Mild Numbness in Hands and Feet: Possible Causes and Solutions - Neurology

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The hands and feet feel slightly numb but not excessively so?


Hello, my mother is 59 years old.
She often feels a slight tingling in her hands and feet, which is not too severe, and it seems to be spreading.
She has undergone a full-body examination at the hospital, but no issues were found.
She also does not have diabetes.
Could you please inform me of the possible conditions and how to address them? Thank you.
Richard

Richard, 30~39 year old female. Ask Date: 2001/10/11

Dr. Ye Boshou reply Neurology


The cause of numbness may be neuropathy or poor blood circulation.
It is recommended to try soaking in warm water to see if it improves; if it does, it may be due to poor blood circulation.

Reply Date: 2001/10/11

More Info


Hello Richard,
Thank you for reaching out with your concerns about your mother's mild numbness in her hands and feet. Numbness can be a perplexing symptom, especially when comprehensive medical evaluations do not reveal any underlying conditions. Given your mother's age and the nature of her symptoms, there are several potential causes and approaches to consider.


Possible Causes of Mild Numbness
1. Peripheral Neuropathy: This is one of the most common causes of numbness in the extremities. It can result from various factors, including vitamin deficiencies (especially B vitamins), alcohol use, or exposure to toxins. Even if diabetes has been ruled out, other conditions like hypothyroidism or autoimmune diseases can also lead to peripheral neuropathy.

2. Cervical or Lumbar Radiculopathy: Compression of nerves in the neck (cervical radiculopathy) or lower back (lumbar radiculopathy) can cause numbness that radiates into the arms or legs. This is often due to herniated discs or spinal stenosis.

3. Multiple Sclerosis (MS): While less common, MS can present with numbness and tingling sensations. It is a neurological condition that affects the central nervous system and can cause a wide range of symptoms.

4. Anxiety and Stress: Psychological factors can also manifest physically. Anxiety can lead to hyperventilation, which may cause temporary numbness or tingling in the extremities.

5. Circulatory Issues: Conditions that affect blood flow, such as peripheral artery disease, can lead to numbness, especially during physical activity.

6. Carpal Tunnel Syndrome: If the numbness is more pronounced in the hands, it could be due to compression of the median nerve at the wrist, commonly seen in individuals who perform repetitive hand movements.


Recommended Approaches
1. Further Evaluation: Since initial tests did not reveal any issues, it may be beneficial for your mother to see a neurologist. They can conduct specific tests, such as nerve conduction studies or electromyography (EMG), to assess nerve function.

2. Vitamin Supplementation: If vitamin deficiencies are suspected, a healthcare provider can recommend blood tests to check levels of B12, folate, and other essential vitamins. Supplementation may help alleviate symptoms if deficiencies are found.

3. Physical Therapy: Engaging in physical therapy can help improve strength and flexibility, which may alleviate some symptoms. A therapist can also provide exercises tailored to her specific needs.

4. Lifestyle Modifications: Encourage your mother to maintain a healthy diet rich in vitamins and minerals, stay hydrated, and engage in regular physical activity. Reducing alcohol intake and managing stress through relaxation techniques can also be beneficial.

5. Monitoring Symptoms: Keeping a symptom diary can help identify triggers or patterns related to her numbness. This information can be valuable for healthcare providers in diagnosing and managing her condition.

6. Mind-Body Techniques: If anxiety is a contributing factor, practices such as yoga, meditation, or mindfulness can help manage stress and improve overall well-being.


Conclusion
While mild numbness in the hands and feet can be concerning, there are various potential causes and solutions. It is essential to continue working with healthcare providers to explore these options and find an effective management strategy. Encourage your mother to communicate openly about her symptoms and any changes she experiences, as this will aid in her diagnosis and treatment.

Wishing you and your mother the best of health.

Sincerely,
Doctor Q&A Teams

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