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Numbness and tingling are unusual prickling sensations that can happen in any part of your body. People generally notice these sensations in hands, feet, arms, and legs. Many things can cause numbness and tingling, including sitting with your legs crossed or falling asleep on your arm.
If numbness and tingling persist and there’s no obvious cause for the sensations, it could be a symptom of a disease or injury, such as multiple sclerosis or carpal tunnel syndrome. Treatment will depend on your diagnosis.
The medical term for numbness and tingling is paresthesia.
Many things can cause numbness and tingling, including some medications. Things that we do every day can sometimes cause numbness, including sitting or standing in one position for a long time, sitting with your legs crossed, or falling asleep on your arm. These are all examples of blood flow being cut off to an area for a period of time.
There are numerous conditions that can cause you to feel numbness and tingling. For example, an insect or animal bite, toxins found in seafood, a migraine headache, or radiation therapy can give you a feeling of pins and needles. An abnormal level of vitamin B-12, potassium, calcium or sodium is another potential cause. Radiation therapy can also produce this odd sensation.
Sometimes a specific injury can produce numbness or tingling, such as an injured nerve in your neck or a herniated disk in your spine. Placing pressure on a nerve is a common cause. Carpal tunnel syndrome, scar tissue, enlarged blood vessels, infection, or a tumor can all place pressure on a nerve. Likewise, inflammation or swelling of the spinal cord or brain can place pressure on one or more nerves.
Some diseases produce numbness or tingling as a symptom. Diabetes, Raynaud’s phenomenon, multiple sclerosis, seizures, hardening of the arteries, or an underactive thyroid (hypothyroidism, Hashimoto’s thyroiditis) are examples of this. A stroke or transient ischemic attack (a mini-stroke) are other examples.
Damage to the skin via a rash, inflammation, or injury is another reason for numbness or tingling. Conditions that can cause this type of damage include frostbite and shingles (a painful rash caused by the chicken pox virus).
Everyone experiences numbness, tingling, or a burning sensation on occasion. You probably have felt it when you stood up after sitting in one position for a long time. Usually it resolves within minutes.
However, you should consult your doctor if there’s no obvious cause for continuing numbness and tingling, you feel dizzy or have muscle spasms, or you have a rash. Tell your doctor if the symptoms in your legs worsen when you walk or if you’re urinating more frequently than usual.
In some cases, feelings of numbness and tingling or burning can indicate a serious injury or medical condition. Seek urgent care if you just experienced a back, neck, or head injury or are unable to walk or move. Losing consciousness, even if only for a short time, is also a warning sign that you need medical attention.
Other symptoms you should look out for include feelings of confusion or trouble thinking clearly, slurred speech, disturbances in your vision, feelings of weakness or severe pain, and losing control of your bowels or bladder.
Expect your doctor to request a complete medical history. Be sure to report all symptoms, even if they don’t seem related, as well as any previously diagnosed conditions. Note if you have any recent injuries, infections, or vaccinations (particularly a flu shot). Your doctor will also need to know any prescribed or over-the-counter medications and supplements you’re taking.
Depending on the findings of a physical exam, your doctor may order additional tests. These may include blood tests, electrolyte level testing, thyroid function testing, toxicology screening, and nerve conduction studies. Your doctor may also order a spinal tap (lumbar puncture).
Imaging tests – such as X-rays, angiogram, CT scans, MRI, or ultrasound of the affected area – can also help your doctor reach a diagnosis.
Because of the varied causes of numbness and tingling, your treatment will depend on the reason for your symptoms. Treatment will focus on resolving any underlying medical conditions.
If you’re experiencing numbness and tingling, you may also have reduced feeling in the affected areas. Because of this, you’ll be less likely to feel temperature changes or pain. This means that you could touch something without realizing it’s hot enough to burn your skin. Alternately a sharp object might cut your skin without you even noticing. Make sure you take precautions to protect yourself from burns and other accidental injuries.
Written by: Ann Pietrangelo
Published on: Jul 17, 2012
Medically reviewed on: Feb 22, 2016: William A Morrison MD
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