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Numbness in Hands and Legs

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Numbness in Hands and Legs

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Some people who are exposed to long hours of work and commutation suffer from nerve disorders. Read the article below to know more about numbness in hands and legs.

Medically reviewed by

Dr. Kiran Rani

Published At February 26, 2022
Reviewed AtFebruary 28, 2023

What Is Numbness?

Numbness in the hands and feet is a common symptom caused by various factors and is mostly a temporary sensation. Other symptoms like tingling, pricking, itching, and burning sensation under the skin may also be accompanied by numbness. It is nothing but the feeling of senselessness in a particular area of hand or feet.

What Are the Causes of Numbness in Hands and Legs?

Numbness can have many causes, which can be categorized as mild and temporary to a serious medical condition. The most common and harmless cause of numbness is compression of nerves in the hands and feet by sitting or sleeping in an awkward position, and therefore the blood supply is restricted to those parts of the body. Though this is the most common factor, there are other factors that cause numbness, and this includes-

  1. Nerve damage in hands or feet.

  2. Posture and sleeping position.

  3. Herniated disk - Resulting in pressure on spinal nerves.

  4. Herpes infection.

  5. Stroke and mini-strokes.

  6. Underactive thyroid.

  7. Animal or insect bites.

  8. Peripheral artery disease.

  9. Alcohol abuse or medication side effects.

  10. Diabetes and vitamin deficiency.

  11. Fibromyalgia.

Carpal Tunnel Syndrome:

When it comes to specific causes for numbness in hands, carpal syndrome has been the cause for a majority of the population affected. This is a common condition wherein excessive pressure is placed at the nerves in the hands and wrists (median nerves). This is often observed in people who use their wrists dominantly for work, such as typists.

Tarsal Tunnel Syndrome:

This condition is specific to the numbness of legs and feet and is observed when a nerve that runs down along the ankle on the back of the leg is either compressed or damaged. This condition is often observed in people who jump and land on ankle joints, such as athletes.

Multiple Sclerosis:

Multiple sclerosis is a chronic disease that targets the central nervous system and thereby can cause sensory nerve damage to a small region of the body or whole limbs. This can cause numbness and tingling sensation in our hands or feet, lasting for a very long time.

What Are the Symptoms Associated With Numbness of Hands and Legs?

The chief symptom of numbness in hands and feet is loss of sensation. This affects your sense of touch and balance because you cannot feel your foot’s position against the ground and the feel of the object in hand. Since numbness itself is a symptom of nerve damage or other conditions, it is often observed with other symptoms at the same time as

  • Tingling.

  • Itching.

  • Burning.

  • Crawling.

  • Tickling.

How Is Numbness of Hands and Legs Diagnosed?

The different patterns of symptoms can help determine if a nerve or other condition is causing the numbness. Before being involved in any physical tests, the complete medical history of the patient is to be studied to analyze the exact cause, such as any other underlying condition or reaction to any specific medication that he or she may be taking. Certain conditions can also be diagnosed using a physical examination and other tests such as,

  • X-ray and nerve tests.

  • Ultrasound.

  • Blood count.

  • Thyroid function tests.

  • Tests for vitamin levels.

  • Toxicology reports.

  • Tests of your electrolyte levels.

  • Lumbar puncture to check for nervous system disorder.

  • Angiogram to check for blood vessel congestion.

  • Electromyography.

What Are the Treatment Options for Numbness in Hands and Legs?

The best course of treatment is decided by the doctor based upon the cause of numbness.

Medications:

Some of the medicinal treatments for numbness of hands and feet are,

  • Antidepressants - Some antidepressants, such as Duloxetine and Milnacipran, have been approved to treat fibromyalgia.

  • Gabapentin and Pregabalin - Medications that block or change nerve signaling may help reduce numbness associated with conditions such as fibromyalgia, multiple sclerosis (MS), and diabetic neuropathy.

  • Corticosteroids - Chronic inflammation and numbness associated with conditions such as multiple sclerosis can be reduced and treated with some corticosteroids.

Once the doctor has made a specific diagnosis, he can direct to other specialists based on the cause, such as a neurologist, rheumatologist, or pain management specialist.

Physiotherapy can help improve strength and increase the blood flow to the hands and feet. Posture adjustment with the help of braces and additional support may be suggested based on the causes. Also, when non-surgical treatments are not providing results, surgery can be suggested. Nerve damage can often be untreatable, and the medication and treatment are carried out only to stop it from progressing and not for curing the condition altogether.

Alternative Treatment Methods

Even though the treatment method is entirely dependent upon the causative agent, some of the following treatment methods have been able to produce some improvement in the cases associated with numbness.

  • Massage - To reduce the pressure and soreness.

  • Reflexology - To improve our CNS (central nervous system).

  • Acupuncture - Also to improve sensation and relieve nerve pressure.

  • Hydrotherapy - To improve muscle and nerve coordination.

  • Meditation and Yoga - To reduce stress and mental pressure.

  • Vitamin B Supplementation - To overcome vitamin deficiency.

Home Remedies

Some of the behavioral changes and home treatments can help in the process of reducing pain and senselessness.

  • Diet - A regular and balanced diet with a proper supply of nutrients and vitamins can help you recover from numbness.

  • Sleep - The most significant factor is sleeping adequately and allowing the body to be adequately rested. This can reduce stress and also help maintain our nerve pressure.

  • Avoid Alcohol - Also, avoiding the consumption of alcohol can affect our nerves and result in more nerve damage.

  • Heat and Cold Application - The application of ice along the areas where numbness is felt can help increase the blood flow through the blood vessels. Also, the application of heat can help loosen sore or tense muscles, which may be compressing the nerves. But avoid overheating as it may worsen the swelling.

  • Epsom Salt - Another effective method is using Epsom salt, a compound known for improving blood circulation.

Conclusion:

Numbness can be associated with improper posture or excessive use of hand and feet muscles, and hence it is treatable in most cases by simple lifestyle changes. Severe cases of nerve damage and other conditions must be adequately treated. Also, it is always better to consult a physician to make sure everything is fine.

Frequently Asked Questions

1.

What Causes Numbness in Hands and Legs?

Numbness is multifactorial in origin and most of them are self-limiting. However, the symptoms cannot be neglected always as they point out major underlying pathological conditions. Numbness of hands and legs can result due to:
- Certain nutritional deficiencies.
- Nerve injuries.
- Diabetes Mellitus.
- Kidney and liver diseases.
- Carpel tunnel syndrome.
- Alcoholism.
- Toxin exposure to lead, mercury, arsenic, etc.
- Certain antiviral medications.
- Cancer chemotherapy.
- Infections like AIDS, herpes simplex, Epstein- Barr virus, etc.
- Rheumatoid arthritis.
- Autoimmune diseases.

2.

Why Should the Symptoms of Numbness Of Hands and Legs Not Be Ignored?

Although numbness does not always indicate a serious problem, it should not be neglected as it can result from more serious underlying systemic problems like diabetes, nerve injuries, autoimmune diseases, etc, which need immediate medical care.

3.

How Can OnePrevent Hands and Legs From Becoming Numb?

- Numbness occurs as a result of an underlying condition that causes it.
- The etiological factor causing it should be discovered immediately, and treating the same relieves numbness.
- Diet modifications must be done to meet the body's nutritional demands.
- Physical activity plays an important role in improving blood circulation in the affected region, thereby relieving the numbness caused due to various reasons.
- Severe cases require medications like painkillers to relieve the discomfort.
- Surgery is rarely indicated. However, various nerve injuries and refractory cases of carpel tunnel syndrome require surgery.

4.

When Does the Numbness in Hands and Legs Become Worrisome?

Numbness is usually a self-limiting feature that resolves on its own in most cases. Suppose numbness persists even after lifestyle modifications and tends to worsen and radiates to other parts of the body despite primary management with painkillers. In that case, it indicates a serious systemic pathology causing it, and immediate medical care should be sought without further delay.
 

5.

Is Numbness in Hands and Legs Caused Due to Vitamin Deficiency?

Certain vitamins and minerals play an important role in the neurological functions of the body. Vitamins like B1, B5, B6, B12 and minerals like calcium and magnesium are crucial for optimum functioning of the nervous system and aid in repairing damaged nerves. Vitamin B12 deficiency leads to peripheral neuropathy. Lack of calcium and vitamin D3 can cause carpal tunnel syndrome.

6.

Can the Hand Numbness Have Neurological Etiology?

Numbness of the hands refers to tingling or altered sensation in the hand, which can be caused due to various reasons, of which one can arise from a neurological factor. Neurological causes of hand numbness include 
- Carpal tunnel syndrome  (caused by the pressing of the median nerve).
- Cubital tunnel syndrome (caused by the pressing of the ulnar nerve).
- Cervical spondylosis (arthritis affecting the neck discs, causing numbness in the hands, fingers, and arms).
 

7.

Can Brain Tumor Cause Numbness in Hands and Feet?

The brain controls the transmission of nerve impulses and neurological coordination of body systems with one other to ensure the optimum functioning of the human body. Hence, brain tumor affects the nervous system and other body parts like hands, legs, and face, which receive nerve impulses from the brain and result in altered sensation like numbness, tingling, and paresthesia.

8.

Who Treats Numbness of Hands and Legs?

Numbness may be caused due to various factors. If the cause is of neurological origin, a neurologist should be consulted. If the cause is underlying disorders like diabetes, thyroid disorders, or nutritional deficiencies, an interpersonal approach involving a physician, neurologist, and physiotherapist should be encouraged.
 

9.

Can Low Vitamin D levels Lead to Numbness?

Yes, lower Vitamin D levels affect normal neurological functions in the body. Lower vitamin D levels are associated with an increased risk of developing peripheral neuritis, which usually presents as altered sensation or numbness in the hands and legs.

10.

Can Stroke Cause Numbness?

A stroke usually results from an altered blood supply to the brain, which may occur due to blood clots and various systemic disorders that result in disruption of the transmission of nerve impulses to various parts of the body, causing altered sensation like numbness, tingling sensation in hands, legs, face, or numbness of the entire body on one side.

11.

Does High Blood Pressure Result in Numbness Of Hands and Legs?

High blood pressure is associated with increased pressure in the blood vessels and with the same pressure the heart has to pump blood to various parts of the body.This increased pressure causes organ damage in various parts of the body if left under treated.One such organ damage involving the nervous system leads to altered sensations like numbness and tingling in the hands and legs.
 
Dr. Kiran Rani
Dr. Kiran Rani

General Practitioner

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