• question-icon

    What causes pain, tingling sensation and numbness in the hands and legs?

Posted on Thu, 13 Jul 2017 in Brain and Spine
Question: my forearm and left legs are tingling and numb with some pain I recently had TIA and worried I also have a severe headhache what should I do?
Answered by Dr. Sanjay Kini 2 hours later
Brief Answer:
Detailed evaluation is required

Detailed Answer:
Hello Dear. Tingling numbness in hands and legs can either be due to some pressure effect on nerves resulting from wrong postures during sleep or it can be sign of peripheral neuropathy. Peripheral neuropathy can be due to several causes like -

1. Diabetes

2. Hypertension, TIA leading to vascular narrowing and less blood supply to the affected portion. This can also be the cause in your case

3. vitamin deficiency

4. kidney failure

5. bacterial and viral infections- Lyme disease, shingles (varicella-zoster), cytomegalovirus, Epstein-Barr, herpes simplex, and HIV/AIDS

6. hormonal imbalance like hypothyroidism

7. Connective tissue disorders

8. Amyloidosis

9. cancers and benign tumors that impinge on nerves

10. Alcoholism which may lead to nerve damage

11. Heavy metal exposure like lead, arsenic, mercury, and thallium, and some industrial and environmental chemicals

12. Autoimmune diseases- chronic inflammatory demyelinating polyneuropathy, Guillain-Barre syndrome, lupus, and rheumatoid arthritis

Diagnosing your condition:

If you seek care for your tingling hands or feet, your health care provider will do a physical exam and take an extensive medical history addressing your symptoms, work environment, social habits (including alcohol use), toxic exposure, risk of HIV or other infectious diseases, and family history of neurological disease.

He or she also may perform additional tests such as:

1. Blood tests. These can include tests to detect diabetes, vitamin deficiencies, liver or kidney dysfunction, other metabolic disorders, and signs of abnormal immune system activity.

2. An examination of cerebrospinal fluid. This can identify antibodies associated with peripheral neuropathy.

3. An electromyogram (EMG), a test of the electrical activity of muscle
Nerve conduction velocity (NCV)

Other tests may include:

1. Computed tomography (CT) to see for signs of TIA, potential risk of stroke, vascular narrowing etc

2. Magnetic resonance imaging (MRI)

3. Nerve biopsy

4. Skin biopsy to look at nerve fiber endings


Successful treatment depends on an accurate diagnosis and treatment of the underlying cause of the tingling. For example good blood sugar control in diabetes can slow the progression of diabetic neuropathy; vitamin supplementation can correct peripheral neuropathy in people with vitamin deficiencies.

General lifestyle recommendations include maintaining an optimal weight, avoiding exposure to toxins, following a doctor-supervised exercise program, eating a balanced diet, and avoiding or limiting alcohol consumption. Recommendations also include quitting smoking, which constricts blood supply to blood vessels supplying nutrients to peripheral nerves.


Right mow take an appointment with your doctor and till the time you meet your doctor you can take Tablet Neurobion once a day.

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini     
Above answer was peer-reviewed by : Dr. Raju A.T
Answered by
Dr. Sanjay Kini

General & Family Physician

Practicing since :2009

Answered : 1355 Questions


The User accepted the expert's answer

Share on

Recent questions on  Vitamin deficiency

doctor1 MD

43yo white female, dx: hashimotos thyroiditis, PCOD, anxiety,depression,panic attacks, agoraphobia,vitamin deficiencies ,high cholesterol, and...

doctor1 MD

Doctor, My 5 years old daughter is not interested in eating vegetables.Now there is some reddish spots on her lower legs. 6 mths ago due this same...

doctor1 MD

hi i masturbate daily 3 times and i m working from 1 year to built my body but i m not able to built my body i eat a lots of high protein and carb...

doctor1 MD

hello,doctor i am vamsi my age is 20,and my weight is:44.i am having pains in my legs and hands.i visited to a local doctor.he told it is vitamin...

doctor1 MD

getting pain in some parts of chest in random time

doctor1 MD

Hi. I went on a cruise from Nov 27 to Dec 2 to Lebadee Haiti and Falmouth Jamaica. Since I got back I haven’t been feeling well. I have aches all...

doctor1 MD

Wife says her tongue is numb. Strange.

Get personalised answers from verified doctor in minutes across 80+ specialties

192 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Sanjay Kini
  • Q - Can narcissists have healthy relationships?

  • Q - How to remove object stuck in the anus?

  • Q - Is cholesterol level of 244 a cause for concern?

  • Q - Suggest treatment for itchy rashes on the lower back and forearms

  • Q - What causes burning sensation in the vagina with painful urination?

  • Q - Suggest treatment for depression

  • Q - What causes pain in the ankle after back surgery?

  • Q - Is piles operation advisable for a heart patient?

  • Q - Is lidocaine hydrochloride application on a catheter safe?

  • Q - Suggest treatment for twitching sensation in the calf