Numbness in Hands and Feet: Possible Causes and Solutions - Neurology

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Numbness in the hands and feet?


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, but yesterday I felt numbness in the sole of my right foot, also similar to having a layer of skin.
Today, the numbness has returned to both my right fingers and the sole of my right foot.
Previously, I had chest tightness and consulted a doctor; my electrocardiogram, chest X-ray, blood tests, and urinalysis all came back normal, and my blood pressure is normal.
Recently, I have also noticed that my hair is starting to turn gray.
I am wondering if I might have autonomic nervous system dysfunction.

Niming, 20~29 year old female. Ask Date: 2022/03/15

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 vasoconstriction and decreased blood calcium levels.
The blood flow to the brain may be reduced due to vasoconstriction, resulting in dizziness, numbness (especially around the lips and upper limbs), and weakness.
You also mentioned "numbness in the fingers of your right hand," which may suggest clinical symptoms related to carpal tunnel syndrome.
The median nerve is responsible for the movement of the thumb and sensation in the thumb, index finger, middle finger, and part of the ring finger.
I recommend consulting a neurologist to discuss examination and treatment options.
Thank you for your inquiry, and feel free to reach out for further discussion on related issues! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Hospital, cares about you.

Reply Date: 2022/03/15

More Info


Numbness in the hands and feet can be a concerning symptom, and understanding its potential causes is crucial for effective management. Based on your description, it seems you are experiencing intermittent numbness in your fingers and the soles of your feet, which can be attributed to several factors.

One common cause of numbness is nerve compression or irritation. This can occur due to various reasons, such as repetitive movements, prolonged pressure on certain areas, or even sleeping in an awkward position. For instance, if you sleep with your arm under your head or body, it can compress the nerves in your arm, leading to temporary numbness or tingling sensations. Similarly, sitting or standing in one position for too long can compress nerves in the legs or feet.

Another possible cause is peripheral neuropathy, which is often related to conditions such as diabetes, vitamin deficiencies (especially B vitamins), or alcohol use. Peripheral neuropathy can result in symptoms like numbness, tingling, and weakness in the extremities. Given that you mentioned experiencing chest tightness in the past, it’s essential to consider cardiovascular health as well. While your recent tests have shown normal results, ongoing symptoms should be monitored closely.

Your mention of potential autonomic nervous system dysfunction is also worth considering. The autonomic nervous system controls involuntary bodily functions, including heart rate, digestion, and respiratory rate. Dysregulation can lead to symptoms such as changes in blood flow, which might contribute to feelings of numbness or tingling. Stress and anxiety can exacerbate these symptoms, leading to increased muscle tension and altered nerve function.

To address your symptoms, here are some recommendations:
1. Posture and Ergonomics: Pay attention to your posture during daily activities, especially if you spend long hours at a desk or engaging in repetitive tasks. Ensure your workspace is ergonomically designed to minimize strain on your hands and wrists.

2. Stretching and Strengthening Exercises: Incorporate regular stretching and strengthening exercises for your hands, wrists, and feet. This can help improve circulation and reduce nerve compression. Simple wrist stretches, finger flexion exercises, and foot stretches can be beneficial.

3. Lifestyle Modifications: If you suspect vitamin deficiencies, consider discussing this with your healthcare provider. They may recommend dietary changes or supplements to ensure you are getting adequate nutrients. Additionally, reducing alcohol consumption and managing blood sugar levels (if applicable) can help mitigate symptoms.

4. Stress Management: Engage in relaxation techniques such as deep breathing exercises, yoga, or meditation. These practices can help regulate the autonomic nervous system and reduce overall tension in the body.

5. Medical Evaluation: Since you have experienced multiple symptoms, including chest tightness and now numbness, it’s essential to continue working with your healthcare provider. They may recommend further evaluations, such as nerve conduction studies or imaging, to rule out any underlying conditions.

6. Sleep Hygiene: Ensure you are practicing good sleep hygiene. This includes maintaining a consistent sleep schedule, creating a comfortable sleep environment, and avoiding positions that may compress nerves.

In conclusion, while numbness in the hands and feet can stem from various causes, understanding the underlying factors is key to finding effective solutions. By addressing lifestyle factors, improving ergonomics, and seeking appropriate medical advice, you can work towards alleviating your symptoms and improving your overall well-being. If symptoms persist or worsen, do not hesitate to seek further medical evaluation to ensure comprehensive care.

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