[19F] Experiencing aching, numbness, and tingling in extremities

Patient Description

A 19-year-old female reports a chronic condition characterized by aching hands and feet, numbness, and a tingling sensation similar to pins and needles. The symptoms began with the hands approximately 3 years ago and have since progressed to include both legs and feet. The patient describes the leg pain as throbbing and akin to electric shocks, which is generalized and occurs both at rest and with movement. A recent development is a sore spot on the thigh, which feels like a bruise but does not exhibit discoloration. Flexing the hands initially provided some relief, but the patient indicates that currently, there is no effective method to alleviate the symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your symptoms include:

  • Peripheral Neuropathy: This condition results from damage to the peripheral nerves, which often causes weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body. Peripheral neuropathy can result from traumatic injuries, infections, metabolic problems, inherited causes, and exposure to toxins. Diabetes is a common cause.

    • Treatment typically involves managing the condition causing your neuropathy. Pain and physical therapy can also help manage symptoms.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain and spinal cord process painful and nonpainful signals.

    • Treatment often involves a team approach, using healthcare providers, physical or occupational therapists, and possibly mental health professionals. Your team may provide medications, therapy, and lifestyle changes to help manage your symptoms.
  • Multiple Sclerosis (MS): This is a potentially disabling disease of the brain and spinal cord (central nervous system). In MS, the immune system attacks the protective sheath (myelin) that covers nerve fibers and causes communication problems between your brain and the rest of your body. Symptoms can vary widely, and might include fatigue, difficulty walking, numbness or tingling, muscle weakness, and problems with coordination and balance.

    • Treatment typically focuses on speeding recovery from attacks, slowing the progression of the disease, and managing symptoms.

What you can do

It's important to consult a healthcare professional about your symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to help manage your symptoms:

  1. Over-the-counter pain relievers: Nonprescription medicines such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) can help reduce pain.
  2. Regular exercise: Physical activity can help reduce pain and improve your mood. It can also help you maintain a healthy weight, which is good for general health.
  3. Healthy lifestyle: Eating a balanced diet and getting enough sleep can help your body better cope with pain and other symptoms.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms worsen or you develop new symptoms
  • If you have difficulty walking or coordinating your movements
  • If you experience severe pain that isn't relieved by over-the-counter medications

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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9 mo ago


People Also Ask


What are the common causes of peripheral neuropathy?

Peripheral neuropathy can be caused by traumatic injuries, infections, metabolic problems, inherited causes, and exposure to toxins. Diabetes is one of the most common causes.


How is fibromyalgia diagnosed and treated?

Fibromyalgia is diagnosed based on a history of widespread pain lasting more than three months, with no underlying medical condition that could cause the pain. Treatment often involves medications, therapy, and lifestyle changes to manage symptoms.


What are the early symptoms of multiple sclerosis?

Early symptoms of multiple sclerosis can include fatigue, numbness or tingling, muscle weakness, difficulty walking, and problems with coordination and balance.


What lifestyle changes can help manage chronic pain conditions?

Lifestyle changes that can help manage chronic pain include regular exercise, maintaining a healthy diet, ensuring adequate sleep, and stress management techniques such as mindfulness or yoga.

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