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What causes numbness and burning sensation in arms and feet?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

For the past three weeks, I have been having all kinds of symptoms. For the last six months, I have had a burning sensation and numbness in my legs when I stand or sit for too long. I worked through it for a while, and then I noticed that I would get a burning sensation all over. The burning sensation tends to come and go on its own.

Three weeks ago, I woke up, and it felt like I had just done an intense workout. Both arms and legs were hurting, and that night, I had terrible pain in my left pinky and ring finger. The day after that, I noticed my muscles were twitching. I first saw them in my leg, but now I feel them everywhere. I still have an itch in my foot, along with twitching. Last week, I had constant arm pain; it almost felt like a cramping, but the muscles were not contracting, and they were sore. I also get achy pain in my fingers and toes. I did notice last week while lying in bed that my leg jumped. Today, pins and needles have gotten a little worse as I felt them all around my body.

I just had an x-ray of my back, and my GP said I had some minimal degenerative disk disease in my thoracic spine. I do not know if that has anything to do with these symptoms. A routine blood test reveals an elevated ESR level (41 from 36) and a high CRP level of 9.9. I currently have Meloxicam and Pantoprazole.

My father has MS, and I do not know if this could be it. Any advice would be great.

Thank you.

Answered by Dr. Aida Abaz Quka

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

Your symptoms suggest a peripheral nerve disorder. For this reason, I would recommend consulting with a neurologist for a physical examination and performing nerve conduction studies to examine your nerves.

The ring and pinky finger pain is related to a pinched ulnar nerve, probably due to a wrong posture during work or sleeping.

Other tests which I would recommend doing would be:

  1. Vitamin B12 and vitamin D plasma levels for possible deficiency.
  2. Magnesium and different electrolytes levels.
  3. ANA (antinuclear antibody) and ANCA (anti-neutrophil cytoplasmic antibodies) titer antibodies.

It would help if you discussed it with your doctor on the above tests.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

I am just wondering if the pain from peripheral neuropathy moves around the body and comes and goes I am not getting the pins and needles sensation anymore.

l get what I describe as an achy pain sometimes in my fingers, knees, and buttocks. I will also get sharp pains when I push on the muscle and it hurts, and I get a burning sensation in my body.

These pains do come and go on both sides of the body, however, I have noticed that the pain does tend to come back to the same places in the body even though they come and go. For example, my forearms have a terrible pain that comes and goes. It happens on both sides of the body.

Could this still be neuropathy or is this more like fibromyalgia or an autoimmune disorder? My last blood work did show an ESR of 41 mm per hour and a CRP of 10 milligrams per deciliter. Please help.

Thanks.

Answered by Dr. Aida Abaz Quka

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Based on your description, I would exclude peripheral neuropathy. Your symptoms are more suggestive of fibromyalgia. Anyway, considering the elevated ESR (erythrocyte sedimentation rate) and PCR (polymerase chain reaction), I would recommend performing further tests to investigate on a possible rheumatolgical disorder:

  1. ANA (anti-nuclear antibody) and ANCA (antineutrophil cytoplasmic antibodies) titer.
  2. RF (rheumatoid factor) titer.
  3. Complement plasma levels.
  4. ASO titer (antistreptolysin O)
  5. Vitamin B12 and vitamin D plasma levels.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

I just noticed a dent in my left arm. Is this atrophy? I do not have any weakness, I do have some arm pain but not in the spot with the dent. I got an EMG down on my right side but this dent is on my left. My neurologist said that my EMG on my right is consistent with a neuropathy. At the time I was having symptoms on my right. Now they are mostly on my left. I have pain in my upper forearm and bicep. Should I ask to get another EMG?

Thanks.

Answered by Dr. Aida Abaz Quka

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I understand your concern.

I see a muscle tendon on the left arm, but no atrophy. Anyway, because there was neuropathy on the right arm and you are having symptoms on the left side now, I would recommend performing a new nerve conduction study test to investigate possible neuropathy.

I hope this information will help you.

Thanks.

Medically reviewed by Dr. Preetha. J
Published At October 9, 2020
Reviewed At May 12, 2026

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Preetha J. is a proficient Dental Surgeon with expertise in cosmetic dentistry, restorative procedures, root canal treatments, and oral surgery. She is known for her gentle approach, precision, and commitment to patient comfort. Dr. Preetha combines advanced dental techniques with personalized care to ensure optimal oral health and aesthetic results, helping patients achieve confident, healthy smiles. Currently, she contributes her expertise as a valuable member of the medical reviewer team at iCliniq.com. 

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

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