Numbness in Toes: Causes and When to Seek Help

What causes numbness in the toes?

I have a tingling sensation in a small area on the outer tip of my right big toe that has persisted for the past week.
It doesn't hurt, and there are no lumps, just a constant tingling feeling.
I'm worried it might be a sign of a stroke or another condition.
I'm unsure which specialist to see.
Additionally, my left shoulder has been sore since a dislocation over a year ago.
Should I see an internist or an orthopedic surgeon for this? What treatment options might be available?

KIWI, 20~29 year old female. Ask Date: 2005/03/31

Dr. Ye Boshou reply Neurology

1.
These are not symptoms of a stroke, so there is no need to worry; they are likely caused by peripheral nerve issues or poor blood circulation.
If you want to confirm, please consult a neurologist.
2.
For pain caused by a dislocation, you can see an orthopedic specialist or a rehabilitation physician for treatment.

Reply Date: 2005/03/31

More Info

Numbness in the toes, particularly in the area you described on the outer side of your right big toe, can be concerning, especially if it has persisted for a week without any accompanying pain or visible abnormalities. While it’s understandable to worry about serious conditions like a stroke, it’s important to consider other more common causes of numbness in the toes.

One potential cause of numbness in the toes is peripheral neuropathy, which can result from various factors including diabetes, vitamin deficiencies (such as B12), or nerve compression. Another common cause is a condition known as Morton's neuroma, which involves thickening of the tissue around a nerve leading to the toes, often causing numbness or a tingling sensation. Additionally, conditions like tarsal tunnel syndrome, where the tibial nerve is compressed as it passes through the tarsal tunnel in the ankle, can also lead to numbness in the toes.

Given that your numbness is localized to a specific area and does not involve pain or other symptoms, it might be less likely to be a serious condition like a stroke. However, if you experience any sudden changes in your ability to move your toes, weakness in your leg, or other neurological symptoms, it would be crucial to seek immediate medical attention.

As for which specialist to consult, a neurologist would be a suitable choice for evaluating numbness and other neurological symptoms. They can perform tests to determine if there is nerve damage or other underlying issues. Additionally, a podiatrist may also be helpful, especially if the numbness is related to foot structure or mechanics.

Regarding your left shoulder, which has been painful for over a year after a dislocation, it would be advisable to see an orthopedic surgeon. They specialize in musculoskeletal issues and can assess the shoulder for any lingering damage, such as rotator cuff injuries, labral tears, or arthritis that may have developed post-injury. Treatment options may include physical therapy, corticosteroid injections, or, in some cases, surgical intervention if conservative measures do not provide relief.

Physical therapy can be particularly beneficial for both your shoulder and foot issues. A physical therapist can design a rehabilitation program tailored to your needs, focusing on strengthening and improving the range of motion in your shoulder, as well as addressing any underlying issues contributing to the numbness in your toe.

In summary, while the numbness in your toe is likely not an immediate cause for alarm, it is essential to monitor the situation and consult with a neurologist for a thorough evaluation. For your shoulder pain, an orthopedic specialist would be the best route to explore treatment options. Early intervention can often lead to better outcomes, so don’t hesitate to seek help.

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