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Doctor insights on: Causes Of Extremity Paresthesia

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Dr. Gary Pess
1,037 doctors shared insights

Paresthesia (Definition)

Paresthesia is a symptom in which a person has sensations of tingling or "pins and needles" on some or all of his skin. If a person sleeps on top of his arm, he may have paresthesia in the arm for a short ...Read more


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How is paresthesia (extremity "falling asleep") be caused by a circulatory issue?

How is paresthesia (extremity "falling asleep") be caused by a circulatory issue?

Ischemia: Paresthesiae can be caused by nerve damage. Interruption of circulation can lead to both transient lack of blood supply to the nerves and muscles that causes the tingling. ...Read more

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81/female, both lower extremity paresthesia(symmetric, buttock~sole, not dependent dermatome)-bursting, shooting pain aggravated standing.

81/female, both lower extremity paresthesia(symmetric, buttock~sole, not dependent dermatome)-bursting, shooting pain aggravated standing.

EMG: You will need a thorough exam by either a neurologist or pain physician. Emg study will help determine if it is from the low back or other nerves; sciatic, femoral, poly neuropathy). If possible, an MRI lumbar will help dtermione if the is a disc pushing on the nerves , in you case l5/s1. Also check piriformis muscle for tenderness and reproducible pain down the leg. ...Read more

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Severe paresthesia in extremities. Negative for MS (brain and spinal MRIs), negative EMG & NCS. On Lyrica (pregabalin) & Cymbalta but no relief. Recommendations?

Severe paresthesia in extremities. Negative for MS (brain and spinal MRIs), negative EMG & NCS. On Lyrica (pregabalin) & Cymbalta but no relief. Recommendations?

More info req'd: It sounds like you've had a complex Neurological work-up and are intereted in seeking a second opinion. I would be glad to help, yet would need to see more data before throwing a diagnostic assumption at you. Please gather your medical records (labs/imaging/etc) and schedule a virtual consult with me for further details. I'm interested and available. ...Read more

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What are some causes of paresthesia?

What are some causes of paresthesia?

There are many: The most worrisome are either stroke or diabetes. Others include sleeping or laying on an extremity (so-called "Saturday night palsy"), and certain electrolyte imbalances. If your paresthesia continues, see your doctor so you can get a complete exam. Hope this helps! ...Read more

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How is a diagnoses of chronic hyperventilation syndrome made? Doc has ruled out other causes of paresthesia thru testing.

How is a diagnoses of chronic hyperventilation syndrome made?  Doc has ruled out other causes of paresthesia thru testing.

Blood gases: In hyperventilaton syndrome chronic anxiety produces conscious or unconscious over breathing which blows off an excess of carbon dioxide. This produces what is called respiratory alkylosis in which the blood Ph becomes elevated, the blood gases show normal oxygen but decreased carbon dioxide. This can temporarily be helped by rebreathing in a paper or other bag which adds the lost carbon dioxide. ...Read more

Extremity (Definition)

Is appendage or body part that extends from the main body, such as arms or ...Read more