[36F] With chronic numbness and pain in limbs and back

What might be happening

Based on the symptoms you've described, several potential diagnoses could explain your condition. Here are the most likely ones:

Peripheral Neuropathy

Peripheral neuropathy is a condition resulting from damage to the peripheral nerves, which can cause numbness, tingling, and pain in the affected areas. This condition can be caused by various factors, including metabolic disorders, vitamin deficiencies, and chronic conditions like diabetes. Given your history of a metabolic disorder and potential vitamin deficiencies, this could be a significant factor.

Spinal Issues

Conditions such as herniated discs, spinal stenosis, or degenerative disc disease can cause nerve compression, leading to symptoms like numbness, tingling, and pain in the legs, arms, and back. The fact that your symptoms worsen with sitting and improve with walking suggests that spinal issues might be contributing to your condition.

Vitamin Deficiencies

Deficiencies in vitamins, particularly B vitamins, can lead to symptoms like numbness, tingling, fatigue, and hair loss. Given your history of bariatric surgery, which can affect nutrient absorption, this is a plausible cause.

Carpal Tunnel Syndrome

The numbness and tingling in your hands, especially when driving or using a controller, could be indicative of carpal tunnel syndrome. This condition occurs when the median nerve is compressed as it travels through the wrist.

What you can do

Peripheral Neuropathy

• Consult a healthcare provider: It's essential to get a proper diagnosis and treatment plan. Your doctor may recommend blood tests to check for vitamin deficiencies and other underlying conditions.
• Manage underlying conditions: If you have a metabolic disorder, work with your healthcare provider to manage it effectively.
• Consider supplements: If vitamin deficiencies are identified, your doctor may recommend supplements to address them.

Spinal Issues

• See a specialist: A neurologist or orthopedic specialist can help diagnose and treat spinal issues. Imaging studies like MRI or CT scans may be necessary.
• Physical therapy: Engaging in physical therapy can help strengthen the muscles around your spine and improve your symptoms.
• Posture and ergonomics: Ensure that your sitting posture is correct and consider ergonomic adjustments to your workspace.

Vitamin Deficiencies

• Dietary changes: Incorporate foods rich in B vitamins, such as whole grains, meat, eggs, and dairy products, into your diet.
• Supplements: If recommended by your doctor, take vitamin supplements to address any deficiencies.

Carpal Tunnel Syndrome

• Wrist splints: Wearing wrist splints, especially at night, can help alleviate symptoms.
• Ergonomic adjustments: Make ergonomic adjustments to your workspace and activities to reduce strain on your wrists.
• Consult a specialist: A hand specialist or neurologist can provide further evaluation and treatment options.

What you should look out for

Given the complexity and duration of your symptoms, it's crucial to seek medical care to get a comprehensive evaluation. Here are some reasons to seek care more urgently:

• Worsening weakness or numbness: If you notice a significant increase in weakness or numbness, seek medical attention promptly.
• Loss of bowel or bladder control: This could indicate a serious spinal issue and requires immediate medical attention.
• Severe pain: If your pain becomes severe and unmanageable, seek medical care.

Remember, while I can provide information and suggestions, it's essential to consult with a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.