Doctor insights on:
Severe Arm Paresthesia
Left arm paresthesia: There are many possible causes, ranging from blood vessel compression, nerve compression, brachial plexus compression, spinal cord problems, various brain lesions such as tumors, decreased blood supply, or partial seizures. More information is needed. More detail on what part of the arm, for how long, under what conditions, etc. I suggest you consult your family doctor or a neurologist. ...Read more
Could chronic hyperventilation syndrome be the cause of paresthesia in legs and sometimes arms? Have had extensive testing but all results are normal
Panic attacks: My guess is that you have panic disorder. There is no such disease as chronic hyperventilation syndrome. A psychologist can help you with relaxation exercises. Also, meds are available which are very helpful in treating panic attacks. Here is a web site to check out: http://www.nimh.nih.gov/health/topics/panic-disorder/index.shtml ...Read moreSee 1 more doctor answer
Pain on left arm and left shoulder associated with muscle weakness, limited rom and paresthesia with occasional muscle twitching.
What would cause paresthesia in right face/arm when massaging ache in top neck/skull base? No news back from spine X-ray last week. Should i worry about aneurysm/tumors? Always achy. Dr says anxiety.
Likely but maybe not: Neurologically, it wouldn't happen. A rare form of thoracic outlet syndrome could cause the hand symptoms. This can be tested for in the office by your doctor. Nerves to the right face do not run through the neck. Spine xrays will not be helpful. A careful neurologic exam of the affected hand and face during the symptoms will tell the tale clear enough. ...Read moreSee 1 more doctor answer
I can't do things like cross arms, legs, comb hair, hold phone, push ups w/out some form of paresthesia. How is that anxiety? Xanax doesn't stop it. I'm not panicking. I have popping in hand, shoulder blade that shoots pins and needles down arm.
Anxiety or medical?: A diagnosis of anxiety as a cause of physical symptoms can only be made when medical causes have been ruled out. Suggest you see your pcp for an evaluation of paresthesias. That said, anxiety can cause numerous physical symptoms even without conscious panicky thoughts because of the body's response to an adrenaline surge via the "fight or flight" reaction. I hope this helps. Best wishes. ...Read more
35 yr-old started with paresthesias 4 yrs ago, that generalized to include autonomic symptoms and gastroparesis, looking for effective treatment.....?
Neuro exam?: Interesting case, but I'd like to know about her neuro exam. By the history, her symptoms haven't progressed in a length-dependent manner (especially given the facial sensory involvement) and this points me toward a sensory neuronopathy aka sensory ganglionopathy. These patients would be expected to have proprioceptive impairment-- if she is still a dance instructor, I doubt her proprioception is impaired. If her neuro exam and nerve conduction study are truly normal, I suspect any additional testing will be normal as well. ...Read moreSee 2 more doctor answers
Hurt my medial side of elbow against door. Cant flex my arm shooting severe pain, little finger is ok no parasthesias or numbness. Have i hurt ulnar?
Medial Epicondylitis: or "Golfer's Elbow" can be due to blunt trauma! This usually does not affect the ulnar nerve itself (its actually medial to the nerve) A CORTISONE INJECTION may be indicated! Ask your PCP (Primary Care Provider for a referral to an Orthopedist! Hope this helps! Dr Z ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer