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What Causes Numbness In The Feet And Hands Upon Waking Up?

Posted on Tue, 17 Jan 2017

Question: Numbness in feet and hands on waking, some small flutterings on legs

Answered by Dr. Ajay Panwar (23 minutes later)

Brief Answer:
Please tell some more details.

Detailed Answer:
Hi XXXX,
Thanks for being on Health Care Magic
I am Dr.Ajay Panwar, Neurologist, here to answer your query.

I would surely like to be of help in this regard, however in order to guide you specifically, I need to know the following details--

1) Since when are you having these complaints ?
2) Do you have Diabetes,thyroid disorder or any other disease ?
3) Any history of addiction to any substance ?
4) Do you have frequent anxiety ?

I shall be glad to have you in follow-up with above details so that I can answer this in details further.

Awaiting....
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ajay Panwar (8 hours later)

It started 27 months ago with tingling in my feet and hands , sharp pains like electric shocks , has improved since with now just the dumbness in the morning on waking some pins and needles in feet at different times i have a diagnoise of halo migrains but this doesn't seem right to me,i've had blood test,scans and MRI on brain and back, no addictions, yes i did have a time of thyroid being over active but had no problems for 3 years, the only thing i have now is alapesia anemia which i have a b12 shot every three monthslevels are good.About anxiety dont know, i do worry a lot about things.,

Answered by Dr. Ajay Panwar (14 hours later)

Brief Answer:
Neuropathy/Nerve conduction studies.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.

The symptoms which you have mentioned are likely suggestive of neuropathy, especially with the probability of vitamin B12 deficiency/anemia. I would suggest you to undergo a Nerve conduction studies for neuropathic evaluation. It would be even better if you visit a neurologist in person and gets a physical evaluation done for the same.That would serve as a better guide for investigations.

Hope that helps.I would like to have you in follow-up with further details so that I can answer this well further.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ajay Panwar (10 hours later)

I have hadtwo nerve conjuction studies both were fine i am seeing a neurologist but would like a second opinion and it takes up to six months here to get a appointment with a specialist so thought I would try this for a answer

Answered by Dr. Ajay Panwar (13 hours later)

Brief Answer:
Trial of neuropathic medicines.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

Historically, it appears to be neuropathy. Even if NCS is normal,I would suggest a trial of medicines for neuropathy. A typical prescription comprising of pregabalin/methylcobalamin, duloxetine and calcium supplementation should be tried.Of course,a neurological examination should be the next step.

Hope that helps.If you have any further questions,I shall be glad to have you in follow-up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (42 minutes later)

Dont know what u mean by neurological examination is that testing reflexes, and sense of touch etc if so this has been done and all are perfect my doctor has put me on a tablet called allegron a nerve tablet used for people with anxiety or who have break downs (mental) it has helped a bit but the dumbness in mornings and small fluttersis still a worry.think ive had just about all tests but no closer to a answer

Answered by Dr. Ajay Panwar (1 hour later)

Brief Answer:
What are your medication details?

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

I would be in a better position to help you if you can please let me know your medication details.Please list the medicines you are taking.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (4 days later)

the only medication i am taking is the allegron,i have a b12 shot every three months and i take a vitamin D tablet every day thats it nothing else

Answered by Dr. Ajay Panwar (27 hours later)

Brief Answer:
Pregabalin/Duloxetine

Detailed Answer:
Hi,
Thanks for being in follow-up.

Apparently, you got fed up with too many questions.Anyways, I suggest that you should be put on a trial of pregabalin with duloxetine.Hopefully these medicines will improve your symptoms.B12 and Vitamin D should be continued.

I hope to see you improve soon.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (4 hours later)

Thank you for your answer sorry i couldnt get my point across first up ,a bit fed up with this conditio driving me nutsn

Answered by Dr. Ajay Panwar (13 hours later)

Brief Answer:
No issues.

Detailed Answer:
Hi,
Thanks for being in follow-up.

There is absolutely no need to say sorry.Sometimes, we need to know some details to provide with a sound advice. I can understand your feelings as a patient.

If you have any further questions,you are most welcome else please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar