Numb toes ms: Numb Feet: Is It MS? Or Something Else?
Numb Feet: Is It MS? Or Something Else?
Having an underactive thyroid, known as hypothyroidism, can cause or contribute to peripheral neuropathy, according to Polydefkis. “Lots of people with diabetes also have hypothyroidism,” he notes, and the two conditions may work in combination to increase the risk of foot symptoms.
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“Alcohol is a well-established cause of peripheral neuropathy,” Polydefkis notes, but it takes more than a few drinks each week for this to be a likely factor in foot symptoms. Depending on your size, he says, having at least two to four drinks each day could put you at risk for neuropathy.
Heavy drinking can also cause or contribute to poor eating habits, putting you at risk for nutritional deficiencies that can further increase your neuropathy risk.
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According to Polydefkis, having a cluster of cardiovascular problems can lead to peripheral neuropathy, even if any one of these problems might not cause the symptom on its own. “If you have somebody with borderline diabetes, and they have high cholesterol and high blood pressure, and they smoke, those people can develop peripheral neuropathy,” he says.
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Spinal Cord Issues
A number of spine-related issues can cause numb feet, according to Polydefkis. The most obvious of these is MS, which can cause lesions on the spinal cord, but it’s important to keep the other potential causes in mind.
Like a vitamin B12 deficiency, a lack of copper can cause spinal cord problems, Polydefkis notes, as can a tumor, abscess, or other mass growing in the area. If you’re having imaging of your spine done as part of your routine MS appointments, it shouldn’t be hard to detect any growths in the area.
When the posterior tibial nerve — which provides sensation to the bottom of the foot — becomes compressed, it’s known as tarsal tunnel syndrome, according to Johns Hopkins Medicine. Causes may include swelling from a sprained ankle; diseases like diabetes and arthritis that can cause swelling and nerve compression in the area; flat feet or fallen arches; or varicose veins, cysts, swollen tendons, or bone spurs.
Tarsal tunnel syndrome can cause sensations of numbness, tingling, and burning as well as shooting pain. It can be diagnosed with a physical exam and imaging, and both nonsurgical and surgical treatment options are available, depending on its severity.
Sometimes simply wearing shoes that are too tight can cause or significantly contribute to numbness in your feet.
In addition, “If somebody can’t feel their feet anymore, I tell them all the time to be careful what shoes they wear,” Nealon notes. She recommends looking for shoes that provide good support but aren’t too heavy, without any constricted areas and with enough extra room for any brace that you wear.
Guillain-Barré syndrome is a rare disorder where the body’s immune system attacks the nerves, according to the Mayo Clinic. Its early symptoms typically include weakness and tingling sensations in the feet and legs, which can spread and paralyze the entire body. (Weakness to the point of paralysis is the hallmark feature of this condition.)
Guillain-Barré syndrome often develops following a bacterial or viral infection, although its cause is unknown. Doctors use a combination of medical history and a variety of neurological tests to diagnose it.
Sudden numbness or weakness in the face, arm, or leg, particularly on one side of the body, can be a symptom of a stroke, according to the Centers for Disease Control and Prevention (CDC). It may be accompanied by other stroke symptoms, including sudden confusion or trouble speaking, sudden difficulty seeing in one or both eyes, sudden trouble walking, or sudden severe headache.
Stroke is a medical emergency, so if you or someone else is having any of these symptoms, call 911 immediately.
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Drug Side Effects
Almost one-third of people with HIV or AIDS experience some peripheral nerve damage due to the virus itself or drugs used for treatment, according to the Foundation for Peripheral Neuropathy. Symptoms may include numbness or a loss of feeling in the toes and soles of the feet, as well as burning, stiffness, prickling, and tingling. Nucleoside reverse transcriptase inhibitors (NRTIs), or “d-drugs”, are most often linked to peripheral neuropathy. Hydroxyurea (Droxia, Hydrea), a cancer drug that may also help certain anti-HIV drugs work better, may also increase the risk of peripheral neuropathy.
People who are receiving treatment for cancer may also experience chemotherapy-induced peripheral neuropathy (CIPN). Some forms of chemotherapy affect the sensory nerves in the feet and hands, causing numbness, tingling, and pain in fingers and toes, according to Memorial Sloan Kettering Cancer Center.
RELATED: Are You at Risk of Neuropathy? 11 Causes You Need to Know
Frostbite occurs when your skin and underlying tissues freeze, usually due to exposure to cold, windy weather, according to the Mayo Clinic. After your skin becomes very cold and red, it starts to feel numb and hard and look pale. Frostbite is common on the fingers and toes. Frostnip, a mild form of frostbite, can also lead to numbness. If you notice signs of frostbite, seek out a place to warm up as soon as you can.
If you aren’t sure what’s causing your numb feet, the best thing to do is to speak to your primary care physician or neurologist, who can properly diagnose what if any condition is causing the problem.
How To Tell If You Have Multiple Sclerosis: MS Symptoms & Diagnosis
Maybe you’ve felt exhausted or weak lately. Or your foot is starting to tingle. So you do a quick internet search and come up with an alarming result: Your symptom is one of the signs of multiple sclerosis (MS), a disease of the brain and spinal cord.
Before you start to worry, know that many signs of the condition are the same as symptoms of other health problems. So it’s easy to mistake another issue for MS, which affects less than 1% of Americans.
How can you tell if what you’re feeling is caused by MS or something else? First, keep in mind that most people have the first signs of the disease between the ages of 20 and 40. You can also keep track of your problems: MS symptoms tend to come and go or get worse over time.
It helps to know what else can explain some of the signs you might be feeling.
Numbness or Tingling
A lack of feeling or a pins-and-needles sensation can be the first sign of the nerve damage from MS. It usually happens in the face, arms, or legs, and on one side of the body. It also tends to go away on its own.
Numbness and tingling can also come from a lack of blood flow or a pinched nerve, so think first if you slept in a funny position or sat without moving for a long time. Other conditions can also lead to nerve damage: Carpal tunnel syndrome affects the wrist, while diabetic neuropathy can trigger numbness, tingling, or pain in the feet or hands.
Sudden numbness on one side of the body may signal a stroke. If that happens to you, call 911 ASAP. Learn more about causes of numbness and tingling in your limbs.
