received the medication.
The doctor prescribed me Eperisone 0.5 mg (Mecobalamin), stating that it could stabilize my nerves.
I have been taking it for nearly 40 days, and my hands and feet often feel numb, especially after exercising.
Can you tell me if it is safe to take this medication long-term, considering I have been on insomnia medication for over four years?

Cai Xiansheng, 30~39 year old female. Ask Date: 2016/06/03

Dr. Gao Chunde reply Neurology

Of course, it's best to take less medication if possible.
Your Nabo capsules can be taken long-term, but it depends on the purpose for which your attending physician prescribed this medication after their diagnosis.
If you experience numbness in your hands and feet after taking it, you should discuss this with your physician during your follow-up appointment.
This will allow them to reassess the benefits and risks, and decide whether to continue the medication or switch to another one, as they are the most knowledgeable about your condition.

Reply Date: 2016/06/03

More Info

Understanding numbness in the hands and feet can be a complex issue, as it can stem from a variety of causes, including neurological, vascular, metabolic, and even psychological factors. In your case, the numbness and tingling sensations you are experiencing, particularly after taking medication for insomnia, could be related to several underlying issues.

Firstly, it's important to consider the potential side effects of the medications you are taking. The medication you mentioned, "甲鈷胺明" (Mecobalamin), is a form of vitamin B12 that is often used to treat neuropathy and other nerve-related issues. While it is generally considered safe, some individuals may experience side effects, including numbness or tingling, particularly if there is an underlying deficiency or if the body is adjusting to the medication. If you have been taking insomnia medication for an extended period, it is also possible that the combination of these medications could be contributing to your symptoms.

Numbness in the hands and feet can also be indicative of nerve compression or damage. Conditions such as carpal tunnel syndrome, where the median nerve is compressed at the wrist, can lead to numbness and tingling in the hands. Similarly, peripheral neuropathy, which can be caused by diabetes, alcohol use, or vitamin deficiencies, can lead to sensations of numbness in the extremities. Given your history of insomnia and the medications you are taking, it would be prudent to discuss these symptoms with your healthcare provider, who may recommend further evaluation, such as nerve conduction studies or blood tests to check for vitamin deficiencies or other metabolic issues.

Another potential cause of your symptoms could be related to posture or repetitive strain injuries. If you are engaging in activities that require prolonged use of your hands or arms, such as typing or using handheld devices, this could lead to nerve compression and resultant numbness. It is essential to evaluate your daily activities and ergonomics to identify any potential contributors to your symptoms.

In terms of treatment, it is crucial to address the underlying cause of the numbness. If it is related to medication, your doctor may consider adjusting your dosage or switching to a different medication. If it is due to nerve compression, physical therapy, ergonomic adjustments, or even surgical intervention may be necessary. Additionally, incorporating regular exercise and stretching can help improve circulation and reduce symptoms.

If you are experiencing persistent numbness or if it is accompanied by other concerning symptoms, such as weakness, pain, or changes in vision, it is essential to seek medical attention promptly. Your healthcare provider can perform a thorough evaluation and determine the most appropriate course of action.

In summary, while numbness in the hands and feet can be distressing, understanding the potential causes and treatments can help you manage your symptoms effectively. It is essential to maintain open communication with your healthcare provider and report any new or worsening symptoms to ensure appropriate care.

Similar Q&A

Understanding Numbness and Tingling in Hands and Feet: Causes and Solutions

I have been experiencing numbness in both my hands and feet for over a week now, with less sensation in my thighs and upper arms. Most of the numbness is in my palms and soles, with a larger area affected on the left side compared to the right. Recently, I have started to feel sl...

Dr. Jiang Junyi reply Neurology
Based on your description, you mentioned sudden neurological deficits such as limb weakness and slurred speech. The first consideration should be cerebrovascular disease. As for the bilateral limb paresthesia you mentioned, it may be necessary to consider metabolic issues such as...

Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions

Hello Doctor, since September 25th, I have been experiencing numbness in my fingers upon waking up. Initially, I thought it would resolve on its own, but by September 26th, the numbness extended to my toes and the soles of my feet. As of now, October 31st, the numbness in both my...

Dr. Jiang Junyi reply Neurology
Dear Ms. Apple, You mentioned that "blood tests, nerve conduction studies, and spinal tap examinations all reported normal results, and the cerebrospinal fluid analysis was also normal, with only a noted slowing of nerve conduction." You pointed out abnormal sensory ne...

Understanding Numbness in Hands and Feet: Causes and Concerns

Hello, doctor. I often experience numbness in my hands (sometimes extending to my wrists) or feet (approximately up to my ankles) during the winter and spring seasons, but my hands and feet do not feel cold. I would like to know what might be the cause. Thank you, doctor. P.S. I ...

Dr. Jiang Junyi reply Neurology
Hello Mr. Tuna: You mentioned that your hands (sometimes extending to the wrist) or feet (approximately up to the ankle) experience numbness, which may require ruling out peripheral nerve compression issues, such as carpal tunnel syndrome. Symptoms of peripheral nerve compression...

Understanding Numbness in Hands and Feet: Possible Causes and Solutions

I have recently noticed a numbness in my fingers and the soles of my feet, similar to having a layer of skin over them. A few days ago, I experienced numbness in my right fingers while sleeping, which made me uncomfortable and unable to sleep. The next day, the numbness was gone,...

Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned experiencing a "numbness in your fingers and the soles of your feet." If this occurs bilaterally, it may be worth considering hyperventilation. This can lead to systemic reactions and symptoms, with common manifestations including vasoconstrict...