Numbness in Big Toe: Nerve Compression Issues

Numbness in the big toe?

Hello Doctor, I have been experiencing numbness at the base of my big toe.
When I stand on the floor, only the other four toes feel cold, while the sensation in my big toe is not very pronounced.
When I press on it with my fingers, there is a tingling pain, similar to the numbness and tingling sensation one feels after sitting cross-legged for a while and then standing up.
This symptom has persisted for nearly two weeks; initially, it was only in my left toe, but starting from the second week, the same symptoms have appeared in my right toe as well.
I have tried soaking my feet in warm water and massaging them over the past few days, but it seems to have no effect.
Could this be related to nerve compression? Thank you for your time and assistance.

brenda, 30~39 year old female. Ask Date: 2015/12/13

Dr. Gao Chunde reply Neurology

The most common issue is indeed nerve compression, often due to a problem with a small branch of a peripheral nerve.
Localized single nerve inflammation or ischemia can also occasionally occur.
Generally, the problem is related to footwear that is too narrow or too rigid.
It is recommended to wear comfortable shoes and continue soaking in warm water and massaging the area.
If there is still no improvement, it is advisable to consult a neurologist to check for any other underlying issues.

Reply Date: 2015/12/13

More Info

Numbness in the big toe, especially when accompanied by sensations of tingling or pain, can indeed be related to nerve compression issues. The symptoms you describe, including the numbness and the tingling sensation when you press on the toe, suggest that there may be some form of nerve irritation or compression occurring in your lower extremities.
There are several potential causes for these symptoms, and understanding them can help guide you toward appropriate treatment. One common cause is a condition known as "Morton's neuroma," which occurs when a nerve in the foot becomes compressed, often between the third and fourth toes, but it can also affect the big toe. This condition can lead to pain, tingling, and numbness in the affected toes.
Another possibility is that you may be experiencing symptoms related to peripheral neuropathy, which can be caused by various factors, including diabetes, vitamin deficiencies, or other systemic conditions. Peripheral neuropathy often presents with numbness, tingling, and pain in the extremities, and it can affect one or both sides of the body.

Additionally, issues with the spine, such as a herniated disc or spinal stenosis, can lead to nerve compression that manifests as numbness or tingling in the feet. If the nerves that supply sensation to the toes are compressed at the level of the spine, it can lead to the symptoms you are experiencing.

Given that your symptoms have persisted for nearly two weeks and have now affected both feet, it is essential to seek medical evaluation. A healthcare professional, such as a neurologist or orthopedic specialist, can perform a thorough examination and may recommend imaging studies, such as an MRI or nerve conduction studies, to assess for any underlying conditions that may be contributing to your symptoms.

In the meantime, while you are waiting for a professional evaluation, there are some self-care measures you can try. Continue to avoid positions that exacerbate your symptoms, such as sitting cross-legged for extended periods. Gentle stretching and strengthening exercises for the feet and legs may also help alleviate some discomfort. Applying heat or cold to the affected area can provide temporary relief, but it is crucial to monitor how your symptoms respond to these treatments.

If you notice any worsening of your symptoms, such as increased pain, weakness in the foot, or changes in bowel or bladder function, seek immediate medical attention, as these could be signs of a more serious condition.

In summary, while your symptoms may be related to nerve compression, a thorough evaluation by a healthcare professional is necessary to determine the exact cause and appropriate treatment. Early intervention can often lead to better outcomes and help you manage your symptoms effectively.

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