Is the room spinning? MS can make you feel lightheaded or off-balance, usually when you’re standing up and moving around.
If you’re dizzy and nauseous when you’re lying down, or if you stumble to one side, it could be a problem with your inner ear, which controls your balance. Medications, such as those for depression and seizure disorders, can cause similar problems too. If the dizziness or stumbling are sudden or new, go to the emergency department at your local hospital to be checked out. It could be a stroke.
Did a quick wave of lightheadedness hit? That’s often a sign of low blood sugar, dehydration, or a sudden drop in blood pressure you get when you stand up quickly. You may need to slowly rise instead of hopping to your feet. Learn more about the causes of dizziness.
About 80% of people with MS feel very tired, making it one of the most common symptoms. But a number of things can make you feel exhausted, including a sleep disorder, depression, or too little iron in your blood.
MS fatigue tends to be worse than run-of-the-mill sluggishness. You may not have the energy to do even simple things, like cook dinner or take the dog for a walk. Other signs include:
- You feel wiped out every day.
- You’re tired in the morning, even after a good night’s sleep, and it gets worse as the day goes on.
- You feel fatigued easily and suddenly.
- It gets worse in heat and humidity.
Don’t have these signs? To ease your fatigue, make sure you get enough sleep, exercise regularly, eat a balanced diet, and keep your stress in check. Talk to your doctor if you just can’t seem to feel rested. Learn more about what causes extreme fatigue.
Lifting that 10-pound dumbbell was part of your usual workout routine, but now it feels impossible. What gives? Sudden weakness, especially in an arm or leg, is an MS symptom.
If you feel weak all over, odds are there’s another problem at play. You may be fighting off a cold or the flu. Or you may have too few red blood cells in your body, a condition called anemia.
Weakness on just one side of the body can be from something mild like a pinched nerve or a serious problem like a stroke. If it happens along with other symptoms, like a drooping face or slurred speech, call 911 right away. Learn about conditions that look like a stroke.
Blurred or Loss of Vision
You’re reading a book and suddenly you see two of the same line or the page becomes a gray jumble. Vision problems caused by MS usually come on suddenly. They include:
- Blurry, gray, or double vision
- Blindness or a dark spot in one eye
- Eye movements you can’t control
If your sight is slowly getting worse, there’s most likely another issue to blame. Some blurriness is a normal part of aging — you may just need a new pair of glasses. A more serious issue, such as glaucoma, macular degeneration, or diabetic retinopathy, can also lead to vision problems like blind spots. To rule out these diseases, have a checkup with your eye doctor. Learn more about symptoms of common vision problems.
“What did you say?” People with MS might hear this phrase a lot — the disease can damage the part of your brain that controls speech. Here are the main symptoms:
- Slurred words
- Nasal speech, or sounding like you have a cold
- Long pauses between words or syllables, called scanning speech
If you drink too much alcohol, your speech might be slurred for a little while. But if the problem comes out of nowhere, call for help right away. It could be a sign of a brain injury or stroke. Learn more about causes of sudden speech problems.
About 55% of people with MS say they have pain at one point or another, while 48% have long-lasting pain. There are a few different types they might have, such as:
- Throbbing pain in the face
- Brief, intense pain that runs from the back of the head to the spine
- Burning or aching across the body, which is also called the “MS hug”
- Aches caused by stiffness or muscle spasms
Pain can happen for many reasons. If you hurt, talk to your doctor about where and when it happens. They can help you know if the cause is MS or another problem. Learn more about types of pain and their causes.
About 80% of people with MS have bladder problems at some point. It happens because MS lesions interfere with nerve signals that help to control the bladder. You may notice that you:
- Find it harder to start peeing
- Have to pee more often
- Feel a more urgent need to pee
- Pee more at night
- Can’t hold it in (incontinence)
- Feel like you can’t completely empty your bladder
When to See Your Doctor
If you have sudden numbness on one side of your body or trouble seeing or speaking, get medical help right away. These are signs of a life-threatening stroke.
If your symptoms are out of the ordinary for you and last for more than a day, make an appointment to see your doctor. They can talk to you about what you’re feeling and do some tests to see if your issues are because of MS or another health problem.
Multiple Sclerosis Foundation – 13 Points about Paresthesia
Paresthesia is an abnormal skin sensation such as tingling, tickling, prickling, itching, numbness, or burning. In people with MS, nerve damage causes these sensations to occur randomly, most often in the hands, arms, legs, or feet – but occasionally in places such as the mouth or chest. Abnormal sensations may be constant or intermittent and they usually subside on their own. Here are some facts about paresthesia along with tips on how to cope if the sensations begin to interfere with your quality of life.
1) As with most MS symptoms, the pattern related to paresthesia varies from person to person.
2) The sensations of paresthesia usually start from feet or hands, and then move up the legs and arms closer to the core. However, they can start anywhere.
3) There is no correlation between the sensations and MS progression. In other words, if your numbness and tingling feel worse, this doesn’t always mean your MS is getting worse.
4) Typically paresthesia doesn’t directly contribute to the development of a significant disability.
5) Paresthesia symptoms can occur with or without an MS relapse. If they come with a relapse, they may linger as residual symptoms. They can last for a long time or for just a little while.
6) When you become aware of losing sensation (or having abnormal function) in your hands, feet, or ankles, take precautions. Because you may be prone to clumsiness, avoid activities that may be unsafe until the symptoms pass. If you can’t feel your feet when you walk, steer clear of rugs and obstacles and stay away from stairs.
7) These symptoms tend to increase at night and when you’re exposed to hot temperatures. If they’re keeping you from getting a good night’s sleep, ask your doctor for help finding the right solutions.
8) Stress may also trigger a flare in sensory symptoms. When worries overwhelm you, take a break. De-stress through distraction. Suggestions from others with MS:
- Listen to a podcast or your favorite song.
- Read a couple of pages in a fun novel.
- Have a cup of tea.
- Play a game on your phone.
9) Try complementary and alternative medicine. Though more scientific research needs to be done to confirm the benefits, the following CAM approaches have helped some people cope with their sensory problems: Reflexology, acupuncture, biofeedback, and dietary changes (to minimize foods that seem to exacerbate symptoms).
