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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Numbness And Tingling Sensation In The Foot

I have been taking Bystolic for several years now. About 4 years ago I developed peripheral neuropathy primarily in my feet. Sometimes the pain is almost unbearable and includes numbness, pins and needles feeling, compression feeling as if a shoe is tied extremely tight, and the feeling of beginning stages of frostbite. I have had about every test available done on me by multiple doctors including general practitioners, neurologists, and even a toxicologist, all to no avail. I only take one prescription drug daily and it is the Bystolic. I occasionally take Roprinole for RLS but only as needed. Have also had all the other blood work tests done as well including vitamin b screenings, thyroid tests, and multiple diabetes tests. I have been prescribed a low dose of Tramadol that I take twice daily to help cope with the pain. Would there be any merit to trying another BP Med for my hypertension? The Bystolic has definitely worked best.
posted on Sun, 10 Jul 2016
Twitter Thu, 10 Oct 2019 Answered on
Twitter Fri, 11 Oct 2019 Last reviewed on
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General Surgeon,  's  Response
Hi,

You need a detailed neurological examination to exclude peripheral neuropathy and lumbar canal stenosis. In peripheral neuropathy, the nerves in the skin over feet / legs get affected leading to numbness or tingling.

Vitamin B 12 deficiency and diabetes need to be ruled out as underlying causes.

In lumbar canal stenosis, there is pinching of nerves in the lower back, usually due to slipped discs. An MRI of lumbo-sacral spine may be needed, if clinically indicated.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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Suggest Treatment For Numbness And Tingling Sensation In The Foot

Hi, You need a detailed neurological examination to exclude peripheral neuropathy and lumbar canal stenosis. In peripheral neuropathy, the nerves in the skin over feet / legs get affected leading to numbness or tingling. Vitamin B 12 deficiency and diabetes need to be ruled out as underlying causes. In lumbar canal stenosis, there is pinching of nerves in the lower back, usually due to slipped discs. An MRI of lumbo-sacral spine may be needed, if clinically indicated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Iven Romic Rommstein, General Surgeon