Tingling or numbness affecting your feet mayseem like a trivial symptom of no real importance. However, in this tutorial, I will explain whythis symptom may be very important with regard to your health in general and why you shouldnot ignore it. Tingling hands, feet, or hands and feet isan extremely common and bothersome symptom. Such tingling can sometimes be entirely innocentand temporary. For example, it could result from pressure on nerves when your arm is bentunder your head as you fall asleep. Or it could be from pressure on nerves when youcross your legs for too long. In either case, the quot;pins and needlesquot; effect which isusually painless is soon relieved by removing
the pressure that caused it. In many cases, however, tingling in the hands,feet can be severe, occurring at irregular times or continuously day and night. It alsocan accompany other symptoms. such as pain,Â itching, numbness, and muscle wasting. In such cases,tingling may be a sign ofÂ nerve damage. SuchÂ nerve damageÂ is known by s asÂ peripheralneuropathyÂ because it affects nerves distant from theÂ brainÂ and spinal cord, often inthe hands and feet. There are more than 100 different types of peripheral neuropathy.Over time, peripheral neuropathy can worsen, resulting in decreased mobility and even disability.Â
In fact, diabetesÂ is the number one causeof peripheral neuropathy, accounting for well over a third of cases. InÂ diabetic neuropathy,tingling and other symptoms often first develop in both feet and go up the legs, followedby tingling and other symptoms that affect both hands and go up the arms. About twothirdsof people with diabetes have mild to severe forms ofÂ nerve damage. In many cases, thesesymptoms are the firstÂ signs of diabetes. So here is the main point I want to make,tingling and numbness in the feet may be the first signs that you have a serious peripheralneuropathy and that you may have diabetes. Diabetes puts you at risk of heart attack,stroke, kidney failure, blindness and a long
list of other serious complications. So thattingling you have could be your only warning sign of a serious complication developingelsewhere in your body. Don’t ignore this symptom and please get a check up. Well I hope you have found this tutorial interesting.Do please remember to subscribe and that way you will be the first to see my next tutorialon leg health and venous disease. My name is Haroun Gajraj, thank you for watching.
Small Fiber Neuropathy Symptoms Diagnosis and Treatment
Small fiber neuropathy is really an interestingcondition because it consists typically of just burning, numbness, pain of the feet,sometimes the hands later on without necessarily having any abnormalities on your EMG or nerveconduction study. So what I tell patients and actually residents or students who trainunder us is that a normal nerve conduction study does not exclude a neuropathy. And wewill confirm this by doing additional testing, specifically the nervous the the examinationat the bedside asking patients about their symptoms, for example, loss of sensation tocool or or hot temperatures, loss of pain sensation and also doing skin biopsies wherewe look at nerve densities in the skin both
from the calf and the thigh as well as doinga special test that looks at sweat function both in your foot in in the legs as well asthe feet to gauge the level of small fiber nerve damage. Small fiber neuropathy typicallywill progress unless the underlying cause is identified and reversed. Diabetes of coursebeing the most common cause is always screened for. But once the more common causes are excludedand the focus becomes on excluding any underlying secondary disease process but also controllingpain because if patients’ symptoms of pain are generally controlled they tend to do prettywell and really have no other major functional deficits. I’ve really become interested overthe years is how interconnected neurology
and rheumatology are and one thing I oftendo on patients who have unexplained small fiber even autonomic neuropathy is have themsee rheumatology or get evaluated for connective tissue disorders like lupus or Sjogren’s orsarcoid and sometimes even if we are not directly involved in treating the patients, this canbe the first sign of an underlying connective tissue disorder that can then be brought tothe attention of rheumatology and addressed from their standpoint.