10) Low levels of vitamin B12, more common in people with MS, could cause sensory symptoms. Get your level checked, just to be sure, and ask your doctor whether taking a supplement might help you.
11) If you’re feeling a burning or tingling sensation in your feet at night, try warming them up if they’re cold, or cooling them down if they’re hot. Temperature extremes can cause abnormal sensations.
12) If abnormal sensations are making you miserable or causing pain, and if no treatment strategies are providing relief, consider talking with your doctor about medication. Because medications do not typically eliminate MS-related numbness and tingling, they are often a last resort. You may want to ask your doctor if one of these medications might be an option for you: Neurontin (gabapentin), Elavil (amitriptyline), or Cymbalta (duloextine). Like all drugs, they have possible side effects.
13) If your sensory symptom is new, much worse than before, or has lasted more than 24 hours, you may be having a relapse. If this has happened, your doctor will probably put you on a course of Solu-Medrol (after confirming a relapse with an MRI scan).
Daily life with the invisible symptoms of MS
“But you don’t look ill.” These words can be incredibly frustrating for people dealing with the invisible symptoms of MS. Ian Daly, who lives with primary progressive MS, shares his story.
I have MS, that’s multiple sclerosis to those of you whose lives haven’t been touched by it. More specifically, and hey let’s be specific, I have primary progressive multiple sclerosis. This means I have symptoms every day, and every night, without any intervals. Hardly seems fair but hey hoe, life goes on eh? That’s my optimism done for the day…
The reason for me once again putting numb fingers to dusty keyboard is that I’d like to go through some of the invisible symptoms of MS with you, curious reader, in an effort to explain why sometimes I look like I’ve lost a tenner and found a green salad.
Pre diagnosis I had pins and needles in one of my fingers. This spread to all of the fingers on one hand and then, bizarrely, to the fingers on the other hand. I also tended to fall over a lot. I visited a neurologist; I won’t dwell on the detail as it has been covered in various other stuff I’ve written, and I was diagnosed with PPMS. Two years later and I still have pins and needles in both hands. It never went away. Don’t think it ever will.
The ‘falling over a lot’ turned out to be drop foot. Another MS favourite where the offending foot refuses to interact in any meaningful way with the brain and hangs there like a deflated balloon. It’s not strictly an invisible symptom as it’s there if you look for it. Unfortunately nobody does. Again, this never went away and I have a gorgeous foot splint (with Velcro adjustment no less) for when it gets really bad. It’s not so much of a problem any more, as my right leg (the one connected to my drop foot), pretty much refuses to do anything meaningful. It won’t take any weight and moving it to walk is exhausting. Quite important features for a leg I feel.
My right leg now pretty much refuses to do anything meaningful. It won’t take any weight, quite an important feature for a leg I feel.
My left leg used to be OK. Then about a year ago it decided to join in with the other one and is now playing catch-up. No drop foot this time, just a terrific and highly unpredictable way of disappearing when I least expect it. I know this sounds odd so let me explain. I suspect it’s random numbness in my left foot and a portion of my lower leg. I put it down on the floor and I can’t feel it, so it feels like I’ve stepped into a hole. I’ll invariably stumble or fall which causes some amusement and accusations of drinking and enjoying myself.
As well as the numb feet I have numb patches on both legs, my back, parts of my scalp, and my arms. This manifests itself particularly well when taking a shower as I can’t feel the water, or indeed the temperature of the water. I also experience various crawling sensations, particularly on my scalp, down my neck and back, and down my left leg. Up to now it’s not affected the right leg but who knows what’s next? I have a shaved head so thankfully I can see there’s nothing there, but the sensation is unbelievable realistic. My newest, for the moment anyway, symptom is a burning sensation akin to a hot iron being placed on the bottom of my back, you know, right on that funny little tail bone (coccyx I believe it’s called). The pain is always there, varying only as I top up my pain killers every eight hours or so.
Having dealt with most of the constants in my life, let us move on to the more random things.
I sometimes compare my MS to an insidious valet. A malevolent little so and so, seldom seen but always there (I have a lot of time to think and, sometimes, my thoughts run away with me. I won’t hurt anyone. Promise).
‘A knife to the ribs sir?’
‘I’d really rather you didn’t…’
‘Certainly! I’ll stab you twice then I’ll disappear’
‘How about a pin in the end of one of your fingers, a white hot pin if you like. No problem’.
The other night it was a sharp implement, from the base of my right kneecap that felt like it was being dragged down my shin. Thankfully it went as quickly as it arrived but I could have frankly done without it. All pain seems worse at 3 o’clock in the morning.
‘Knitting needle to the eye sir. Certainly.’ The pain only lasts a split second but is excruciating.
I frequently wake feeling like my torso has been beaten with a baseball bat. My ribs feel bruised and breathing is difficult as the pain forces me to only take shallow breaths. My good lady always denies any knowledge of any violence under the cover of darkness so I’m forced to conclude it’s the MS valet (You can see how this could take over can’t you?).
I realise I’m going on a bit. I really do. But that’s kind of the point. This is now my life, and the life of many others. Sitting here quietly reflecting on what to write next I’m reminded of my tinnitus, the constant background high pitched whine in my head that has somehow become the norm. It’s strangely therapeutic when I’m trying to sleep. Focussing on it is cathartic in a way that counting sheep could never be.
Then there’s the aptly named ‘cog fog’. I say aptly named, I suspect it was abbreviated by a sufferer of MS who couldn’t remember the full name. I now forget a word mid-sentence; my good lady fills in the gaps almost without a pause to the conversation. Or she laughs, as I rant at myself for being forgetful.
MS fatigue is a much talked about, and much misunderstood phenomenon. I will confess that prior to my diagnosis I had little sympathy for people who were ‘suffering from exhaustion’. Oh dear god how wrong I was. It’s been described as walking through treacle (who does this?) or carrying heavy weights, or wearing lead boots (again, where do you buy these and why would you?).
My own experience involves waves of sheer undiluted exhaustion coming over me.
