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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Numbness And Tingling In The Hands?

I have numbness and tingling in my hands and forearms, my feet are starting to do the same. I was getting inflammation but that has stopped. I do not have insurance, I ve paid out-of-pocket for blood test and MRI. The MRI came back as no impingement sign looks good. I ve gone to my general physician and he said maybe it s carpel tunnel but then I was tested and I do not have that. Terrible in the evenings and when I m laying down, I dread to go to sleep because my arms fall asleep, this is been going on for about three months.
Mon, 17 Jul 2017
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General & Family Physician,  's  Response
HI, thanks for using healthcare magic

Neuropathy refers to abnormal function of the nerves. It can be temporary or permanent and there are different possible causes.

Though carpal tunnel syndrome can cause symptoms in the hands, it does not affect arms or feet.

Other possible causes of neuropathy are: (1) low levels of vitamin b12 or folate
(2)diabetes
(3)trauma to the nerves- the MRI would have shown if there is any nerve trauma
(4)abnormal levels of vitamin b6
(5)thyroid disease
(6)MS, stroke
(7)liver or kidney disease
(8)exposure to toxins
(9)infection such as shingles
(10)autoimmune diseases such as lupus or rheumatoid arthritis

Your blood tests should include thyroid levels, liver and kidney function, complete blood count, vitamin b12/folate/vitamin b6 levels, diabetes screen, autoimmune screen.

You may need to see a neurologist for assessment.

There are medications that help with neuropathy eg amitriptyline, nortriptyline, cymbalta, tegretol, gabapentin, lyrica

I hope this helps

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What Causes Numbness And Tingling In The Hands?

HI, thanks for using healthcare magic Neuropathy refers to abnormal function of the nerves. It can be temporary or permanent and there are different possible causes. Though carpal tunnel syndrome can cause symptoms in the hands, it does not affect arms or feet. Other possible causes of neuropathy are: (1) low levels of vitamin b12 or folate (2)diabetes (3)trauma to the nerves- the MRI would have shown if there is any nerve trauma (4)abnormal levels of vitamin b6 (5)thyroid disease (6)MS, stroke (7)liver or kidney disease (8)exposure to toxins (9)infection such as shingles (10)autoimmune diseases such as lupus or rheumatoid arthritis Your blood tests should include thyroid levels, liver and kidney function, complete blood count, vitamin b12/folate/vitamin b6 levels, diabetes screen, autoimmune screen. You may need to see a neurologist for assessment. There are medications that help with neuropathy eg amitriptyline, nortriptyline, cymbalta, tegretol, gabapentin, lyrica I hope this helps