LifestylePain ManagementDon't Ignore Tingling and Numbness in Hands and Feet

Don’t Ignore Tingling and Numbness in Hands and Feet

Tingling and Numbness in Hands and Feet
Tingling and Numbness in Hands and Feet

Tingling and Numbness in Your Hands and Feet Overview

If you’ve ever experienced tingling, numbness, and pain in hands and feet (or wrists and elbows), you know it feels a lot worse than it sounds. There are many reasons why you could be having these sensations, so it’s extremely important to identify the potential causes. This is especially true if you have chronic pain because tingling is a symptom for many chronic conditions.

Many people often ask, ‘When should I worry about tingling in my hands?’ The answer depends on accompanying symptoms and their severity.

A personal testimony of pain, tingling and numbness video

Speaking from personal experience, I made the mistake of ignoring unexplainable left foot tingling and numbness. It’s not uncommon for people to experience feet and hands tingling, especially after sitting in one position for too long.

But progressively, it got worse and eventually, the pain, numbness, and tingling moved up my foot and into my left leg. I’ll never know if catching it sooner would’ve prevented my herniated L5. My advice for anyone in a similar situation is to go to the doctor sooner rather than later.

Not all tingling indicates a serious health problem. Sometimes, you may feel nerve pain or experience a lack of nerve function that feels like pins and needles, but persistent tingling in fingers and toes warrants attention. However, once you start moving your limb, the tingling may subside. If this happens, it’s likely due to restricted blood flow. Although it feels awkward and uncomfortable, it’s only temporary.

You may have also had your foot fall asleep before. This may happen when you unknowingly sit or sleep in an odd position. It also resolves itself as soon as you allow blood to flow normally to your extremities.

If you experience unexplainable and frequent tingling and numbness in your hands or feet, read our guide for determining your next steps. We’ll give you some background on tingling, and let you know when it’s time to worry.

Identifying the sensations

Identifying tingling and numbness the sensations

A tingling sensation, often described as pins and needles in fingers or toes, can feel like constant pinpricks or a low humming of electricity and constant vibration that’s impossible to ignore. Some even describe it as a zapping sensation that can quickly shift from bearable to painful.

It can be very aggravating and easily disrupt your normal day-to-day activities. We instinctively shake our extremities, sometimes feeling tingling in fingertips, wiggling and moving our toes or fingers in the hopes of increasing circulation. Unfortunately, sometimes that doesn’t work.

Numbness is a more complex feeling. It can be far more concerning as well. If you can’t feel your hands or feet or feel as if you can’t control them, that’s numbness. At the height of my numbness, I couldn’t feel my own hand on my skin when I touched my foot.

What tingling in hand and feet means

Tingling, like experiencing tingling in the right hand, is not as serious as numbness, but it can be uncomfortable and disruptive. In fact, many of the conditions that cause tingling are temporary. If you experience left hand fingers tingling along with numbness, it could be a sign of a nerve issue that shouldn’t be ignored. However, pay careful attention if that tingling is associated with pain.
Peripheral neuropathy, which results from damage to the peripheral nerves, may be causing your tingling. These nerves send signals to your brain about any physical sensations you are feeling. When the nerves are damaged or destroyed, they might send the wrong signals to your brain, making it seem like you are in pain when nothing is causing it.

What tingling in hands and feet means

Many underlying conditions can lead to peripheral neuropathy. Tingling in extremities, including hands and feet, can be a sign of various conditions, ranging from temporary to more serious ones. If you have any of these conditions, speak to a doctor about your symptoms:

In addition, avoid putting pressure on a nerve. Traumas from falls, accidents or sports injuries can damage nerves or cause pinched nerves.

Furthermore, pain combined with tingling and/or numbness is a much more serious matter. Think of it as a warning sign that your body is breaking down in some way. If the pain is severe or chronic, you could have nerve damage that’s preventing normal body function.

Why numbness matters

By itself, occasional numbness may not be serious, because it’s rarely a result of brain and spinal cord problems. But, numbness combined with tingling or pain can indicate carpal tunnel syndrome or a more serious health issue, like multiple sclerosis (MS). In the most extreme instances, you may suffer issues with your central nervous system.
Visit your doctor if you experience numbness – especially combined with tingling and pain – in your hands or feet. Your doctor may need to perform blood tests as well as a physical exam to determine the cause.
If you experience numbness for more than a day or two, don’t ignore it. Talk to your healthcare team. At a minimum, you may have suffered nerve damage. Your body could be on the brink of a much more serious problem like:

  • a slipped or herniated dis
  • a blood clot
  • signs of infection from a previous injury or illness
  • a decline in health due to a worsening existing condition

“When stenosis is present in the cervical spine or neck,the symptoms can include neck pain, numbness and tingling in the arm, hand or fingers on the affected side.”

