Numbness and Weakness in Hands and Feet: When to Seek Help - Neurology

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Numbness and weakness in the hands and feet?


Hello Doctor, I am #196332.
I would like to add that today I also experienced some numbness in my hands.
I would like to ask, in the case of numbness in the hands and feet (and I also felt a slight numbness in my back just now), while my hand and foot movements are not restricted, what could be the issue? Should I urgently see a doctor?

Niming, 20~29 year old female. Ask Date: 2023/05/11

Dr. Peng Shiwei reply Neurology


Hello, I apologize for not being able to search previous inquiries.
However, if you are experiencing numbness in both your hands and feet, it is important to rule out any neurological issues.
I recommend consulting a neurologist.
Thank you for your question.

Reply Date: 2023/05/11

More Info


Numbness and weakness in the hands and feet can be concerning symptoms that may indicate underlying medical conditions. It’s important to understand the potential causes and when it is necessary to seek medical attention.

Numbness, often described as a tingling or "pins and needles" sensation, can occur due to various reasons. Common causes include nerve compression, poor circulation, or systemic conditions such as diabetes or multiple sclerosis. Weakness in the hands and feet can be associated with muscle or nerve issues, and it may be indicative of conditions affecting the nervous system, such as peripheral neuropathy or radiculopathy.

In your case, experiencing numbness in the hands, feet, and even the back, albeit mild, raises a few considerations. If these sensations are transient and resolve quickly, they may not be a cause for immediate concern. However, if the numbness persists, worsens, or is accompanied by other symptoms such as weakness, difficulty walking, or loss of coordination, it is advisable to seek medical evaluation promptly.

Here are some specific scenarios when you should consider seeing a doctor:
1. Persistent Symptoms: If the numbness or weakness lasts for an extended period or keeps recurring, it’s essential to consult a healthcare professional. Persistent symptoms may indicate a more serious underlying condition that requires diagnosis and treatment.

2. Accompanying Symptoms: If you experience other symptoms such as severe headaches, vision changes, difficulty speaking, or loss of bladder or bowel control, you should seek immediate medical attention. These could be signs of a stroke or other neurological emergencies.

3. Impact on Daily Activities: If the numbness or weakness interferes with your ability to perform daily tasks, such as holding objects, walking, or maintaining balance, it’s crucial to get evaluated. Functional impairment can significantly affect your quality of life and may require intervention.

4. History of Medical Conditions: If you have pre-existing conditions such as diabetes, hypertension, or a history of neurological disorders, it’s wise to be vigilant about new symptoms. These conditions can increase the risk of complications that may manifest as numbness or weakness.

5. Changes in Sensation: If you notice changes in sensation, such as increased sensitivity to touch or temperature, or if the numbness spreads to other areas of the body, this warrants further investigation.

In terms of potential causes, conditions like carpal tunnel syndrome, herniated discs, or peripheral neuropathy could be contributing factors. Carpal tunnel syndrome, for instance, is characterized by numbness and weakness in the hands due to median nerve compression at the wrist. Peripheral neuropathy, often seen in diabetic patients, can lead to numbness and weakness in the extremities due to nerve damage.

To summarize, while occasional numbness and weakness may not always indicate a severe problem, it is essential to monitor the symptoms closely. If they persist, worsen, or are accompanied by other concerning signs, seeking medical advice is crucial. A healthcare provider can perform a thorough evaluation, which may include a physical examination, blood tests, or imaging studies, to determine the underlying cause and appropriate treatment. Early intervention can often lead to better outcomes, so don’t hesitate to reach out to a medical professional if you have concerns about your symptoms.

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