To experience this for yourself is a relatively straightforward process. First, stay up for 72 hours straight. If you can, catch a heavy cold, you know the kind that makes every single bone in your body hurt. Do circuit training for a couple of hours, if you can, focus mainly on weights. Take an overdose of muscle relaxant, or ask for just enough general anaesthetic to negate all of your muscles but not quite enough to put you to sleep. Now add in an acute lack of balance and diminished thinking, you can use alcohol for this. Lots of alcohol. Enough to make walking or remaining upright extremely difficult. Add a shot of horse tranquiliser and boom! We’re there. Now, get out of bed, shower, and get dressed. I dare you.
All of the above symptoms are MS related and all are ‘invisible’ to others. This is by no means an exhaustive list. Telling me to ‘cheer up, it might never happen’ when I’m dealing with a burning hot left foot and an ice pick in the base of my spine is not likely to endear you to me. I also do not respond well to ‘you look really well’ or ‘at least you’re not ill’. All have been said to me and I am immensely proud that I, with huge amounts of self-control, have yet to set fire to anybody.
Multiple Sclerosis (MS) | Cedars-Sinai
Not what you’re looking for?
What is multiple sclerosis?
Multiple sclerosis (MS) is a
long-lasting (chronic) disease of the central nervous system. It is thought to be
autoimmune disorder, a condition in which the body attacks itself by mistake. MS is
unpredictable disease that affects people differently. Some people with MS may have
mild symptoms. Others may lose their ability to see clearly, write, speak, or walk
communication between the brain and other parts of the body becomes disrupted.
Myelin is a protein and fatty
substance that surrounds and protects nerve fibers. In MS, the immune system attacks
myelin, which becomes destroyed in many areas. This loss of myelin forms scar tissue
called sclerosis. These areas are also called plaques or lesions. When the nerves
damaged in this way, they can’t conduct electrical impulses normally to and from the
When MS causes repeated attacks, it’s called relapsing remitting MS.
When the symptoms progress over time without clear attacks, it’s called primary
What causes multiple sclerosis?
There are many possible causes of
MS, such as:
- Autoimmune disorders
- Infectious agents, such as viruses
- Environmental factors
- Genetic factors
What are the symptoms of multiple sclerosis?
The symptoms of MS are often
unpredictable. They may be mild or severe, short term or long lasting. They may appear
in different combinations, depending on the area of the nervous system affected. The
following are the most common symptoms of MS. But each person may have different
First symptoms of MS
- Blurred or double vision
- Red-green color distortion
- Pain and loss of vision because of swelling of the optic nerve (optic neuritis)
- Trouble walking and difficulty with
- An abnormal feeling, such as
numbness, prickling, or pins and needles (paresthesia)
Other symptoms of multiple sclerosis
- Muscle weakness in the arms and legs
- Trouble with coordination. You may
have problems walking or standing. You may also be partly or completely
- Spasticity. This is the involuntary
increased tone of muscles leading to stiffness and spasms.
- Fatigue. This may be brought on by
physical activity. But it may ease with rest. You may have constant tiredness that
doesn’t go away.
- Loss of feeling
- Speech problems
- Hearing loss
- Bowel and bladder problems
- Changes in sexual function
About 50% of all people with MS have thinking (cognitive) problems linked to the
disease. The effects of these problems may be mild. Your healthcare provider may only
find them after much testing. The problems may be with:
- Focusing (concentration)
- Poor judgment
Symptoms of MS are grouped as primary, secondary, or tertiary as described below:
Primary symptoms. These symptoms are a direct result of the
Secondary symptoms. These are complications that may occur as
Tertiary symptoms. These are social, job-related, and
The symptoms of MS may look like
other health problems. Always talk with your healthcare provider for a diagnosis.
How is multiple sclerosis diagnosed?
Not one specific test is used to
diagnose MS. Diagnosis is based on symptoms and signs, imaging tests, and lab tests.
healthcare provider can make a diagnosis by following a careful process to rule out
other causes and diseases. Two things must be true to make a diagnosis of relapsing
- You must have had 2 attacks at least 1
month apart. An attack is when any MS symptoms show up suddenly. Or when any MS
symptoms get worse for at least 24 hours.
- You must have more than 1 area of
damage to the central nervous system myelin. Myelin is the sheath that surrounds and
protects nerve fibers. This damage must have occurred at more than 1 point in time
and not have been caused by any other disease.
Your healthcare provider will ask
about your health history and do a neurological exam. This includes:
- Mental functions
- Emotional functions
- Language functions
- Movement and coordination
- Functions of the 5 senses
You may also need:
MRI. This diagnostic test uses a
combination of large magnets and a computer to make detailed pictures of organs and
structures within the body without the use of X-rays. It can find plaques or scarring
caused by MS. Generally, a single attack along with certain patterns of changes in
brain tissue seen on an MRI scan of the brain done with contrast can mean that you
Evoked potentials. These tests record
the brain’s electrical response to visual, auditory, and sensory stimuli. These tests
show if you have a slowing of messages in the different parts of the brain.
Cerebrospinal fluid analysis. This is
also called a spinal tap or lumbar puncture. It looks at the fluid taken from the
spinal column to make an evaluation or diagnosis. This test checks for cellular and
chemical abnormalities seen with MS.
Blood tests. These are done to rule
out other causes for various neurological symptoms.
- Eye exam and visual fields measurements.
How is multiple sclerosis treated?
Treatment will depend on your symptoms, age, and general health. It will also depend
how severe the condition is.
Currently, treatments are divided into:
Disease-modifying treatments. These directly target
inflammation in the central nervous system. They help slow its deterioration.
Treatment of acute relapses. The use of steroids and
plasma exchange (PLEX) can speed up your recovery when you have a MS attack.
There is no known cure for MS. But
you can do things to help change the course of the disease, treat flare-ups, manage
symptoms, and improve your function and mobility.
Treatments for the conditions seen
with MS may include:
- Medicines (talk with your provider to
see what medicines may be an option for you)
- Equipment such as canes, braces, or
- Rehabilitation activities
Rehab varies depending on your
symptoms and how severe they are. MS rehab may help you to:
- Get back functions that are important
for daily living
- Be as independent as you can
- Involve your family
- Make the right decisions relating to
- Learn about equipment like canes,
braces, or walkers that can make is easier to move around
- Set up an exercise program that builds
muscle strength, endurance, and control
- Get back motor skills
- Speak more easily if you have weakness
or a lack of coordination of face and tongue muscles
- Manage bowel or bladder
- Relearn thinking skills
- Change the way your home is set up to
keep you safe but allow you to move about as easily as possible
What are possible complications of multiple sclerosis?
