Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
190 Doctors are Online

Feeling tingling sensation in feet. Suggested for B12 injections after MRI scan. Any suggestion?

I am 59 years old female, working as professor in govt. college. For past 6 months I am feeling tingling sensation in both feet & find it difficult during walking. I consulted a neurologist who suggested to undergo MRI scan of the spine . The report of MRI consultant is as under- Small, ill defined are of altered cord signal intensity involving posteior compartmant is seen at level of D7/D8 level, which appears hypeerintense on T2W & isointense in T1W images. The doctor suggested for B12 injections which I am taking as per the adviced, there is very little improvement but I am still not fully satisfied. Kindly suggest the future course of action.
Asked On : Wed, 27 Feb 2013
Answers:  2 Views:  69
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
General & Family Physician 's  Response
thank you for query
There are many possible causes of numbness and tingling:
•     Sitting or standing in the same position for a long time
•     Injuring a nerve (a neck injury may cause you to feel numbness anywhere along your arm or hand, while a low back injury can cause numbness or tingling down the back of your leg)
•     Pressure on the nerves of the spine, such as from a herniated disk
•     Pressure on peripheral nerves from enlarged blood vessels, tumors, scar tissue, or infection
•     Shingles or herpes zoster infection
•     Lack of blood supply to an area (for example, from atherosclerosis or frostbite)
•     Other medical conditions, including:
o     Carpal tunnel syndrome (pressure on a nerve at the wrist)
o     Diabetes
o     Migraines
o     Multiple sclerosis
o     Seizures
o     Stroke
o     Transient ischemic attack (TIA), sometimes called a "mini-stroke"
o     Underactive thyroid
o     Raynaud's phenomenon
•     Abnormal levels of calcium, potassium, or sodium in your body
•     A lack of vitamin B12 or other vitamin
•     Use of certain medications
•     Nerve damage due to lead, alcohol, or tobacco
•     Radiation therapy
•     Animal bites
•     Insect, tick, mite, and spider bites
•     Seafood toxins
Home Care
Your doctor should find and treat the cause of your numbness or tingling. Treating the condition may make the symptoms go away or stop them from getting worse. For example, if you have carpal tunnel syndrome or low back pain, your doctor may recommend certain exercises.
If you have diabetes, your doctor will discuss ways to control your blood sugar levels.
Low levels of vitamins will be treated with vitamin supplements.
Medications that cause numbness or tingling may need to be switched or changed. Do not change or stop taking any of your medicines or take large doses of any vitamins or supplements until you have talked with your doctor.
Because numbness can cause a decrease in feeling, you may be more likely to accidentally injure a numb hand or foot. Take care to protect the area from cuts, bumps, bruises, burns, or other injuries.
Answered: Wed, 27 Feb 2013
I find this answer helpful

2 Doctors agree with this answer

Critical Care Specialist Dr. Arshad Hussain's  Response
Dear patient, though your MRI findings are definately suggestive of a condition known as sub acute combined degeneration of spinal cord which is caused by vitamine B12 deficiency, the clinical response to the vitamin B12 supplimentation depends up on the duration of the symptoms. It has been found that if the symptoms are present for 6 months or more then the chances of compleate clinical recovery become very less with vitamin B12 supplimentation because what ever changes have occured in spinal cord or brain due to vitamin B12 deficiency had been present for a prolonged period of time and become resistent to resolve compleately after vitamin B12 supplimentation. However even then life long adminstration of monthly injections of vitamin B12 is requied to prevent the further damage to spinal cord and brain and to prevent further deteriotation of neurological symptoms . Although the disease is compleatly reversible in early stages with B12 supplimentation. there fore my sincere advise is not to omit vitamin B12 injections even if you feel disatified. However we can still try to rule out the other possibilities of of your symptoms by considering following common conditions like Diabetes mellitus, hypothyroidism, hypoparathyroidism, peripheral vascular disease , multiple sclerosis, chronic heavy metal poisoning like mercury and Drug intake like B blockers and flouroquinolones. just now you can get these investigations done to rule out some of these conditions, Blood sugar fasting, thyroid function test, serum sodium ,potassium and calcium and toxicology profile for heavy metals including mercury,lead and thalium
Answered: Wed, 27 Feb 2013
I find this answer helpful

2 Doctors agree with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor