Doctor insights on:
Diagnosis code: The diagnosis code depends on the the most specific underlying cause or i.e. Diagnosis. If you cannot determine a cause, then 'sensory disturbance' as a more general cause can be used. ...Read more
Thorough Exam: Pin prick sensations in the hands/fingers, feet/toes are often a sign of spinal problems such as disc bulges or stenosis. If you have those sensations else where it can be more concerning. Nonetheless, getting a full and complete history would be helpful. Get evaluated thoroughly. ...Read more
Itching versus pain: Paresthesias refer to abnormal sensation "numbness and tingling" which can be annoying. Dysesthesias are a more intense version of the same sensation which you would call painful. The sensations run on the same nerve endings, again one is just more intense than the other. ...Read moreSee 1 more doctor answer
Experiencing full body paresthesia symptoms late in the day/at night only. Could this be a cortisol problem? Other possibilities?
Easy to find out: Have an AM cortisol level checked as well as calcium level drawn. Discuss your parasthesias with your doctor. Induced acid base disturbances (hyperventilation and medication use) can affect calcium binding and produce total body parasthesias. This usually resolves with CO2 capture through re-breathing (eg. using a small paper bag) if it is due to hyperventilation (breathing too fast or too deep) ...Read more
Can posture or stress cause paresthesia of the back? My symptoms come and go, and I've noticed they sometimes occur when I'm hunching and others not.
I have heard all sorts of descriptions by patients of their paresthesias. What has been the most consistent descriptor of paresthesia in your practice?
Paresthesia: The most common description is pins and needles like when leg falls asleep or ants crawling over the skin. ...Read more
Two possibilities: Paresthesia can result from trauma to the nerves serving the affected area. If there is something putting pressure on the nerve, sometimes removal of the offending object can relieve the paresthesia. Other times, the cause of the paresthesia may not be evident and may be the result of just disturbing the nerve (eg. Nearby extraction). In such cases, the passage of time will usually relieve the it. ...Read more