I am a 57 year old male. i have numbness and tingling in my feet and i have had it for about 3 years. i have had a full blood workup and all organs are good. not diabetic. don't know what it could be. any thoughts?

Thanks : Thanks for your question. Numbness and tingling in the feet can be due to a number of causes. In some patients, poor circulation can cause these symptoms, but usually this can be detected by examination by a doctor and detection of the pulses. At times more specialized testing is needed. Neuropathy (disease of the nerves themselves) can also cause this. A test called an EMG can detect neuropathy. A neurologist typically inserts small needles into the feet and legs at different points and can tell if nerve is abnormal and what might be causing the problem. I would suggest talking with your doctor about your circulation and nerves, and to discuss whether it might be helpful to see a neurologist. I hope this helps you.

Pain, numbness. : Non-diabetic neuropathy is treated the same way as diabetic neuropathy in most cases. If you have tingling, burning, and numbness, or even pain, it's often impossible to get normal sensation back. Some medications reduce the pain or tingling, but nothing can reverse numbness. See your doctor for evaluation and possible oral or topical medications.

CONSIDER : You may possess a small fibre neuropathy, which can be caused by a host of problems, including sarcoidosis, celiac disease, para-proteinemias, even a presentation of diabetes prior to full expression. This can be readily sorted out via a skin punch biopsy. If present, may respond well to drugs such as Lyrica (pregabalin) or cymbalta, but a medical food metanx could also be very useful.

Consider back also: You may want to have your back also checked. The nerves that supply the feet stem from nerve branches traveling from the leg. The "pinch" could be from the back at its root, but it an also be locally due to musculature. Another thing to be checked is circulation because if blood flow is hampered to a an area, it can cause pain and reduce function in the nerves.

Neuropathy : Do you have any low back pain, if so, this may be the cause. There are medications that can help. Suggest you start wit pcp and get referral from there. Wishing you the best.

Have it evaluated.: Neuropathy is a condition resulting from abnormal nerve function. Neuropathy can be due to certain vitamin deficiencies, nerve damage due to trauma, alcohol consumption, radiation, side effects of certain medications, or due to certain medical conditions such as diabetes. Treatment varies depending on the cause of the problem. Have it evaluated and appropriately treated.