Unexplained Tingling: Nerve Issues and Symptoms - Neurology

Share to:

Unexplained numbness?


On a certain Saturday evening while sitting and watching TV, I felt numbness in the soles of my feet.
I got up to move around and noticed that my ring finger and little finger on both hands were also numb.
I thought it was due to poor posture and would improve later, but the numbness persisted until the next day.
(The areas of numbness included the ring and little fingers, extending to the lower back, buttocks, back of the thighs, back of the calves, and the soles of the feet.) Since there were no relevant specialties available for outpatient care on the weekend, I first went to a family medicine clinic on Sunday.
The physician temporarily prescribed anti-inflammatory medication and neuroprotective drugs.
After taking the medication, the areas of numbness changed, and I experienced numbness throughout my entire abdomen.

Qi, 30~39 year old female. Ask Date: 2022/05/08

Dr. Jiang Junyi reply Neurology


Dear Ms.
Chi,
You mentioned that "the location of the numbness changed after taking the medication, and now the entire abdomen feels numb." If you are only experiencing tingling sensations without any weakness, it may be worth considering hyperventilation.
However, if the numbness rapidly ascends and is accompanied by significant weakness, acute demyelinating polyneuropathy should be considered, which is a neurological emergency.

Typical clinical symptoms include: bilateral symmetric progressive weakness, limb pain, tingling sensations in the hands and feet, or mild sensory abnormalities.
These symptoms may gradually worsen over a period of days to four weeks.
In severe cases, it can even affect the cranial nerves or the muscles responsible for breathing and swallowing, leading to issues such as double vision, facial nerve paralysis, difficulty swallowing, or respiratory distress.
It is essential to seek emergency medical attention.
Thank you for your inquiry.
If you have any related questions, feel free to discuss further.
Wishing you good health and peace.
Dr.
Jiang Junyi
Department of Neurology
Taoyuan Hospital

Reply Date: 2022/05/08

More Info


Unexplained tingling sensations can be quite concerning and may indicate underlying nerve issues. The symptoms you describe—tingling in the fingers, extending to the lower back, buttocks, thighs, calves, and even the soles of your feet—suggest a possible nerve compression or irritation. This could be due to several factors, including poor posture, prolonged sitting, or even underlying medical conditions.

When you experience tingling in specific fingers, such as the ring and little fingers, it often points to issues with the ulnar nerve, which runs from the neck down to the hand. Compression of this nerve can occur at various points, particularly at the elbow (cubital tunnel syndrome) or at the wrist (Guyon's canal syndrome). The fact that the tingling has spread to other areas, including your lower back and legs, raises the possibility of a more systemic issue, such as a herniated disc or spinal stenosis, which can compress nerves as they exit the spinal column.

The change in your symptoms after taking anti-inflammatory and neuroprotective medications is also noteworthy. It suggests that inflammation may be playing a role in your symptoms. If the tingling has now spread to your abdomen, this could indicate that the nerve irritation is more widespread or that there is a different underlying issue at play. It's essential to consider that nerve issues can sometimes manifest in unexpected ways, and the body’s nervous system is interconnected.

Given that you experienced these symptoms after sitting for an extended period, it’s crucial to evaluate your posture and ergonomics. Poor posture can lead to nerve compression, especially if you are sitting in a way that puts pressure on your lower back or legs. Regular breaks to stretch and change positions can help alleviate pressure on the nerves.

In terms of next steps, it would be advisable to follow up with a neurologist or a specialist in physical medicine and rehabilitation. They can conduct a thorough examination, which may include imaging studies like MRI or CT scans to assess for any structural issues in the spine or other areas that could be causing nerve compression. Additionally, nerve conduction studies or electromyography (EMG) may be recommended to evaluate the function of the nerves and muscles.

If you find that your symptoms persist or worsen, or if you experience additional symptoms such as weakness, loss of coordination, or changes in bowel or bladder function, it’s crucial to seek immediate medical attention. These could be signs of a more serious condition that requires prompt intervention.

In summary, unexplained tingling can arise from various causes, including nerve compression, inflammation, or systemic issues. It’s essential to monitor your symptoms closely and seek further evaluation from a healthcare professional to determine the underlying cause and appropriate treatment. Taking proactive steps to improve your posture and ergonomics, along with following up with a specialist, will be key in addressing your symptoms effectively.

Similar Q&A

Understanding Unexplained Limb Tingling and Numbness: Causes and Solutions

Hello Doctor: I would like to ask a question. I have been experiencing unexplained sharp pain on my body for a week now, which feels like being bitten by ants, occurring sporadically. In the last three days, I have also noticed a tingling sensation in both palms and soles, which ...


Dr. Hong Yuanbin reply Internal Medicine
Hello, based on your described symptoms, there are typically two possibilities. First, a neuromuscular issue, such as carpal tunnel syndrome. If you have diabetes, it can also cause the tingling sensation you mentioned; however, theoretically, these abnormalities should be visibl...

[Read More] Understanding Unexplained Limb Tingling and Numbness: Causes and Solutions


Understanding Mysterious Nerve Symptoms: Seeking Answers for Unexplained Numbness

Hello Doctor, I don't know what strange illness I have, and I'm very scared. I've seen several specialists without any results, and I'm feeling quite helpless and frustrated, not knowing what to do. Please help me. My limbs on one side experience unexplained n...


Dr. Gao Chunde reply Neurology
The symptoms are reversible, indicating a functional transient disturbance, commonly seen in transient ischemic attacks or abnormal local neuronal discharges. A neurologist will conduct a thorough examination and arrange appropriate further tests to determine the underlying cause...

[Read More] Understanding Mysterious Nerve Symptoms: Seeking Answers for Unexplained Numbness


Understanding Nerve Issues: From Tingling Limbs to Facial Symptoms

Hello, I recently discovered that I often wake up with numbness in both arms while sleeping. Last week, I noticed that my left leg started to feel numb, followed by my right leg, both hands, and my scalp, which have been alternating in numbness. I went to the emergency department...


Dr. Jiang Junyi reply Neurology
Dear Ms. Sumi, Regarding the issue of sensory abnormalities you mentioned, since your symptoms are atypical, a comprehensive evaluation is recommended. Sensory nerve abnormalities can occur in various conditions and are generally classified as symmetrical or unilateral. In sym...

[Read More] Understanding Nerve Issues: From Tingling Limbs to Facial Symptoms


Understanding Unexplained Physical Symptoms: When to Seek Help

Hello Doctor, since mid-August, I have been experiencing tingling and numbness in my fingers and limbs upon waking up. I went to a neurologist for an examination, and I will be undergoing more in-depth tests soon. Between mid-August and October, I have felt that my body sometimes...


Dr. Xiao Yongxun reply Family Medicine
Dear Student Chen, The characteristics of Generalized Anxiety Disorder (GAD) include chronic and persistent worry that is multifaceted (e.g., concerning finances, family, health, the future, etc.), excessive, difficult to control, and often accompanied by other nonspecific physi...

[Read More] Understanding Unexplained Physical Symptoms: When to Seek Help


Related FAQ