It starts with tingling and numbness

The thing about tingling and numbness in hands and feet – with or without the addition of pain – is it’s often the first symptom for a variety of conditions. It’s your body’s way of getting your attention to let you know something is wrong.

Tingling and numbness are the main indicators of degenerative spinal conditions like osteoarthritis. This degenerative condition is also referred to as spinal stenosis. People suffering from spinal stenosis begin to feel symptoms as their spine worsens. “When stenosis is present in the cervical spine or neck,” says Neel Anand, MD, an orthopedic surgeon specializing in spinal deformity correction at Cedars-Sinai Medical Center in Los Angeles, “the symptoms can include neck pain, numbness and tingling in the arm, hand or fingers on the affected side.”

Similarly, many types of spinal injuries trigger tingling and/or numbness. These include:

  • bulging discs
  • herniated discs
  • spinal tumors
  • other spinal injuries

Additional causes of tingling and numbness

Additional causes of tingling and numbness in hands and feet

Lupus, an autoimmune disease, often reveals itself through numb feelings in the hands or feet. The same symptom of numbness tends to present itself in multiple sclerosis (MS), a chronic, progressive disease that damages nerve cells in the brain and spinal cord.

If you have diabetes, tingling and numbness in the hands and feet can be a sign of diabetic neuropathy, a serious side effect of type 1 and type 2 diabetes that can cause long-term nerve damage. Similarly, if you experience pain, muscle weakness, numbness and tingling in the hands or feet, that can be a sign of kidney disease or worse, kidney failure.
Other potential sneaky triggers that cause tingling and numbness include vitamin deficiencies.
Given the array of symptoms [B12 deficiency symptoms] can cause,” says Patrick J. Skerrett, former editor of the Harvard Health blog, “the condition can be overlooked or confused with something else”. Vitamin B12 deficiency symptoms may include:

  • strange sensations, numbness, or tingling in the hands, legs or feet
  • difficulty walking (staggering, balance problems)
  • anemia
  • a swollen, inflamed tongue
  • difficulty thinking and reasoning (cognitive difficulties) or memory loss
  • weakness
  • fatigue

Luckily vitamin deficiencies are treatable. The key is to identify the condition quickly.

Don’t Ignore Tingling and Numbness in Hands and Feet
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Prolonged tingling and numbness can be serious concerns. If you suffer from either symptom, please talk to your doctor immediately. She will be able to identify the severity of the problem and offer the best course for treatment.

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91 COMMENTS
  1. Hi my husband has been suffering from no feeling in hands and legs for some time he is on medication but not doing any good . He cannot walk I have to do everything! !I am at my whitschool end and finding it very difficult as I have osteoporosis should I go further with this please

    • Hi Val,

      Thanks for taking the time to leave a comment. It sounds like you’re in a difficult situation. If your husband’s medications are not working, please consult with the doctor that prescribed them. I know it can be time consuming and difficult to schedule an appointment and take a trip into the office, but it’s so important to let the doctor know that the medication isn’t working, so that he or she can develop a more effective treatment plan. Wishing you the very best.

      Thanks,

      Your Friends at Pain Resource

  2. So if my hand falls asleep and I just sit there and stare at it instead of moving it, is the hand just going to fall of or is the tingling just going to get worse and worse?

    • Hannah,

      Thank you for your comment. If your hand falls asleep, the tingling sensation should subside as soon as you start moving it. If the sensation remains or gets worse and worse, it could be indicative of a more serious issue, and should be checked out by your primary care doctor.

      Thanks,

      Maren

  3. my hands and finger tips tingle constantlt they feel numb most of the time, paticulary bed time n morning sometimes i find it hard to open n close my hands fully, they are allso swollen too sometimes more days than others, allso my leggs i get bad tingling n cramps n my calfs and when im on my feet all day or working they swell so bad im having to buy shoes a size bigger just to get into them , my feet n legs r very painfull, iv not been to doctors yet feel like thet ll tell me it will go away or its normal, , what should i do? n do u have any idea what it could be, i will be going to change my doctors surgery tomorrow hopefully as i dont feel comfortable with thenm they havnt seemed to help me a lot before in the past, thankyou

    • Hi Martina,

      Thank you for reaching out. It is very important that you are comfortable with your doctor, and that you get the help that you need. Before you go into the office, write out a list of questions. That way you won’t forget to ask anything when you’re in front of your doctor. Doctors are busy people, but your health is important. Make sure you get all of your questions answered before you leave. If you’re not getting the help that you need, or don’t feel comfortable, please get a second opinion. I know it’s time consuming to schedule an appointment with another doctor, but sometimes you have to visit multiple doctors in order to find one who’s a good fit for you and can help you find a solution. Wishing you the very best.

