[50F] Experiencing tingling in extremities with intermittent weakness

Patient Description

A 50-year-old female has been experiencing intermittent tingling in her right hand and occasionally in her right foot for the past three weeks. The tingling does not follow a specific pattern and sometimes is accompanied by weakness if it persists for an extended period. She also had an episode of vision issues during the first onset of tingling, but this has not recurred. The patient has a history of hysterectomy, the specific date of which she does not recall, and she is currently taking Lexapro 20 mg daily and Centrum Silver for Women. She has a known allergy to tree nuts. There is no family history of neurological conditions, and she does not use alcohol, tobacco, or recreational drugs. No other symptoms, changes in bowel or bladder control, or muscle coordination problems have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms 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. Peripheral neuropathy can result from traumatic injuries, infections, metabolic problems, inherited causes, and exposure to toxins.

    • Treatment usually involves managing the condition causing your neuropathy. In some cases, over-the-counter pain relievers can help. If you have diabetes, managing it can help control symptoms.
  • Multiple Sclerosis (MS): This is a potentially disabling disease of the brain and spinal cord (central nervous system). Symptoms can include fatigue, difficulty walking, numbness or tingling, muscle weakness, and problems with coordination and balance.

    • There's no cure for multiple sclerosis. However, treatments can help speed recovery from attacks, modify the course of the disease, and manage symptoms.
  • Carpal Tunnel Syndrome: This condition causes numbness, tingling, and other symptoms in the hand and arm. Carpal tunnel syndrome is caused by a compressed nerve in the carpal tunnel, a narrow passageway on the palm side of your wrist.

    • Nonsurgical treatments for carpal tunnel syndrome include wrist splinting, medications, and nerve gliding exercises.

Please note that these are just possibilities and not a definitive diagnosis. You should seek care from a healthcare professional to receive a formal diagnosis and treatment if appropriate.

What you can do

  1. Try to rest the affected area and avoid any activities that make your symptoms worse.
  2. Over-the-counter pain relievers may help ease discomfort.
  3. If you're experiencing a lot of discomfort, a warm bath or heating pad can help soothe stiff and sore muscles.
  4. Regular physical activity can help keep your nerves healthy.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms are progressing rapidly
  • If you develop additional symptoms such as severe pain, weakness, or difficulty walking
  • If you have difficulty controlling your bladder or bowels
  • If you experience changes in your vision or speech

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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10 mo ago

People Also Ask


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

Common causes of tingling in the hands and feet include peripheral neuropathy, carpal tunnel syndrome, multiple sclerosis, vitamin deficiencies, and poor circulation. It's important to consult a healthcare provider for an accurate diagnosis.


How is peripheral neuropathy diagnosed and treated?

Peripheral neuropathy is diagnosed through a combination of medical history, physical examination, blood tests, and sometimes nerve conduction studies or electromyography. Treatment focuses on managing the underlying cause, relieving symptoms, and preventing further nerve damage.


What are the early signs of multiple sclerosis?

Early signs of multiple sclerosis can include fatigue, numbness or tingling, muscle weakness, vision problems, and issues with coordination and balance. These symptoms can vary widely among individuals.


How can carpal tunnel syndrome be managed without surgery?

Carpal tunnel syndrome can be managed without surgery through wrist splinting, especially at night, taking anti-inflammatory medications, and performing nerve gliding exercises. Avoiding activities that worsen symptoms can also help.


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