Numbness in Hands and Feet: Causes and Concerns

Numbness in the palms and soles?

About two weeks ago, I experienced numbness in my fingers and toes (both hands and feet).
It was more pronounced when lying down or sitting, but not when standing.
A few days later, the symptoms disappeared, but this week they have returned, extending to my palms and soles, occurring in all positions: standing, sitting, and lying down.
There is no discomfort, but the tingling and numbness are consistently uncomfortable.
I had a fall recently (landing on my tailbone, but it didn't hurt much), and I'm unsure if it is related.
Could you please help me, doctor? Thank you.

Xiao Jie, 30~39 year old female. Ask Date: 2017/02/10

Dr. Jiang Junyi reply Neurology

Hello, based on your description, it may be necessary to first consider hyperventilation syndrome.
The typical symptoms include chest tightness, chest pain, palpitations, shortness of breath, and numbness in the hands and feet, as well as scalp tingling.
Physical examination may reveal tachycardia, but other findings are non-specific.
Laboratory tests may show a slight decrease in potassium levels, arterial blood gas analysis may indicate respiratory alkalosis, and oxygen saturation levels are normal; the reason the patient is experiencing shortness of breath is not due to insufficient oxygen levels, but rather because excessive carbon dioxide is being expelled from the body.
Additionally, peripheral neuropathy, such as vitamin B12 deficiency, can also cause peripheral numbness.
It is recommended that you consult a neurologist to discuss further examination and treatment.
Wishing you good health and peace.

Reply Date: 2017/02/10

More Info

Numbness in the hands and feet can be a concerning symptom, especially when it occurs intermittently or is associated with a recent injury. Based on your description, it seems that you have experienced episodes of numbness in your fingers and toes, which have been more pronounced when lying down or sitting, and have recently re-emerged after a period of absence.
There are several potential causes for numbness in the extremities, and understanding these can help guide your next steps. Here are some common causes:
1. Nerve Compression or Injury: Given that you mentioned a recent fall where you landed on your tailbone, it's possible that there could be some nerve compression or irritation occurring in the lower back or pelvis. The sciatic nerve, for example, can be affected by issues in the lumbar spine, leading to numbness that radiates down the legs.

2. Circulatory Issues: Numbness can also result from poor circulation. When blood flow is restricted, it can lead to sensations of tingling or numbness. This is often exacerbated by certain positions, such as sitting or lying in a way that compresses blood vessels.

3. Peripheral Neuropathy: Conditions such as diabetes, vitamin deficiencies (especially B vitamins), or exposure to toxins can lead to peripheral neuropathy, which is characterized by numbness, tingling, and weakness in the hands and feet.

4. Multiple Sclerosis (MS): Although less common, MS can cause numbness and tingling in various parts of the body. This is due to the demyelination of nerves in the central nervous system. If you have other neurological symptoms, this may warrant further investigation.

5. Anxiety and Stress: Psychological factors can also contribute to physical symptoms. Anxiety can lead to hyperventilation, which may cause sensations of numbness or tingling in the extremities.

Given the recurrence of your symptoms and their association with a recent fall, it is advisable to consult a healthcare professional for a thorough evaluation. A neurologist would be particularly well-suited to assess your symptoms, as they can perform necessary tests such as nerve conduction studies or imaging studies (like an MRI) to rule out any serious underlying conditions.

In the meantime, here are some self-care strategies you can consider:
- Posture Awareness: Pay attention to your posture when sitting or lying down. Avoid positions that put pressure on your nerves or blood vessels.

- Gentle Stretching: Incorporate gentle stretching exercises into your routine to improve circulation and relieve any potential nerve compression.

- Warm Compresses: Applying warmth to the affected areas may help alleviate discomfort and improve blood flow.

- Stay Active: Regular physical activity can enhance circulation and nerve health. Aim for a mix of aerobic and strength-training exercises.

- Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet rich in vitamins and minerals, particularly B vitamins, which are essential for nerve health.

In conclusion, while numbness in the hands and feet can stem from various causes, it is essential to seek medical advice to determine the underlying issue, especially given your recent fall. Early intervention can lead to better outcomes and help alleviate your symptoms effectively.

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...