The complications of MS range from mild to severe. They can range from fatigue to
inability to walk. Other problems include loss of vision, balance, and bowel or bladder
control. Depression can result from the difficulty of living with a chronic
Living with multiple sclerosis
It’s important to take your
medicines as directed. You may get help by taking part in a clinical trial. Using
equipment like canes or walkers can help you get around as walking becomes harder
Rehab activities can also help you keep or get back functioning. Changing the way
home is set up can help you stay independent. Talk with your family and healthcare
providers about what you need.
Key points about multiple sclerosis
- Multiple sclerosis (MS) is a chronic disease of the central nervous system.
- MS is unpredictable. Some people may be only mildly affected. Others may lose the
ability to see clearly, write, speak, or walk.
- Early symptoms can include vision problems, trouble walking, and tingling
- MS affects people differently. But common problems are trouble with movement and
thinking, and bowel and bladder incontinence.
- Medicines and rehabilitation can help to keep or restore functioning.
Tips to help you get the most from a visit to your healthcare provider:
- Know the reason for your visit and what you want to happen.
- Before your visit, write down questions you want answered.
- Bring someone with you to help you ask questions and remember what your provider
- At the visit, write down the name of a new diagnosis, and any new medicines,
treatments, or tests. Also write down any new instructions your provider gives
- Know why a new medicine or treatment
is prescribed, and how it will help you. Also know what the side effects are and when
they should be reported.
- Ask if your condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if you do not take the medicine or have the test or
- If you have a follow-up appointment, write down the date, time, and purpose for that
Medical Reviewer: Joseph Campellone MD
Medical Reviewer: Rita Sather RN
Medical Reviewer: Raymond Kent Turley BSN MSN RN
© 2000-2021 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.
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MS Numbness, Tingling & Pins and Needles
Abnormal sensations of numbness, pins and needles and tingling are common in MS, and are part of a group of symptoms called paraesthesia. You may feel the sensations in your skin, but actually these are the result of MS disrupting messages along the nerves in the brain or spinal cord that are supplying the particular area.
Most people have experienced a foot or hand ‘falling asleep’ by going numb or feeling the tingling of ‘pins and needles’ – you simply move the foot or hand around and the feeling returns. With MS, it is a similar feeling, but you can feel it in other areas of the body and it can last much longer. You may even have difficulty in using the affected area.
Numbness and tingling are common early symptoms of MS that often lead to your diagnosis. Rest assured that these symptoms don’t necessarily mean that your MS is progressing – they can happen without having a relapse.
Other associated symptoms that you may also feel included:
The numbness and tingling may be mild, or it might be severe so that is interferes with your use of that body part. For example, you need to be careful that if hot water touches the numb area that you don’t scald yourself.
Likewise, you need to be careful when eating if you are experiencing numbness around your mouth area so that you don’t accidentally bite your cheek or tongue when chewing. Similarly, a numb hand can make writing more difficult and a numb foot can make it harder to walk and easier to trip or stumble.
How long does MS numbness and tingling last?
For most people with MS, the numbness only lasts for a short period of time and will go away naturally. In severe cases, the numbness can affect your mobility, but there are many things you can do to help.
Managing the pain and numbness
Medication can be prescribed for these MS symptoms if they become painful. There are also other ways for you to manage MS pain and numbness:
✔ A burning or aching feeling can be relieved by a warm compress.
✔ Massage can reduce pain by relieving tension and stimulating the release of endorphins.
✔ Pain in the legs can be relieved by movement, if possible.
Many people with MS often say that thinking about the numbness and tingling makes it feel worse, so the best thing to do is to keep distracted. Paradoxically, there are specific mindfulness exercises that encourage you to focus on the areas of pain, and explore the sensations – this can be a very powerful
Treatment options for numbness and tingling
Action you can take:
Fortunately, most cases of MS numbness and tingling come and go. However, if the sensations are painful or irritating, there are some things you can do to help:
✔ If you feel pain or numbness in your hands try some simple exercises to regain function and strength in them, such as flexing and extending your hands by making a fist.
✔ Hand and wrist stretching can also help treat numbness and tingling, whether a therapist stretches your hands and releases them as part of your treatment, or whether you do some stretches yourself as you are sat watching TV or at a desk.
✔ Vitamin D intake can produce anti-inflammatory effects that can reduce pain associated with MS symptoms.
✔ Some people with MS find that acupuncture treatments can help.
✔ Standard medical treatments – anticonvulsants and antidepressants are often used to treat neuropathic pain syndromes.
Lifestyle plays a significant role in managing MS symptoms and our evidence-based, 7-Step Recovery Program combines a number of these changes for an approach that will put you back in control.
How to handle pins and needles after exercise
Exercise and movement is an essential part of living well with MS, so you shouldn’t be disheartened if it appears to cause a temporary flare-up in symptoms. However, it is important to listen to your body when symptoms appear, and to consult a medical professional before taking up a new exercise routine if you commonly have active symptoms.
Pins and needles are a common MS symptom, often exacerbated by exercise. If you find yourself experiencing these sensations after a workout, you should:
- Try to cool down as soon as possible by drinking water or with a cold towel. It is possible that a swift rise in body temperature has caused pins and needles to appear – known as Uhthoff’s phenomenon.
- Don’t over-exert yourself through your exercise routine. Your body may be telling you to take it easy. Try reducing the intensity, frequency or length of your exercise session to make it more manageable. Build up your exercise routine slowly.
- Don’t exercise again until your symptoms have settled down. While it’s important not to feel defeated by MS symptoms, it’s also important not to ignore them either. Get proper rest to recover.
- Try some simple stretches. Even movements of the hand and wrist can help alleviate pins and needles.
- Click here for tips on dealing with other MS symptoms during exercise.
What are the next steps?
If it seems like there is too much information and you don’t know where to start, read through our next steps – we can help you.
Symptoms, Causes, Tests and Treatments
Does pain occur in multiple sclerosis (MS)?
