Sudden numbness in the hands and feet while walking?
Hello, doctor.
Recently, I've been experiencing numbness in my hands and feet while walking, and sometimes just having my hands hanging down causes numbness.
The affected areas are mainly my entire palms or soles.
The sensation feels like it's coming from the inside out, almost like wearing a layer of gloves, and I can also see the microvessels becoming more prominent.
I understand that blood can accumulate in the extremities when my hands are hanging down, but since I've never experienced this before, and considering that I've had some palpitations recently, I'm a bit worried it might be a blood clot.
Therefore, I'm consulting you, doctor.
Thank you!
Awei, 20~29 year old female. Ask Date: 2022/04/28
Dr. Wu Xueming reply Cardiology
This symptom is not related to a blood clot; it is recommended to visit a neurologist for further examination.
Reply Date: 2022/04/28
More Info
Experiencing numbness in the hands and feet while walking can be concerning, and it's important to understand the potential causes and implications of these symptoms. Numbness, or paresthesia, can arise from various underlying issues, and it is crucial to consider both neurological and vascular factors.
One common cause of numbness in the extremities is nerve compression or irritation. Conditions such as carpal tunnel syndrome, where the median nerve is compressed at the wrist, can lead to numbness in the hands. Similarly, conditions affecting the spine, such as herniated discs or spinal stenosis, can compress nerves that innervate the legs and feet, leading to numbness or tingling sensations. If you have a history of any spinal issues or have experienced trauma, this could be a contributing factor.
Another potential cause is peripheral neuropathy, which can result from various factors, including diabetes, vitamin deficiencies (particularly B vitamins), alcohol use, or certain medications. Peripheral neuropathy often presents as numbness, tingling, or a "pins and needles" sensation in the hands and feet. If you have any risk factors for diabetes or have noticed other symptoms such as increased thirst or frequent urination, it may be worth discussing this with your healthcare provider.
Circulatory issues can also lead to numbness. If blood flow to the extremities is compromised, it can result in a sensation of numbness. Conditions such as Raynaud's phenomenon, where blood vessels in the fingers and toes constrict excessively in response to cold or stress, can cause numbness and color changes in the skin. Additionally, blood clots or vascular diseases can lead to reduced blood flow, resulting in numbness and other symptoms. Given your concern about blood clots, it is essential to rule out any serious vascular issues, especially if you have experienced heart palpitations or other cardiovascular symptoms.
The fact that you experience numbness when your hands are down suggests that gravity may be playing a role in blood pooling in the extremities. However, the sudden onset of these symptoms, especially in conjunction with heart palpitations, warrants further investigation. It is advisable to consult a healthcare professional who can perform a thorough evaluation, including a physical examination and possibly imaging studies or nerve conduction tests, to determine the underlying cause of your symptoms.
In the meantime, there are some general recommendations you can consider to help manage your symptoms. Maintaining good posture while sitting or standing can help alleviate pressure on nerves. Regular physical activity, including stretching and strengthening exercises, can improve circulation and nerve function. Additionally, ensuring you have a balanced diet rich in vitamins and minerals can support nerve health.
In summary, while numbness in the hands and feet can be caused by various factors, including nerve compression, peripheral neuropathy, and circulatory issues, it is essential to seek medical advice to determine the exact cause and appropriate treatment. Given your recent experiences with heart palpitations and the new onset of numbness, it is crucial to address these symptoms promptly to rule out any serious conditions.
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