Nerve Issues: Causes and Symptoms of Numbness and Weakness

Paralysis

Doctor, I have been experiencing symptoms that started with numbness in two fingers on each hand, but it has since progressed to numbness in all my fingers.
Currently, both of my palms feel numb, and my toes are also numb, extending to the soles of my feet.
The most severe symptom is slight weakness in both legs, and I also have partial numbness in my left hip.
I visited the neurology department at Chimei Hospital once, but the doctor did not perform any tests and prescribed three medications (including Chuangli, Yuli Shutan, and He Lita Ming) to be taken once in the morning and once at night.
However, I only take them at night because the doctor advised against driving while on the medication, and my symptoms have not shown significant improvement.
Additionally, I had blood tests done outside, and the results were mostly normal (likely just the basic tests).
These symptoms have progressed from mild to severe over the past two weeks.
The outpatient doctor has scheduled a neurological examination for next week, but the wait is long, and I have not seen any improvement.
If I had known, I would have sought outpatient care sooner.
Traditional Chinese medicine could not determine the cause either, and they only suggested improving blood circulation (as my hands and feet are cold).
Therefore, I would like to ask what these symptoms might indicate.
Why do I feel numbness that resembles a sensation of gradual freezing? I also occasionally experience mild pain on the right side of the back of my head.

Wunai de huanzhe, 30~39 year old female. Ask Date: 2010/03/05

Dr. Gao Chunde reply Neurology

The emergence of new symptoms indicating disease progression suggests that there are unresolved issues.
It is important to return to the outpatient clinic as soon as possible to inform your physician of your current condition.
This will allow them to arrange appropriate management based on these changes in your disease course.

Reply Date: 2010/03/05

More Info

Your symptoms of numbness and weakness in your hands and feet, along with the sensation of tingling, can be concerning and may indicate several underlying neurological issues. Given the progression of your symptoms—from isolated finger numbness to widespread numbness in both hands and feet, along with weakness in your legs and partial numbness in your left hip—it's essential to consider a few potential causes.

1. Peripheral Neuropathy: This condition occurs when the peripheral nerves, which transmit signals between the brain and spinal cord to the rest of the body, are damaged. Symptoms often include numbness, tingling, and weakness in the extremities. Common causes of peripheral neuropathy include diabetes, vitamin deficiencies (especially B vitamins), alcohol abuse, and certain medications.

2. Cervical Radiculopathy: If there is compression or irritation of the nerves in the cervical spine (neck region), it can lead to symptoms that radiate down the arms, causing numbness and weakness. This is often due to herniated discs, bone spurs, or degenerative changes in the spine.

3. Multiple Sclerosis (MS): MS is an autoimmune disease that affects the central nervous system, leading to a wide range of symptoms, including numbness, weakness, and coordination issues. The symptoms can vary greatly from person to person and can come and go.

4. Transient Ischemic Attack (TIA) or Stroke: Although less common, sudden onset of numbness and weakness can be a sign of a TIA or stroke, particularly if the symptoms are unilateral (affecting one side of the body). This is a medical emergency and requires immediate attention.

5. Vitamin Deficiencies: As mentioned, deficiencies in vitamins, particularly B12, can lead to neurological symptoms. A blood test can help determine if you have any deficiencies that need to be addressed.

6. Anxiety and Stress: Sometimes, psychological factors can manifest as physical symptoms, including numbness and tingling. Stress and anxiety can lead to hyperventilation, which may cause temporary numbness in the extremities.

Given that you have already consulted a neurologist and are scheduled for further nerve testing, it is crucial to follow through with those evaluations. Tests such as electromyography (EMG) and nerve conduction studies can provide valuable information about the function of your nerves and muscles. Additionally, imaging studies like MRI may be necessary to assess for structural issues in the spine or brain.

In the meantime, here are some recommendations to help manage your symptoms:
- Maintain Good Posture: Poor posture can exacerbate nerve compression. Ensure that your workstation is ergonomically set up, especially if you spend long hours sitting.

- Regular Movement: Engage in gentle stretching and movement to improve circulation and reduce nerve compression. Avoid prolonged periods of inactivity.

- Healthy Diet: Focus on a balanced diet rich in vitamins and minerals, particularly B vitamins, to support nerve health.

- Hydration: Ensure you are adequately hydrated, as dehydration can contribute to muscle cramps and nerve issues.

- Stress Management: Consider relaxation techniques such as yoga, meditation, or deep-breathing exercises to help manage stress and anxiety.

If your symptoms worsen or new symptoms arise, seek immediate medical attention. It’s essential to address these issues promptly to prevent potential complications. Your health is paramount, and understanding the underlying causes of your symptoms is the first step toward effective treatment and management.

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