Numbness in Both Feet: When to Seek Medical Attention - Neurology

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Numbness in both feet?


Doctor, I have been feeling numbness in both of my legs recently.
What could be the cause? Should I go to the hospital for an examination? What kind of tests should I undergo?

Dai, 20~29 year old female. Ask Date: 2010/09/03

Dr. Jiang Hezhou reply Neurology


Hello:
1.
For numbness in the feet, a face-to-face consultation is necessary to conduct a physical examination and neurological assessment to determine the nature of the numbness.
What is the extent of the numbness? Did it occur suddenly or gradually? How long does it last? Does it happen repeatedly? Is it progressively worsening? Is there any accompanying pain or other sensory disturbances? Are there any associated weakness or issues with bowel or bladder function? Are there symptoms in the upper limbs or head? Under what circumstances does it get triggered or worsen? What measures can be taken to alleviate the discomfort? Is there any relevant history of exposure, medication, medical conditions, or family history?
2.
It is advisable to seek medical attention for examination and evaluation! If necessary, further neurological tests or other relevant examinations can be arranged to determine the underlying cause and provide targeted treatment!

Reply Date: 2010/09/03

More Info


Numbness in both feet can be a concerning symptom that may indicate various underlying medical conditions. It is essential to understand the potential causes and when to seek medical attention. Numbness, or paresthesia, can result from issues related to the nervous system, circulation, or musculoskeletal system.
Common causes of numbness in the feet include:
1. Peripheral Neuropathy: This condition often results from diabetes, leading to nerve damage. Symptoms may include numbness, tingling, and pain in the feet. Other causes of peripheral neuropathy can include alcohol abuse, vitamin deficiencies (especially B vitamins), and certain medications.

2. Herniated Discs: A herniated disc in the lumbar spine can compress spinal nerves, leading to numbness or tingling in the legs and feet. This is often accompanied by back pain.

3. Circulatory Issues: Conditions such as peripheral artery disease (PAD) can reduce blood flow to the legs and feet, causing numbness. Other vascular issues, such as deep vein thrombosis (DVT), can also lead to numbness, especially if accompanied by swelling or pain.

4. Multiple Sclerosis (MS): This autoimmune disease can affect the central nervous system and may present with numbness or tingling in various body parts, including the feet.

5. Vitamin Deficiencies: Deficiencies in vitamins, particularly B12, can lead to neurological symptoms, including numbness in the extremities.

6. Infections: Certain infections, such as Lyme disease or shingles, can cause nerve damage and result in numbness.

7. Anxiety and Stress: Sometimes, anxiety can lead to hyperventilation, which may cause temporary numbness or tingling in the extremities.

Given the range of potential causes, it is crucial to seek medical attention if you experience persistent or worsening numbness in your feet. You should particularly seek help if:
- The numbness is accompanied by weakness or paralysis.

- You experience sudden numbness in one leg or foot, which could indicate a stroke or other serious condition.

- There are changes in bowel or bladder control.

- You have a history of diabetes, vascular disease, or other relevant medical conditions.

When you visit a healthcare provider, they may recommend several diagnostic tests to determine the underlying cause of your symptoms. These may include:
1. Blood Tests: To check for diabetes, vitamin deficiencies, thyroid function, and other metabolic conditions.

2. Nerve Conduction Studies (NCS): This test measures how well electrical signals travel through your nerves, helping to identify nerve damage.

3. Electromyography (EMG): This test assesses the electrical activity of muscles and can help diagnose conditions affecting muscle and nerve function.

4. MRI or CT Scans: Imaging studies can help visualize the spine and brain to rule out structural issues, such as herniated discs or tumors.

5. Ultrasound: This can be used to assess blood flow in the arteries and veins of the legs.

In summary, numbness in both feet can arise from various causes, and it is essential to consult a healthcare professional for a thorough evaluation. Early diagnosis and treatment can significantly improve outcomes and quality of life. If you are experiencing these symptoms, do not hesitate to seek medical attention to ensure proper care and management.

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