Numbness in Hands and Feet: Causes and Solutions

Numbness in the hands and feet to the point of loss of sensation?

My father is 87 years old and has been experiencing gradual numbness in both hands for the past two years, which has now progressed to almost complete loss of sensation.
He also has some numbness in his feet.
1.
My father has never had a stroke.
2.
He has seen many traditional Chinese and Western doctors without any improvement, and he has undergone physical therapy for six months.
3.
He is currently taking traditional Chinese medicine (for blood purification) and receiving massages, but there has been no improvement.
After taking the medication, he feels particularly numb.
Please help me, as I do not know what to do.
Thank you, doctor, and I wish you happiness.

Mrs. Zheng, 40~49 year old female. Ask Date: 2000/11/18

Dr. Ye Boshou reply Neurology

Numbness in the hands and feet may be due to cervical nerve compression or polyneuropathy.
It is advisable to consult a neurologist for an accurate diagnosis and treatment.

Reply Date: 2000/11/18

More Info

Numbness in the hands and feet, especially in an elderly individual like your father, can be a concerning symptom that may arise from various underlying causes. Understanding these causes is crucial for determining the appropriate course of action.

Possible Causes of Numbness
1. Peripheral Neuropathy: This is one of the most common causes of numbness in the extremities. It can result from diabetes (diabetic neuropathy), vitamin deficiencies (especially B12), alcohol abuse, or exposure to toxins. Peripheral neuropathy can lead to damage of the peripheral nerves, causing sensations of numbness, tingling, or pain.

2. Cervical or Lumbar Radiculopathy: Nerve compression in the neck (cervical) or lower back (lumbar) can lead to numbness in the arms or legs. Conditions such as herniated discs, spinal stenosis, or degenerative disc disease can contribute to this.

3. Circulatory Issues: Poor circulation due to conditions like peripheral artery disease (PAD) can lead to numbness in the extremities. This is often accompanied by other symptoms such as pain or cramping in the legs during activity.

4. Multiple Sclerosis (MS): Although less common, MS can cause numbness and tingling as it affects the central nervous system. It is characterized by a variety of neurological symptoms.

5. Stroke or Transient Ischemic Attack (TIA): While you mentioned that your father has not had a stroke, it is important to rule out any transient ischemic events, especially given the age factor.

6. Vitamin Deficiencies: Deficiencies in vitamins, particularly B vitamins (B1, B6, B12), can lead to nerve damage and numbness.
7. Thyroid Issues: Hypothyroidism can lead to peripheral neuropathy and numbness in the extremities.

8. Medication Side Effects: Certain medications can cause numbness as a side effect. If your father is taking multiple medications, it may be worth reviewing them with a healthcare provider.

Suggested Solutions
1. Comprehensive Evaluation: Given that your father has seen multiple healthcare providers without improvement, it may be beneficial to seek a comprehensive evaluation from a neurologist. They can perform specific tests such as nerve conduction studies or electromyography (EMG) to assess nerve function.

2. Blood Tests: A thorough blood test can help identify vitamin deficiencies, thyroid function, and other metabolic issues that may contribute to his symptoms.

3. Physical Therapy: While he has undergone rehabilitation, a specialized physical therapist can provide targeted exercises to improve strength and circulation in the hands and feet.

4. Lifestyle Modifications: Encourage your father to engage in regular, gentle exercise, which can improve circulation. Simple activities like walking or stretching can be beneficial.

5. Dietary Changes: A balanced diet rich in vitamins, particularly B vitamins, can support nerve health. Foods such as leafy greens, nuts, seeds, fish, and lean meats are excellent sources.

6. Medication Review: If he is taking multiple medications, a review with a pharmacist or physician may help identify any that could be contributing to his symptoms.

7. Alternative Therapies: While traditional treatments have not yielded results, some patients find relief through acupuncture or other complementary therapies.
8. Monitoring and Follow-Up: Continuous monitoring of his symptoms and regular follow-ups with healthcare providers can help track any changes and adjust treatment plans accordingly.

Conclusion
Numbness in the hands and feet can stem from a variety of causes, especially in older adults. A thorough evaluation by a neurologist, along with appropriate blood tests and lifestyle modifications, can help identify the underlying issue and guide treatment. It is essential to remain persistent in seeking answers and advocating for your father's health.

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