[36F] With tingling in left foot and temple headache

Patient Description

A 36-year-old female presents with a sudden onset of a pins and needles sensation in the left foot, persisting for a few days. The tingling worsens with standing or bearing weight and began without any recent injuries or changes in physical activity, although the patient reports prolonged sitting. Additionally, she experiences a headache in the temple, rated as 5 out of 10 in intensity, similar to previous headaches on the side of the face, with no known alleviating factors. The patient is currently on Wegovy, 0.25 mg weekly injections, and has noted right leg pain and anxiety-related symptoms, such as a fast heart rate and panic, since starting the medication. Her blood pressure was recorded at 107/79. She has a history of chronic colitis in the rectum, diagnosed a few months ago, and reports no known drug allergies or other medications.

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Arora's Assessment

What might be happening

Based on your symptoms and history, here are some possibilities:

  1. Peripheral Neuropathy: The tingling sensation in your left foot, especially when standing or bearing weight, could be due to peripheral neuropathy. This condition involves damage to the nerves outside the brain and spinal cord and can cause tingling, numbness, or pain. It can be related to prolonged pressure on nerves, such as sitting for extended periods.

  2. Tension Headache: Your temple headache could be a tension headache, which is common and often related to stress, anxiety, or muscle strain. These headaches can cause a dull, aching sensation and are often felt on both sides of the head.

  3. Medication Side Effects: Wegovy, a medication used for weight management, can sometimes cause side effects like anxiety, increased heart rate, and potentially affect nerve sensations. It's important to monitor these symptoms and discuss them with your healthcare provider.

What you can do

Tingling in Left Foot:

  • Change Positions: Try to avoid sitting for long periods. Stand up and move around regularly to relieve pressure on your nerves.
  • Footwear: Ensure you are wearing comfortable shoes that provide good support.
  • Monitor Symptoms: Keep track of when the tingling occurs and any activities that might trigger it. Use MDandMe to journal these symptoms and share them with your healthcare provider.

Temple Headache:

  • Relaxation Techniques: Practice stress-reducing activities such as deep breathing, meditation, or gentle yoga.
  • Hydration and Rest: Ensure you are well-hydrated and getting enough rest, as dehydration and fatigue can contribute to headaches.
  • Over-the-Counter Pain Relief: Consider using over-the-counter pain relievers like ibuprofen or acetaminophen, but consult with your healthcare provider if you have any concerns.

General Advice:

  • Consult Your Doctor: It's important to discuss these symptoms with your healthcare provider, especially if they persist or worsen. They can help determine if any changes to your medication or further testing are needed.
  • Symptom Tracking: Use MDandMe to track your symptoms, medication effects, and any changes over time. This information can be valuable for your healthcare provider.

What you should look out for

  • Worsening Symptoms: If the tingling in your foot becomes more severe, spreads, or is accompanied by weakness or numbness, seek medical attention.
  • Severe Headache: If your headache becomes severe, is accompanied by vision changes, or other neurological symptoms, seek immediate medical care.
  • New or Unusual Symptoms: Any new or unusual symptoms should be discussed with your healthcare provider.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.

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20 d ago


People Also Ask


What causes a pins and needles sensation in the foot?

A pins and needles sensation in the foot can be caused by peripheral neuropathy, which involves nerve damage. It can also result from prolonged pressure on nerves, such as sitting for extended periods, or from conditions like diabetes or vitamin deficiencies.


Can Wegovy cause anxiety and increased heart rate?

Yes, Wegovy, a medication used for weight management, can cause side effects such as anxiety and an increased heart rate. It's important to monitor these symptoms and discuss them with your healthcare provider.


What are common triggers for tension headaches?

Common triggers for tension headaches include stress, anxiety, poor posture, muscle strain, dehydration, and fatigue. These headaches often present as a dull, aching sensation on both sides of the head.


How can prolonged sitting affect nerve sensations?

Prolonged sitting can lead to pressure on nerves, particularly in the lower back and legs, which may result in tingling or numbness. This is because sitting for long periods can compress nerves and reduce blood flow, affecting nerve function.

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