In the past, pain was not thought of as a symptom of multiple sclerosis (MS). While neurologists accepted numbness, tingling, itching, and other sensory symptoms as occurring in the MS patient, they often did not recognize pain as part of the spectrum of symptoms of MS.
Over the past few years physicians have come to realize that pain is not only possible as a symptom of MS, but that in some patients, pain is a key symptom. It can be a major cause of reduced function, decreased sense of well-being, and an important target for treatment. In some studies, up to one in four people with MS have ongoing pain which in some way affects their function.
Psychosocial variables have long been shown to have a significant impact on pain perception, and in turn disability due to pain.
Specifically, the intensity of the pain, the degree to which it interferes with activities, the extent to which it disrupts mood, and predict chronicity of pain. Identification of the presence of such possible co-morbid problems can guide appropriate early intervention.
Today we know that the pathophysiology of pain is complex, with messages being sent from the periphery to the brain, from the brain down and strongly influenced by emotions. Context, catastrophizing, acceptance, central sensitization, opioid-induced hyperalgesia, emotions, expectations for future pain, prior experience, repeated exposure to painful stimuli, past exposure to trauma all have an effect on the perception of pain. The emotional component of pain or the suffering endured by patients is equally important as the somatosensory component.
What kind of pain can occur with multiple sclerosis?
There are a variety of pain types that may occur with MS, including:
- Trigeminal neuralgia: There is a facial pain syndrome known as trigeminal neuralgia which is more common in people with MS than in the general population. It is a sharp, electrical jabbing pain on one side of the face, usually in the cheek. It can be very severe, and lasts a few seconds. It may occur many times a day. It may be triggered by touching the face, feeling a breeze on the face, or even chewing.
Treatment of trigeminal neuralgia includes medications that alter nerve function such as carbamazepine, phenytoin, lamotrigine, Neurontin®, Lyrica®, and so on. Sometimes, surgical procedures may be useful (for example, using a balloon catheter to put pressure on the nerve to numb it, or heating the nerve up electrically). Some patients may benefit from a focused radiation beam directed at the nerve.
- Burning limb pain: A second type of pain is a burning pain that often involves the legs but may occur anywhere in the body. This may be worse at night and is often constant. There may be sensitivity to the touch, and sometimes the affected limb feels cold. This is likely due to altered sensory signals to the spinal cord and brain due to demyelination.
Medications that are used to treat burning limb pain include some antidepressants such as nortryptiline which are effective in nerve pain, and some anti-seizure medications such as carbamazepine, gabapentin, and others. Duloxetine hydrochloride has been approved for peripheral nerve pain and may also be used for the pain related to MS. Tramadol may be useful for such pain. Sometimes long-acting pain medications may have to be used. Physical measures such as exercise and stretching may be useful. Lidocaine patches may provide relief at more severely affected locations.
- Neck and back pain: Some people with MS can experience neck and back pain. This may be due to immobility, or to the same type of wear and tear that many people without MS experience. This type of pain is often an aching, stiff sensation that can be moderately severe. At times, imaging to rule out other causes of pain such as lumbar disc disease may be important. Trials of anti-inflammatory medications may be beneficial. Therapy, stretching, aquasize, and other physical measures may be useful.
- Other sources of pain: Finally, there are occasional patients who have hip or shoulder disease related to prior steroid therapy. On occasion, repeated steroid use causes an alteration of blood supply to the hip or shoulder joint, and this may cause injury to the joint. Imaging with X-ray or MRI scanning may show damage if this is the case. If the damage is severe enough, the patient may require joint replacement surgery. Since many other disorders can cause pain, it’s important to consider other sources of pain and not just ‘pin it on MS’.
Management and Treatment
What else can I do about pain related to multiple sclerosis?
Regular exercise and stretching do reduce certain kinds of pain, particularly back pain and muscular pain. Such activities also help with fatigue and increase a sense of well-being. Trying to get restful sleep is also important when fighting pain. Some people find that alternative pain management strategies such as acupuncture, cognitive behavioral therapy, and psychophysiological pain and stress management techniques such as biofeedback, relaxation training and self-hypnosis are useful.
If pain is hard to control, a formal pain management program may be useful. If you are on pain medications, make sure you have a good bowel regimen as constipation is common and will only increase the discomfort you are feeling.
90,000 Fingers and toes go numb – physiological and pathological reasons, how can you help
Causes of numbness of fingers during sleep and during wakefulness
Complete and partial numbness of fingers and toes can be short-term and long-term, occurring during sleep and during wakefulness. Regardless of what the true causes of numbness of the fingers during sleep and during wakefulness are, with their regularity, qualified medical care is required.If this condition was provoked by physical factors, then medical attention will not be required, and in the case of the development of pathology, the symptom of which is numbness of the fingers, the person will have to undergo a course of drug therapy.
Why do fingers go numb at night? Most often this is due to physical factors: the person either sleeps in an uncomfortable position, or puts his hand under his head. The blood vessels are squeezed and the hand “numb”. When you change the posture and rubbing the fingers, the numbness is gradually replaced by a tingling sensation and disappears.
If the middle finger on the right or left hand grows numb, this may be due to a person’s professional activity. This is typical for those who work at the computer for a long time (typing or actively moving the “mouse”) or performing monotonous work in production.
Why do the fingertips go numb and tingly? This phenomenon can be present with advanced osteochondrosis, constantly high blood pressure, and circulatory failure. In case of recurring numbness of the fingertips, accompanied by neck pain, headache and mild dizziness, it is imperative to consult a therapist.These reasons can become dangerous not only for health, but also for human life. For example, persistent high blood pressure can trigger a hypertensive crisis or hemorrhagic stroke.
In case of spinal injuries or displacement of intervertebral discs, accompanied by infringement of nerve endings, discomfort will be present in a specific part of the upper limb. What to do when the hand is numb from the elbow to the fingers? Straighten your back, rub the neck from the side of the numbness and the limb itself.In case of pain in the numbed part of the arm, you can use a cold compress or a heating pad with ice. But the listed measures are considered urgent and do not cancel the need for an urgent visit to the doctor for examination.
