Foot Numbness: Causes and Connections to Thyroid Issues - Orthopedics

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Tingling in the soles of the feet?


I have been experiencing numbness in my feet for the past 3 to 4 days, but the sensation disappears when I apply pressure to them.
I have been diagnosed with hyperthyroidism and have been on medication for nearly two years.
Could you explain why I am experiencing this symptom? My job requires me to stand and walk for up to 6 hours.
Could this be related? Additionally, I wake up with soreness in my lower back.

Mei Mei, 30~39 year old female. Ask Date: 2006/02/04

Dr. Shi Qiming reply Orthopedics


Hello: Lower back pain is usually caused by prolonged standing and poor posture.
If accompanied by traumatic spinal injuries, it may present neurological symptoms such as numbness, tingling, or weakness in the lower limbs, indicating nerve compression.
Generally, these symptoms can improve with adequate rest or rehabilitation.
However, if such symptoms persist for more than four weeks, further evaluation is recommended.
You may visit our orthopedic outpatient clinic for an examination.
Thank you!

Reply Date: 2006/02/04

More Info


Foot numbness can be a perplexing symptom, especially when it occurs alongside a known medical condition such as hyperthyroidism. In your case, the numbness in your feet, which resolves upon pressure, could be attributed to several factors, including your thyroid condition, prolonged standing, and possibly other underlying issues.

Hyperthyroidism can lead to various systemic effects, including changes in metabolism and muscle function. One of the potential complications of hyperthyroidism is peripheral neuropathy, which can manifest as numbness, tingling, or pain in the extremities. This occurs due to nerve damage or dysfunction, which can be exacerbated by factors such as prolonged standing or walking, as you mentioned. When you stand for extended periods, the pressure on your feet can lead to compression of nerves, resulting in temporary numbness or tingling sensations.

Additionally, your symptoms could be related to poor circulation or vascular issues, which can also be influenced by thyroid function. Hyperthyroidism can sometimes lead to increased heart rate and blood flow changes, which might affect how blood circulates to your extremities. If your feet are not receiving adequate blood flow, this could contribute to feelings of numbness.

Another aspect to consider is the posture and footwear you use during your long hours of standing. Improper footwear can lead to foot pain and numbness, especially if the shoes do not provide adequate support or cushioning. It is essential to wear shoes that fit well and offer good arch support to minimize discomfort. If your shoes are too tight or do not accommodate the natural shape of your feet, this could lead to nerve compression and numbness.

Moreover, the fact that you experience back pain upon waking could indicate that your sleeping posture or mattress may not be supportive enough. Poor spinal alignment during sleep can lead to muscle strain and discomfort, which may radiate to your legs and feet. Ensuring that you have a supportive mattress and practicing good sleep hygiene can help alleviate some of these issues.

In summary, the numbness in your feet could be multifactorial, stemming from your hyperthyroidism, prolonged standing, potential vascular issues, and possibly inadequate footwear or sleeping conditions. It is advisable to consult with your healthcare provider to discuss these symptoms in detail. They may recommend further evaluation, such as nerve conduction studies, to assess for peripheral neuropathy or other underlying conditions. Additionally, addressing your footwear and ensuring proper support during both standing and sleeping can significantly improve your symptoms.

In the meantime, consider incorporating regular breaks during your work to sit down and relieve pressure on your feet. Stretching exercises for your legs and feet can also promote circulation and reduce numbness. If you continue to experience these symptoms or if they worsen, seeking medical advice is crucial for appropriate management and treatment.

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