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What causes tingling sensation in hands and feet?

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Posted on Wed, 30 Sep 2015
Question: Hello doctor. Ive been experiencing horrible tingling in my hands and feet. my feet were agony to begin with. I now have burning sensation in the soles of my feet.this happens at night,when lying down.ive been to my local gp, as i thought it was perhaps peripheral arterial disease. He basically checked the bottom of my feet and said they felt warm. So he was happy to rule out PVD. Ive been checked for type 2 diabetes and my blood sugar is 5.4. So i dont have diabetes. When i walk i have severe pain in my calfs and thighs also. Can you please help me..as this is driving me crazy.I'm 36 and a little over weight I have high blood pressure which is treated
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Answered by Dr. Geldon Fejzo (1 hour later)
Brief Answer:
MRI and nerve conduction study

Detailed Answer:
Hello. I have been through your question and understand your concern.

I think you have been consulted on line about possible causes, so you have ruled out the most common ones, like PVD and diabetes.

At this point you should rule out the neurological causes. First thing to rule out is a cervical spine MRI because since the sensation involves all the limbs a possible posterior compression of the medulla from the back can explain these symptoms. BUT, there must be some other neurological feature coming along with your complaints. That is why you should begin with a neurological physical exam by consulting a neurologist, possibly an experienced one.

Once you rule out the eventual spinal cause, you should proceed with nerve conduction study, which is a test that measures the speed of the conduction of your nerves.

If these two are normal, then there is nothing AT ALL to worry about.

Hope this helps.

Greetings.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Geldon Fejzo

Neurologist, Surgical

Practicing since :2009

Answered : 337 Questions

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What causes tingling sensation in hands and feet?

Brief Answer: MRI and nerve conduction study Detailed Answer: Hello. I have been through your question and understand your concern. I think you have been consulted on line about possible causes, so you have ruled out the most common ones, like PVD and diabetes. At this point you should rule out the neurological causes. First thing to rule out is a cervical spine MRI because since the sensation involves all the limbs a possible posterior compression of the medulla from the back can explain these symptoms. BUT, there must be some other neurological feature coming along with your complaints. That is why you should begin with a neurological physical exam by consulting a neurologist, possibly an experienced one. Once you rule out the eventual spinal cause, you should proceed with nerve conduction study, which is a test that measures the speed of the conduction of your nerves. If these two are normal, then there is nothing AT ALL to worry about. Hope this helps. Greetings.