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What Causes Pain And Numbness In Hands And Feet After Stent Insertion?

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Posted on Wed, 2 Apr 2014
Question: hi I have spent a lot of time and money in the past 18 months trying to find out what is the root cause of nerve related symptoms that developed (coincided) with a stent being fitted into my LAD in April 2012. I have chased the cause (neuropathy type symptoms) as being medication related (as i was started on lipitor after the stent was fitted and started almost immediately having issues with pain and numbness, pin and needles etc in both feet and carpel tunnel type symptoms in my hands). I was that convinced that it was the statin that I ceased taking it altogether in October 2012 yet the symptoms have not ceased (increased or decreased) since stopping the statin. I have had several nerve conduction studies and nerves all have come back normal in my feet but the hands they believe I have mild Carpel Tunnel). With the feet related issues which have been concerning me for a long time my GP recently believed I had the early signs of MS, after that diagnosis from my GP I subsequently met with my neurologist recently and he totally threw that notion out (we did some more nerve conduction studies on my feet and an EMG on muscles, plus a whole host of other checks he performed and previous scans of spine and brain have not shown any lesions), he said I defaintely don't have any neuropathy or MS. I have a lot of blood work done over the past 18 months and ruled out all the other possibilities such as thryoid, diabetes, vitamin defencies, heavy metals etc etc etc. Anyway the most recent visit with my nero said that he wants another MRI done on my lower back region as he thinks possibly my symptoms in my feet could be related to nerve compression of some description, will be interesting to see what the scan comes back with. My question to you today is this, I am not familiar with the anatomy of the body but I can't but help think that the insertion of the stent and my symptoms started, the cardiologist who placed the stent told me after the proceedure how he had really stretched the artery open with the stent and given that it's now in a permanently 'stretched' position (as opposed to when I didn't have a stent and the artery would have only expanded when exercising heavily) is it possible that the artery is now pressing on a nerve?
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Answered by Dr. Rakesh Karanwal (52 minutes later)
Brief Answer: Further information can throw light on exact cause Detailed Answer: Hi Friend, Thanks for your query. There is no possibility whatsoever, of the heart's artery compressing over the affected nerves. So, other causes need to be looked for. The commonest causes causing symptoms in hands and feet, are Vitamin B12 or Folic Acid deficiency, Cervical spondylosis with bulging disc(s) compressing over the spine/emerging nerves (provided Carpel tunnel Syndrome is excluded as the cause); an autoimmune disease, such as, SLE, rheumatoid arthritis; or, drugs, such as statins and other medications. What were the values of Vitamin B12 and Folate in the blood? Perhaps, I may be able to pinpoint the most likely cause if you give the names of the drugs that you are on; and, other problems, if any. In the meanwhile, irrespective of B12/folate blood levels, a combination of Pregabalin 75mg + Vitamin 750mcg twice a day; and, Folic Acid 5mg once a day will certainly give you relief from abnormal sensations in hands and feet. Hope I have addressed your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards, Col (Dr.) Rakesh Karanwal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rakesh Karanwal

Internal Medicine Specialist

Practicing since :1980

Answered : 1357 Questions

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What Causes Pain And Numbness In Hands And Feet After Stent Insertion?

Brief Answer: Further information can throw light on exact cause Detailed Answer: Hi Friend, Thanks for your query. There is no possibility whatsoever, of the heart's artery compressing over the affected nerves. So, other causes need to be looked for. The commonest causes causing symptoms in hands and feet, are Vitamin B12 or Folic Acid deficiency, Cervical spondylosis with bulging disc(s) compressing over the spine/emerging nerves (provided Carpel tunnel Syndrome is excluded as the cause); an autoimmune disease, such as, SLE, rheumatoid arthritis; or, drugs, such as statins and other medications. What were the values of Vitamin B12 and Folate in the blood? Perhaps, I may be able to pinpoint the most likely cause if you give the names of the drugs that you are on; and, other problems, if any. In the meanwhile, irrespective of B12/folate blood levels, a combination of Pregabalin 75mg + Vitamin 750mcg twice a day; and, Folic Acid 5mg once a day will certainly give you relief from abnormal sensations in hands and feet. Hope I have addressed your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards, Col (Dr.) Rakesh Karanwal