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Suggest treatment for tingling and pain in the toes

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Posted on Wed, 13 May 2015
Question: Hello, I have had a tingling, electric current type of pain in my right toes for awhile now. There hasn't been any injury to my foot. I don't have diabetes or prediabetes and I have monitored my sugar just to make sure and it has been normal as well as been tested by my doctor. I am very healthy and only vice is drinking diet coke. Do you know what is causing this?
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Answered by Dr. Michelle Gibson James (29 minutes later)
Brief Answer:
different possible causes

Detailed Answer:
HI, thanks for using healthcare magic

Abnormal sensations such as tingling can be related to the nerve or blood supply.

If you do not have any known issues with circulation then it is likely related to the nerves.

This would be called peripheral neuropathy since. Peripheral- nerves outside of the spinal cord or brain
Neuropathy- abnormal nerve function/structure causing symptoms such as tingling, burning, itching ,numbness, sticking etc

Diabetes, trauma are possible causes but there are others.

Other causes are: (1) vitamin b12 or folate deficiency
(2)liver disease
(3)kidney disease
(4)side effect of medication
(5)exposure to toxins
(6)neurological diseases such as MS,
(7)some autoimmune diseases and thyroid disease can also cause abnormal sensations

To find out the cause, you may want to consider testing of vitamin b12, folate levels, blood tests for liver and kidney disease, ESR (to check for inflammation- would go up in autoimmune disease)

Treatment would depend slightly on the cause but there are medications that help with these sensations eg lyrica, gabapentin, amitriptyline

I hope this helps, feel free to ask any other questions


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16811 Questions

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Suggest treatment for tingling and pain in the toes

Brief Answer: different possible causes Detailed Answer: HI, thanks for using healthcare magic Abnormal sensations such as tingling can be related to the nerve or blood supply. If you do not have any known issues with circulation then it is likely related to the nerves. This would be called peripheral neuropathy since. Peripheral- nerves outside of the spinal cord or brain Neuropathy- abnormal nerve function/structure causing symptoms such as tingling, burning, itching ,numbness, sticking etc Diabetes, trauma are possible causes but there are others. Other causes are: (1) vitamin b12 or folate deficiency (2)liver disease (3)kidney disease (4)side effect of medication (5)exposure to toxins (6)neurological diseases such as MS, (7)some autoimmune diseases and thyroid disease can also cause abnormal sensations To find out the cause, you may want to consider testing of vitamin b12, folate levels, blood tests for liver and kidney disease, ESR (to check for inflammation- would go up in autoimmune disease) Treatment would depend slightly on the cause but there are medications that help with these sensations eg lyrica, gabapentin, amitriptyline I hope this helps, feel free to ask any other questions