      Sincerely,

      Maren

  4. I’ve been to my doctors on numerous occasions regarding the tingling in both hands and arms since September last year. It only occurs in the morning and either wakes me up or happens when I start stirring from my sleep. I have heart palpitations with it too. Lasts for about 20 seconds and then disappears. The doctor has done blood tests and I’ve had an ECG but they don’t know what it is. I’m getting worried as it wakes me up every single morning! What should I do?

    • Julia,

      Thanks for reaching out. I’m sorry that you’re experiencing these symptoms. It can be frustrating when tests don’t reveal a source of the problem. Please continue seeing your doctor, and if you’re not getting the answers that you need, don’t be afraid to get a second opinion. I know it’s tough, but keep working toward a solution and you will find answers.

      Best,

      Maren

  5. Hi Maren,

    Greetings for the day.

    My father around 65 years of age. He is feeling numb in foot fingers when wake-up, some time at down of right arm back side. we done the blood tests for Sugar and cholesterol. But everything is normal.

    please advice us for which treatment we should go.

    • Hi Karthik,

      I’m sorry to hear that your father is experiencing numbness and tingling. It can be hard to get to the bottom of the root cause sometimes. Your father’s primary care doctor will be his best resource. If you don’t feel that he is receiving the treatment or diagnosis that he needs, please get a second opinion from another doctor.

      Thanks,

      Maren

  6. Whenever I move my head in a downward position, both of my feet go to sleep? The only thing I have done for this so far is go to the chiropractor, and he told me to not worry about it, but now my feet go numb/tingling when I am standing up or sitting. I am getting concerned and am wondering what it could be? Can you help me out?

    Thank you,
    Karen M

    • Hello Karen, I had a similar situation with my right foot called drop foot. I had a pinched nerve in L5. You might want to talk with your doctor and have him look further into the issue. Here’s a great article by Spine Health on the spine and nerve roots. Good luck and share your story in our Pain Resource Forum!

  7. Hi my son who is 26 has suddenly started feel numb when he woke up. He felt is feel going numb before getting out t=of bed then his hand. This has happen in January while is was working at the time he felt very tried too. We went to see cardiologies who said there is nothing wrong with his heart then we saw neologise and he even said there is nothing wrong with his nerves. One of his eye and around the eye and that side of nose has ben painful for last 8 month and his lips feels dry all the time too. He drinks 3LT of water a day. We feel so helpless, please please advised.
    Many thanks

    • Mina,

      Thank you for taking the time to leave a comment. I’m sorry that your son is experiencing these symptoms. It’s important that you’re working with a medical professional, which it sounds like you are. Please do not give up hope, keep working with your primary care doctor, and keep exploring all options until you get to the root of the problem.

      Best,

      Your Friends at Pain Resource

    • Hi Mina,
      Have the doctors done any blood tests to see whether he is deficient in anything? I would recommend folate, b12, vitamin d and iron (thyroid). Also have they tested for diabetes?

      • Kay,

        Thank you for your comment. If his condition is worsening, I would recommend revisiting the issue with your son’s doctor, or getting a second opinion. This is something that should not be taken lightly.

        Thanks,

        Maren

  8. i just started taking Coreg after 2 days I started to feel numbness in my hand and feet. Could this be due to medication and is it serious ? Does this symptom go away after continuing to tke Coreg?

    • Hi Marvin,

      If you’re feeling numbness in your hands and feet after taking Coreg, please call your doctor right away. This is a serious side effect and your doctor needs to be made aware of it.

      Best,

      Your Friends at Pain Resource

  9. Hi there,
    my wife has continuous numbness in her right hand, and sometimes the left one, and the right leg.
    she did a xray for the spine, nothing abnormal
    she did test her blood, to see the level of colesterol and tiglicerides, they are normal
    the 2nd doctor said could be stress or anxiety, what is the best way to diagnose that? so she doesnt end up in useless multi session of psicatric clinic.

    • Tony,

      It can be frustrating when someone you love is experiencing symptoms and you can’t seem to find the culprit. Unfortunately, this is often the case with chronic conditions. We recently wrote another post on this subject that you might find to be helpful: https://painresource.com/peripheral-neuropathy/tingling-hands-mean/

      We also have a community where you can ask questions and connect with other people who are facing similar situations. Visit forum.painresource.com to join.

      Best,

      Your Friends at Pain Resource

    • Vamsi,

      If you ignore these symptoms, they may get worse, or the underlying issue may progressively get worse. If you have symptoms like this, it’s very important to speak with your doctor, who will be able to better investigate what’s happening.

      Thanks,

      Your Friends at Pain Resource

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