Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns

Sometimes, there are goosebumps on the right foot?

Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a potential stroke? Previously, I never experienced numbness or soreness in my right hand after exercising, but in early October, I had a workout that left my entire right hand sore until the next day.
Could this suggest that my body is showing signs of some condition? Which specialty should I consult?

Hui, 40~49 year old female. Ask Date: 2022/10/26

Dr. Jiang Junyi reply Neurology

Dear Ms.
Hui,
You mentioned that "after the activity, my entire right hand felt sore until the next day," which may indicate a potential issue with cervical nerve compression.
Peripheral neuropathy caused by nerve compression may present with the following characteristics:
1.
Pain that is burning or tingling in nature.
2.
Symptoms that have a specific dermatomal distribution, which can be triggered by touch or pressure.
3.
Accompanied by muscle soreness and weakness.
Examinations for peripheral nerve issues typically involve electrophysiological studies to assist in diagnosis.

- Nerve conduction studies: These assess the conduction velocity and waveform of large fiber nerves.
- Electromyography (EMG): This evaluates the muscle response in the areas supplied by the affected nerves.
I would also like to inquire if you have metabolic syndrome (such as increased waist circumference, elevated fasting blood glucose, or abnormal lipid levels).
If so, you may be at a higher risk for stroke.

I recommend that you visit a neurology clinic for further evaluation and follow-up.
Thank you for your inquiry, and feel free to discuss any related questions!
Wishing you good health and peace,
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital

Reply Date: 2022/10/26

More Info

Paresthesia, which refers to sensations such as tingling, prickling, or a "pins and needles" feeling, can be caused by a variety of factors, including nerve compression, injury, or underlying medical conditions. The symptoms you describe, such as the "chicken skin" appearance and the tingling in your right leg, could be indicative of several potential issues, including peripheral neuropathy, nerve entrapment, or even circulatory problems.

Given your history of experiencing pain in the right chest and the recent onset of symptoms in your right arm after exercise, it is essential to consider a comprehensive evaluation. While these symptoms may not necessarily indicate a stroke, they could suggest that there is some form of nerve irritation or compression occurring, which could be related to your posture during prolonged sitting or repetitive movements, especially if you have a sedentary job that requires long hours at a computer.

The "chicken skin" appearance you mention could be related to a condition known as keratosis pilaris, which is characterized by small, rough bumps on the skin, often on the arms, thighs, and buttocks. However, if these bumps are accompanied by tingling or pain, it may suggest a more complex issue involving the nerves or skin.

In terms of the right chest pain, it is crucial to differentiate between musculoskeletal pain, which could be due to muscle strain or tension, and more serious conditions such as cardiac issues. Given that you have experienced these symptoms intermittently, it would be wise to consult a healthcare professional who can conduct a thorough examination, including a neurological assessment, to rule out any serious conditions.

You may want to consider seeing a neurologist, as they specialize in conditions affecting the nervous system, including neuropathies and other nerve-related issues. They can perform tests such as nerve conduction studies or electromyography (EMG) to assess the function of your nerves and muscles.

Additionally, if you have not already done so, it may be beneficial to evaluate your lifestyle factors, including your posture while sitting, the frequency and type of exercise you engage in, and any stressors that may be contributing to your symptoms. Regular stretching, ergonomic adjustments to your workspace, and ensuring adequate hydration and nutrition can also play a significant role in managing symptoms.

In summary, while your symptoms may not immediately suggest a severe condition like a stroke, they warrant further investigation to determine the underlying cause. Consulting with a neurologist would be a prudent step to ensure that any potential nerve issues are addressed appropriately. Remember, early intervention can often lead to better outcomes, so seeking medical advice sooner rather than later is advisable.

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