![]() The medicines include some chemotherapy medicines used to treat breast cancer and lymphoma, antiretrovirals used to treat HIV/AIDS, and the antibiotic metronidazole. It is usually reversible when the medicine is stopped. People who use vibrating tools a lot may also develop nerve damage and may experience pins and needles. Injuryĭamage to nerve endings in fingers or toes can be the result of an injury. Being unable to feel anything in your hands and feet can be dangerous, as you may stumble, drop things or not realise when you are touching something hot. This can cause pins and needles, pain or numbness in the hands and feet (peripheral neuropathy). Diabetesĭiabetes can damage small blood vessels that supply nerves in fingers and toes. Other examples are thoracic outlet syndrome and spinal stenosis. Carpal tunnel syndrome is a trapped nerve at the wrist, giving you pins and needles and pain in the hand and loss of grip. A trapped nerve in the neck can also cause numbness or pins and needles anywhere from your neck, down your arms and into your fingers. A slipped disc or back problem can put pressure on a nerve that travels from your spinal cord, down your leg and into your toes. Numbness or pins and needles can also be due to a trapped nerve. Persistent numbness of the hands can affect your grip and make you prone to burns and injury. Persistent numbness of the feet can lead to falls which can be serious in the elderly. In all other cases, you should see your GP. If you have lots of attacks, or you hurt yourself because of the numbness, your GP may want you to see a specialist. You should also go if you have signs of a neurological disease (worsening loss of power or sensation in part of the body, difficulty walking, falls). If the attacks of numbness/pins and needles recur or you do not make a complete recovery, you should see your doctor soon to seek medical information. You should dial 999/112/911 to call an ambulance if you notice you have a loss of power down one side of your body (a possible stroke). When should I be worried about pins and needles? If in doubt, contact the Driver and Vehicle Licensing Agency (DVLA). Avoid vitamin B12 deficiency by eating a mixed diet or have a blood test to check whether you need supplements.ĭriving is not a problem for simple numbness/pins and needles but restrictions apply if the situation is more complicated or if diagnosis is less clear.Control diabetes, if you have it, with diet, medication and regular check-ups.Avoiding poor posture - consider doing yoga or Pilates.These medicines are thought to work by affecting the body’s transmission of pain signals. You may be given a mild dose of an antidepressant drug such as amitriptyline or pregabalin (Lyrica). The same medicines that work for other people with paresthesia can work for you, too. If your burning and tingling feet will not let you sleep at night, your doctor can prescribe other things for you. Because acetaminophen (Tylenol and others) is not an anti-inflammatory, it is not as effective. Both are helpful for the discomfort and pain of paresthesia. Ibuprofen (brand names Motrin, Advil, and others) and aspirin are called nonsteroidal anti-inflammatories because they lower inflammation. It is not expensive and it can work, so it is worth trying. Be careful not to get any near your eyes, and wash your hands after you use the cream. It is worth bearing in mind, however, that capsaicin comes from hot peppers and might cause a burning sensation, so you might want to use disposable gloves to apply it. But in the meantime, a healthful diet and exercise can start to address the symptoms. Getting your blood sugar to the target recommended by your health-care provider will help over time. ![]() Pain is frequently part of life as we age.īut I have found that paresthesia caused by diabetes can improve. This phrase made me laugh, but only because it is so true. “If I woke up without pain, I’d think I was dead” If you are plagued by paresthesia, it is a good idea to get blood tests for these conditions. People with diabetes often have problems with hypothyroidism and B12 deficiency. A few of them are hypothyroidism (low thyroid), vitamin B12 deficiency, arthritis, poisoning, stroke, cancer, and conditions such as Lyme disease and HIV. So tingling and numbness in our toes and fingers are often some of the earliest complications of Type 2 diabetes.īut there are many other possible causes of paresthesia. Since the damage hits our smallest blood vessels first, the nerves these vessels feed may develop paresthesia quickly.
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