[28F] Experiencing numbness, weakness, and random pains

Patient Description

A 28-year-old female reports experiencing generalized numbness in hands and feet, more pronounced when lying down or upon waking. She has also noticed a decline in hand strength over a few weeks, making it difficult to open bottles or jars. Additionally, she describes random, sporadic sharp pains throughout her body, likened to 'sharp sparks,' and mild, transient blurry vision. These symptoms have been present for a few months. The patient is prescribed Adderall 30 mg twice daily and has no known allergies or adverse reactions to medications. There is no known family history of neurological or autoimmune diseases, and no other medications or supplements are being taken. No recent injuries, changes in bowel or bladder function, muscle cramps, severe headaches, or double vision have been reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible conditions include:

  • Peripheral Neuropathy: This condition results from damage to your peripheral nerves, which often causes weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body.

    • Treatment typically involves managing the condition causing your neuropathy. In some situations, medications or physical therapy can help improve symptoms.
  • Multiple Sclerosis (MS): This is a potentially disabling disease of the brain and spinal cord (central nervous system). It can cause a variety of symptoms, which may include fatigue, difficulty walking, numbness or tingling, muscle weakness, and problems with coordination and balance.

    • There is no cure for MS. However, treatments can help speed recovery from attacks, modify the course of the disease and manage symptoms.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It amplifies painful sensations by affecting the way your brain processes pain signals.

    • While there is no cure for fibromyalgia, a variety of medications can help control symptoms. Exercise, relaxation and stress-reduction measures also may help.
  • Vitamin B12 Deficiency: This can lead to a variety of neurological symptoms, including tingling in the hands and feet, balance problems, and difficulty concentrating.

    • Treatment typically involves supplementation of the deficient vitamin.

Please note that these are just possibilities and not a definitive diagnosis. It is important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Schedule an appointment with your primary care provider to discuss your symptoms. They may refer you to a specialist, such as a neurologist, for further evaluation.
  2. Keep a symptom diary. Note when your symptoms occur, their severity, and any potential triggers. This can be helpful information for your healthcare provider.
  3. Try to maintain a balanced diet and regular exercise routine. These can help manage some of your symptoms and improve your overall health.
  4. Stay hydrated and get plenty of rest. These can also help manage your symptoms and improve your overall health.

What you should look out for

Reasons to seek immediate medical attention:

  • If your symptoms worsen or you develop new symptoms
  • If you experience severe pain
  • If you have difficulty walking or moving
  • If you experience changes in your mental status, such as confusion or difficulty concentrating

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of numbness in hands and feet?

Common causes of numbness in hands and feet include peripheral neuropathy, carpal tunnel syndrome, diabetes, vitamin deficiencies (such as B12), and certain medications. It is important to consult a healthcare provider for an accurate diagnosis.


How can peripheral neuropathy be managed or treated?

Management of peripheral neuropathy often involves treating the underlying cause, if known. This can include controlling blood sugar levels in diabetes, taking vitamin supplements for deficiencies, or adjusting medications. Physical therapy, pain management, and lifestyle changes such as regular exercise and a healthy diet can also help.


What are the early symptoms of Multiple Sclerosis (MS)?

Early symptoms of Multiple Sclerosis (MS) can include fatigue, numbness or tingling in the limbs, muscle weakness, vision problems, and issues with coordination and balance. These symptoms can vary widely among individuals.


Can a vitamin B12 deficiency cause neurological symptoms?

Yes, a vitamin B12 deficiency can lead to neurological symptoms such as tingling or numbness in the hands and feet, balance problems, memory issues, and difficulty concentrating. Supplementation of vitamin B12 can help alleviate these symptoms.


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