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Suggest Remedy For Intermittent Pins And Needles Sensation In Hands And Feet

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Posted on Wed, 15 Jul 2015
Question: I developed Raynaud’s two years ago. Around the same time, I also started getting an intermittent pins and needles feeling in my hands and feet in the winter. I am now getting this fleeting feeling several times an hour every day and all over my body. I feel like someone is sticking me with a needle. I also get a feeling of cold water on my skin on some areas and burning others. I went to the Dr. over a month ago because I had woken up with a numb and weak arm. I had nerve pain so bad that it left a bruise in the shape of a line, all the way from my arm pit and down. Then, the pain spread to my back, neck and head. The Dr. did an x-ray and bloodwork. He checked B-12, thyroid and vitamin D. All is okay, except for my Vit D. I’m taking supplements. Since the Dr. couldn’t figure out what was wrong, I went to the Chiropractor and have been getting massages a few times a week. The head pain (throbbing at the left base of my skull with some sharp shooting pains) seems to be lessening. The Chiropractor told me after the 2nd appointment that he thinks adjustments are not going to help me and that I have a possible nerve problem. The massage therapist determined that I also have inflamed and painful areas where there are nerves on both buttocks, the bottom of my feet and the palm of my hands. I don’t understand what is going on. I am not under any undue stress and I’m only 40 years old and in good shape. I do have asthma, bad allergies and get frequent infections. Other than that, I’m healthy. My husband is concerned that I am not wanting to spend the time away from work to persist more testing from the Dr. I have read that the pins and needles sensation is called paresthesia and that if it’s usually begin if it occurs in a migrating fashion. So, I’m not concerned that it’s serious, even though it has gotten worse and is extremely annoying. Do you agree this is probably nothing to worry about or should I take my husband’s advice and go back for further testing?

I was treated about 5 years ago with Hyperthyroid and had a goiter as well. The uptake scan indicated Grave’s but the Endocrine Dr. was surprised that I didn’t show any antibodies. I was started on PTU. I had an allergic reaction after 2 weeks and discontinued. At that point, we discussed iodine treatment but we decided to wait on my thyroid levels. They were borderline normal and I decided to wait on iodine treatment. To this day, I remain borderline normal. During the onset of thyroid symptoms, I had lost a lot of weight. I had also been diagnosed with POTS. I was seeing a Neurologist, Cardiologist and Endocrinologist during that time. The POTS seems to have resolved but I do have exercise intolerance and temperature intolerance now. I also get frequent migraines with aura, about 1 every three months.
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Answered by Dr. Olsi Taka (39 minutes later)
Brief Answer:
Read below

Detailed Answer:
I read your question carefully and I understand your concern.

I believe the people who suggested you had a nerve involvement had a point. That description of paresthesia with distal predomination (hands and feet) is consistent with a peripheral neuropathy.

Of course that is a hypothesis, often there are some much more benign causes like anxiety at play. To confirm a neurological physical exam is necessary to look for peripheral neuropathy signs such as abnormal reflexes, altered power, sensation, balance etc. Also tests like nerve conduction studies and neck MRI may be scheduled.

IF confirmed more work is needed to look for a cause. The causes can be really many, hence many tests may be necessary starting with more common causes and then rarer ones if nothing is found. Frustratingly in 25% of the cases no cause can be found. Most common causes are diabetes, alcohol, nutritional deficiencies, electrolytes, thyroid dysfunction, autoimmune connective tissue conditions like lupus or rheumatoid arthritis etc. In your case particular attention must be given to connective tissue disease which also can manifest with Raynaud phenomenon.

So your husband is right in suggesting you should look into it. However it is not some acutely evolving, life threatening condition, so shouldn’t panic, but you should explore the issue.

I remain at your disposal for further questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Olsi Taka (10 minutes later)
Thank you very much for your response. I will follow up with my Dr.
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Answered by Dr. Olsi Taka (2 minutes later)
Brief Answer:
You're welcome!

Detailed Answer:
I hope things will work out for the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Suggest Remedy For Intermittent Pins And Needles Sensation In Hands And Feet

Brief Answer: Read below Detailed Answer: I read your question carefully and I understand your concern. I believe the people who suggested you had a nerve involvement had a point. That description of paresthesia with distal predomination (hands and feet) is consistent with a peripheral neuropathy. Of course that is a hypothesis, often there are some much more benign causes like anxiety at play. To confirm a neurological physical exam is necessary to look for peripheral neuropathy signs such as abnormal reflexes, altered power, sensation, balance etc. Also tests like nerve conduction studies and neck MRI may be scheduled. IF confirmed more work is needed to look for a cause. The causes can be really many, hence many tests may be necessary starting with more common causes and then rarer ones if nothing is found. Frustratingly in 25% of the cases no cause can be found. Most common causes are diabetes, alcohol, nutritional deficiencies, electrolytes, thyroid dysfunction, autoimmune connective tissue conditions like lupus or rheumatoid arthritis etc. In your case particular attention must be given to connective tissue disease which also can manifest with Raynaud phenomenon. So your husband is right in suggesting you should look into it. However it is not some acutely evolving, life threatening condition, so shouldn’t panic, but you should explore the issue. I remain at your disposal for further questions.