[30F] Experiencing red stinging toes and blotchy hands

Patient Description

A 30-year-old female reports experiencing red, stinging toes primarily at night, with a burning sensation on the sides of both feet. These symptoms have been occurring on and off for a few months and are described as tingling, burning, and prickly, with a severity rating of 7 out of 10. The symptoms improve by morning. The patient also notes blotchy hands and achy pain behind the knees. The burning sensation worsens when sitting still or lying down. There is occasional swelling in the feet and ankles, and the patient experiences difficulty identifying temperature changes, sometimes not feeling cold or hot. Additionally, there are changes in sensation, including numbness in the toes and feet, and the patient has a hard time eating or drinking. There is no history of foot injuries, recent medication changes, or substance use affecting symptoms. The patient's medical history includes ADHD, BPD, DID, and PTSD, with current medications including Wellbutrin and weed. No known allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  1. Peripheral Neuropathy: This condition involves damage to the nerves outside of the brain and spinal cord, often causing symptoms like burning, tingling, and prickly sensations in the feet. It can be associated with various factors, including diabetes, nutritional deficiencies, or certain medications. Given your symptoms and the fact that they worsen at night, this could be a possibility. Treatment typically involves managing the underlying cause and may include medications to relieve nerve pain.

  2. Raynaud's Phenomenon: This condition affects blood flow to certain parts of the body, such as the toes and fingers, and can cause changes in color, temperature, and sensation. It might explain the shiny skin and temperature regulation issues you've mentioned. Treatment often involves lifestyle changes to improve circulation and, in some cases, medication.

  3. Restless Legs Syndrome (RLS): This condition causes uncomfortable sensations in the legs and an irresistible urge to move them, often worsening at night. While it primarily affects the legs, it can also involve the feet. Treatment may include lifestyle changes, supplements, or medications.

It's important to consult with a healthcare professional for a proper evaluation and diagnosis. They can perform tests to determine the exact cause and recommend appropriate treatment.

What you can do

While waiting for a medical evaluation, here are some steps you can take to help manage your symptoms:

  1. Keep a Symptom Journal: Use MDandMe to track your symptoms, including when they occur, their severity, and any potential triggers. This information can be valuable for your healthcare provider.

  2. Stay Active: Gentle exercises, such as walking or stretching, can help improve circulation and reduce discomfort. Avoid sitting or lying still for long periods.

  3. Practice Good Foot Care: Keep your feet clean and moisturized, and wear comfortable, supportive shoes. Elevate your feet when sitting to reduce swelling.

  4. Stay Hydrated and Nourished: Ensure you're drinking enough water and eating a balanced diet to support overall health. If you're struggling with appetite, consider small, frequent meals or nutritional supplements.

  5. Manage Stress: Stress can exacerbate symptoms, so consider relaxation techniques such as deep breathing, meditation, or yoga.

What you should look out for

Be aware of the following red flag symptoms that may require more urgent medical attention:

  • Sudden or severe pain in your feet or legs
  • Complete loss of sensation in your feet or toes
  • Significant swelling that doesn't go down
  • Changes in skin color, such as turning blue or very pale
  • Difficulty breathing or chest pain

If you experience any of these symptoms, seek medical attention promptly. Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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25 d ago

People Also Ask


What is peripheral neuropathy and what are its common symptoms?

Peripheral neuropathy is a condition resulting from damage to the peripheral nerves, which can cause symptoms such as burning, tingling, numbness, and pain, often in the hands and feet. It can be caused by diabetes, infections, injuries, or exposure to toxins.


How does Raynaud's Phenomenon affect the body and what are its typical signs?

Raynaud's Phenomenon is a condition that affects blood flow to certain parts of the body, usually the fingers and toes. It can cause the skin to change color, feel cold, and become numb. Symptoms often occur in response to cold temperatures or stress.


What is Restless Legs Syndrome (RLS) and how can it be managed?

Restless Legs Syndrome (RLS) is a disorder characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. It typically worsens at night and can be managed with lifestyle changes, such as regular exercise, and sometimes medications.


What lifestyle changes can help alleviate symptoms of burning and tingling in the feet?

To alleviate symptoms of burning and tingling in the feet, consider staying active with gentle exercises, practicing good foot care, staying hydrated, and managing stress through relaxation techniques. Keeping a symptom journal can also help identify triggers and patterns.


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