[56M] Experiencing intermittent pins and needles and numbness

Patient Description

A 56-year-old male reports intermittent episodes of pins and needles and numbness affecting the right side of the face, hand, arm, and leg. These symptoms have occurred twice, each lasting approximately 10-15 seconds, and are associated with physical activity, specifically working out. The symptoms resolve upon cessation of the activity. The patient has no known allergies, is not on any medications, and has no past medical history of chronic illnesses or conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely cause of your symptoms could be:

  • Transient Ischemic Attack (TIA): Also known as a "mini-stroke," a TIA is a temporary blockage of blood flow to the brain. It can cause brief episodes of symptoms similar to those you'd have during a stroke, such as numbness or tingling on one side of the body. TIAs are often a warning sign of a future stroke.

    • Treatment typically involves medications to prevent a stroke or, less commonly, surgery.
  • Peripheral Neuropathy: This is a result of damage to your peripheral nerves, often causing 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 the neuropathy. Pain and physical therapy may also help.

What you can do

You should seek immediate medical attention. These symptoms could be a sign of a serious condition, such as a stroke. It's important to get to a hospital as quickly as possible. If the symptoms occur again, call an ambulance.

What you should look out for

Watch out for these symptoms, which could indicate a more serious condition:

  • Sudden severe headache
  • Trouble speaking or understanding speech
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, loss of balance or coordination

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional who can evaluate your health and provide appropriate treatment.

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11 mo ago

People Also Ask


What is a Transient Ischemic Attack (TIA) and how is it different from a stroke?

A Transient Ischemic Attack (TIA) is often called a 'mini-stroke' and occurs when there is a temporary blockage of blood flow to the brain. Unlike a stroke, the blockage is brief and does not cause permanent damage. However, a TIA is a warning sign that a stroke may occur in the future.


What are the common causes of peripheral neuropathy?

Peripheral neuropathy can be caused by a variety of factors including diabetes, infections, traumatic injuries, metabolic problems, inherited causes, and exposure to toxins. It results from damage to the peripheral nerves, leading to symptoms like numbness and tingling.


Why do symptoms like numbness and tingling occur during physical activity?

Symptoms like numbness and tingling during physical activity may occur due to increased demand on the cardiovascular system, which can temporarily affect blood flow to certain areas of the body. In some cases, it may indicate underlying vascular or neurological issues.


What immediate actions should be taken if someone experiences symptoms of a TIA?

If someone experiences symptoms of a TIA, they should seek immediate medical attention, as it could be a precursor to a stroke. Calling an ambulance and getting to a hospital quickly is crucial for evaluation and potential treatment to prevent a stroke.


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