The phenomenon under consideration can occur not only during sleep, but also in the middle of the working day. For example:
- the little finger and ring finger become numb – there is a pathological process in the muscular system of the spine or heart problems;
- The middle phalanx of any finger becomes numb in the event of a rupture, sprain or dislocation of the elbow or wrist joint;
- numbness of the thumb means the presence of pathological changes in the structure of the tissues surrounding the wrist or elbow joint;
- index fingers become numb – arthritis or arthrosis of the elbow joint progresses, the process is accompanied by pain syndrome.
Numbness of the fingers can also occur against the background of diabetes mellitus, with stagnation of venous blood, with chronic pancreatitis. In any case, the regularly appearing feeling of numbness in the fingers should be the reason for a visit to a therapist, who is likely to refer the patient for additional examination to narrow-profile specialists (cardiologist, endocrinologist). On our website Dobrobut.com there is enough information to figure it out: fingers get numb and sore – what does it mean, which doctor to go to for help, what can be done at home.
Why are the big toes numb
Numbness of the fingers of the lower extremities can be caused by physiological and pathological reasons. Many people experience this sensation when wearing tight shoes, when sitting in an uncomfortable position (for example, the leg is bent under the buttocks). This numbness is not pathological and disappears immediately after the blood supply to the numbed part is restored. Regularly numb big toes during sleep or in a comfortable position (sitting, lying) indicate a violation of venous blood flow.The condition in question is often a symptom of varicose veins of the lower extremities, which must be treated with medications and physiotherapy under the supervision of a specialist. Why do my toes go numb at night? The reason is a violation of the blood supply to small vessels. This condition can be corrected, therefore, with the help of drug therapy, it is possible to quickly get rid of the problem.
In addition, numbness of the fingers of the lower extremities can be triggered by problems in the work of the heart, which is fraught with the most serious consequences, including heart failure and death.
How to treat finger numbness
There is no single course of therapy. To begin with, the doctor examines the patient, finds out the true cause, and only after that can he make any therapeutic prescriptions.
Treatment of numbness of fingers and toes is always long-term, since first they get rid of the root cause (treatment of the underlying disease) and only after that they begin to restore the blood supply to the fingers of the extremities.
Feeling of numbness in the fingers of the lower and upper extremities can be a physiological norm and a symptom of a developing disease.If such a condition occurs once and does not recur with enviable regularity, then no specific treatment is required. Regular numbness of the fingers is a reason for an immediate visit to the doctor and undergoing a full examination.
Treatment of impaired sensitivity and hypesthesia
Initial appointment with a neurologist: 1850 rub.
Sensory impairment of hands and feet is most common in two manifestations: numbness (hypesthesia) and tingling (dysesthesia, parasthesia). Tingling and numbness refers to sensations that occur in a specific area of the skin’s surface. Often they are combined with other sensations, such as chilliness, burning, constriction. Treatment of body numbness should be started at the first symptoms. Treatment of sensitivity disorders is prescribed depending on the type of manifestation.Treatment of tingling in the hands, as well as treatment of indications in the legs, should also be started as early as possible.
Finger sensitivity disorders are a manifestation of disturbances in the passage of nerve impulses from the skin to the brain. This often happens when a nerve is compressed, its area in the part of the body where the nerve passes near the surface of the skin, or in places of possible injury: wrist, foot, lower leg. Therefore, finger tingling treatment is one of the most popular services.
Numbness, tingling in the hands and other extremities and other sensory sensations may be symptoms of the following diseases:
- Circulatory disorders of the extremities
- Diabetes mellitus
- Lack of vitamins, minerals, alcohol abuse
- Transient ischemic attacks involving one arm, leg or any part of the body, all limbs
- Infringement of the nerve in the places of its natural occurrence: wrist, elbow, groin, ankle
- Rheumatoid arthritis, other diseases in which nerves are affected due to joint deformation
- Multiple sclerosis
- Diseases of the hereditary plan.
Based on this, we can conclude that the causes and treatment of hypesthesia are assigned individually to each client.
Polyneuropathy is a common sensory disorder characterized by multiple lesions of peripheral nerves. Such a lesion can develop with diseases of internal organs, in some cases of a hereditary nature.
It should be remembered that impaired sensitivity of legs and arms can be symptoms of not only polyneuropathy disorders, but also a number of other diseases.
- Transient ischemic attacks involving one leg, arm, part of the body, or all limbs at once
- Compression of nerves in the arm, leg. The so-called tunnel syndromes
- Multiple sclerosis
That is why treatment of numbness of the skin , as well as treatment of numbness of legs is based on identifying the cause and suppressing it.
Our clinic successfully performs
- Hand Numbness Treatment,
- foot numbness treatment,
- Numbness Treatment,
- Treatment of leg numbness and hand dysesthesia.
Achieving high efficiency is the key to a systematic approach and complete diagnostics.
90,000 Toes Go Numb – Causes
Many people are familiar with the feeling that the toes are numb or goosebumps. It can occur on any part of the body, and there are many reasons for this – from uncomfortable posture or tight shoes to health problems. Usually, you should not worry if your leg becomes numb after sitting in an uncomfortable position, because this condition quickly passes and will not bother you until the next uncomfortable position.When the feeling of numbness continues for a long time, moreover, it appears often and for no reason – it is worth sounding the alarm.
Causes of numbness of toes
Causes of numbness of toes can be conditionally divided into household and physiological. Domestic reasons include:
- physical activity;
- uncomfortable shoes or stance.
All of these reasons should usually not cause anxiety, because the numbness will disappear after rubbing, removing shoes or changing posture.
Physiological reasons for numbness of the fingers, which causes discomfort, as well as pain, can be many. Numbness itself cannot be considered dangerous, but it indicates health problems. Besides him, there are also:
- impossibility of normal movement;
- Decreased sensitivity of the fingers;
- pain sensations;
- numbness of fingers or even limbs;
- Tingling sensation and coldness in the limbs.
All of these symptoms can signal problems with the cardiovascular and musculoskeletal systems:
- injuries caused, for example, by tight shoes;
- pathology of the spine, for example, osteochondrosis;
- Neurological problems – injuries to the head or spine;
- cardiovascular disease – blockage of veins and arteries, resulting in stagnation of blood in the extremities;
- endocrine diseases;
- joint problems; 90,020 90,019 obesity;
- diabetes mellitus;
- flat feet.
