Numbness in the feet?
A while ago, I experienced eyelid twitching for about 2 to 3 months, but it has since stopped.
Recently, I have started to feel numbness in both of my feet (specifically in the soles), and it feels like they are shaking, although when I touch them, they are not actually shaking.
Sometimes, when I am more tired or busy, the numbness in my feet becomes more severe.
My hands do not feel numb during the day, but occasionally, I experience numbness in my hands at night.
I have also noticed that my blood pressure is slightly elevated.
Could you please help me understand what this situation might be? Thank you.
Kang Kang, 50~59 year old female. Ask Date: 2005/07/11
Dr. Ye Boshou reply Neurology
If symptoms such as eyelid twitching or numbness occur briefly, they are generally not a cause for concern and may not indicate autonomic nervous system dysfunction.
However, if the symptoms persist, it is necessary to seek medical evaluation.
Reply Date: 2005/07/11
More Info
Numbness in the feet can be a concerning symptom, and understanding its potential neurological causes is essential for proper diagnosis and treatment. Based on your description, it seems you are experiencing a tingling or "pins and needles" sensation in your feet, particularly in the soles, which may be exacerbated by fatigue or stress. Additionally, you mentioned that your eyelid was twitching for a couple of months, which could indicate some underlying neurological or systemic issue.
There are several potential causes for numbness in the feet, and they can range from benign to serious. Here are some of the most common neurological causes:
1. Peripheral Neuropathy: This condition involves damage to the peripheral nerves, which can lead to numbness, tingling, and weakness in the affected areas. Diabetes is a common cause of peripheral neuropathy, but it can also result from alcohol abuse, vitamin deficiencies (especially B vitamins), infections, and certain medications.
2. Nerve Compression: Conditions such as herniated discs or sciatica can compress nerves in the lower back, leading to numbness and tingling in the feet. This is often accompanied by pain that radiates down the leg.
3. Multiple Sclerosis (MS): MS is an autoimmune disease that affects the central nervous system and can cause a variety of neurological symptoms, including numbness and tingling in the extremities. The symptoms can vary widely among individuals.
4. Stroke or Transient Ischemic Attack (TIA): Sudden numbness or weakness in one side of the body can be a sign of a stroke or TIA. While your symptoms seem to be more chronic, it's important to be aware of these serious conditions.
5. Anxiety and Stress: Psychological factors can also contribute to physical symptoms. Anxiety can lead to hyperventilation, which may cause temporary numbness or tingling in the extremities. Additionally, stress can exacerbate existing conditions, leading to increased sensations of numbness.
Given that you have experienced eyelid twitching and now have numbness in your feet, it would be prudent to consult a healthcare professional for a thorough evaluation. They may recommend tests such as blood work to check for diabetes, vitamin deficiencies, or thyroid function, as well as imaging studies like an MRI if nerve compression is suspected.
In the meantime, here are some general recommendations:
- Monitor Symptoms: Keep track of when the numbness occurs, its duration, and any accompanying symptoms. This information can be helpful for your healthcare provider.
- Lifestyle Modifications: Ensure you are maintaining a balanced diet rich in vitamins and minerals, particularly B vitamins, which are crucial for nerve health. Regular physical activity can also improve circulation and nerve function.
- Stress Management: Engage in relaxation techniques such as deep breathing, meditation, or yoga to help manage stress and anxiety, which may alleviate some of your symptoms.
- Avoid Prolonged Pressure: If you sit or stand for long periods, take breaks to move around and stretch, which can help relieve pressure on nerves.
In conclusion, while numbness in the feet can stem from various neurological causes, it is essential to seek medical advice for an accurate diagnosis and appropriate treatment. Early intervention can often lead to better outcomes, especially if a serious condition is identified.
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