In fact, the list goes on, because many diseases can cause this symptom. That is why you should not self-medicate, because the cause of numbness can be quite serious.
How to treat numbness of toes?
First of all, if your toes become numb, you should contact a therapist who will listen to the complaints and will be able to refer you to the necessary narrowly focused specialist – a neurologist, cardiologist, endocrinologist, etc.
To understand what exactly causes numbness, the following can be prescribed:
- general blood test;
- Ultrasound of joints;
- Ultrasound of the vessels of the lower extremities;
- biochemical blood test and the like.
After receiving tests and understanding the cause of such a symptom, the doctor will be able to prescribe the necessary treatment, which may include:
- Taking medications – will help normalize blood flow, relieve swelling, if any.Additionally, anesthetic drugs may be recommended to relieve pain.
- Physiotherapeutic procedures (electrophoresis, magnetotherapy, heating, etc.) – will help improve blood flow, bring blood vessels and muscles into tone.
- Multivitamin complex and diet.
- Physiotherapy exercises.
Prevention of toe numbness is quite simple:
- Choose your shoes carefully so that they do not put pressure, especially on your toes.
- Change sitting / lying position if numbness occurs – especially after a long time in one position.
- Do not neglect walking in the fresh air – it is even better to start running.
- Monitor your diet – eat more foods with vitamins B12 and B6.
- Reduce the amount of coffee and strong tea.
- Stop smoking and drinking alcohol.
- Monitor your posture.
If numbness in the toes occurs frequently and does not go away for a long time, consult a physician.Call (067) 127-03-03, (044) 490-25-03 or fill out the form on the website to sign up for a consultation.
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90,000 regular finger massage stimulates health – Rossiyskaya Gazeta
In Chinese medicine, regular finger massage is recommended, which has a stimulating effect on both individual organs and the body as a whole.
This massage does not require any special skills or conditions, just take one minute a day, and after a while you will notice that many health problems have resolved on their own.
According to traditional Chinese medicine, there are points at our fingertips, the impact on which improves the functioning and condition of internal organs. If you feel pain on the tip of one of your fingers, then something is wrong with a certain organ in your body.
On the other hand, if you do not get rid of many diseases of internal organs completely, then at least ease their course. This will help an independent impact on certain points. Of course, the study of all points is a long process, but there is also a simple option – self-massage.
Massage of the little finger – against hair loss
The little finger is responsible for the work of the small intestine, pathologies in which often provoke hair loss. To avoid this, it is enough to systematically massage the base of the little finger and the finger itself.Also, massage of the little finger helps the kidneys, relieves headaches.
Ring finger massage – for aching shoulders
In traditional Chinese medicine, it is believed that the ring finger is associated with three key channels in the body. The ring finger massage stimulates blood circulation, which leads to the activation of the vital qi energy throughout the body. If you have migraines and aching shoulders or cervical spine, massage your ring finger. In addition, it is the ring finger that is responsible for our mood.
Massage of the middle finger will relieve insomnia
Massage of the middle finger activates blood circulation and blood flow to the organs. Exposure to the middle finger will relieve nausea and dizziness, and will help with sleep disorders.
Thumb massage – for the normal functioning of the spleen, stomach, cardiovascular system
According to Chinese medicine, thumbs are responsible for the lungs, and the normal functioning of the heart depends on the health of the respiratory system.With arrhythmias and pressure in the chest, it is useful to intensively massage the entire thumb. Lung problems negatively affect the functioning of the spleen and stomach, and here massage of the thumbs will also come to the rescue. This exercise is also useful: bend your thumbs out as much as possible.
Massage of the index finger – for constipation
The index finger is connected with the meridian of the large intestine, the effect on this finger normalizes the functioning of the entire gastrointestinal tract.If you want to activate digestion and forget about constipation, massage the entire finger. Also, massage of the index finger will help get rid of pain in the abdominal region, cope with the feeling of heaviness in the stomach.
|Ultrasound of the hepatobiliary zone||2800.00|
| Complex ultrasound of internal organs
|Ultrasound of the liver||1400.00|
|Ultrasound of the gallbladder||1250.00|
|Ultrasound of the gallbladder with determination of its contractility||1400.00|
|Ultrasound of the gallbladder||veins and perforators of the lower extremity||1210.00|
|Ultrasound determination of fluid in the abdominal cavity||1250.00|
|Ultrasound of the kidneys and adrenal glands||2300.00|
|Ultrasound of the kidneys and adrenal glands (1st kidney)||1300.00|
|Ultrasound of the urinary bladder||1400.00||1400.00 9030|
|Ultrasound of the prostate and bladder with determination of residual urine||2900.00|
|Transrectal ultrasound of the prostate||2400.00|
|Ultrasound of the scrotum||2300.00|
|Determination of residual urine volume||900.00|
|Ultrasound of the bladder (determination of urine output from the ureteral orifice in case of upper urinary tract obstruction 9030||1900.00|
|Ultrasound of the thyroid and parathyroid glands||2400.00|
|Ultrasound examination during puncture||2310.00|
|Ultrasound of the lymph nodes (one anatomical zone)||2100.00|
|Ultrasound of the salivary glands||1400.00|
|Ultrasound of the mammary glands + ultrasound of regional lymph nodes||2800.00|
|Ultrasound of the mammary glands (control ultrasound of one breast at a second visit)||1900.00|
|Ultrasound of the joint||1800.00|
|Ultrasound of the pleural cavity||1280.00|
|Ultrasound of the uterus and appendages transvaginal||2500.00|
|Ultrasound of the transvaginal||2500.00|
|Fetal ultrasound (up to 10 weeks)||2400.00|
|Fetal ultrasound at 11-14 weeks||4100.00|
|Fetal ultrasound (in 2-3 trimesters of pregnancy)||4500.00|
|3D ultrasound (ultrasound after 15 weeks of pregnancy)||5700.00|
|3D ultrasound (Doppler ultrasound after 15 weeks of pregnancy)||6800.00|
|Fetal ultrasound (in 2-3 trimesters) pregnancy multiple||5500.00|
|3D ultrasound (ultrasound after 15 weeks of pregnancy) multiple||7000.00|
|3D ultrasound (Doppler ultrasound after 15 weeks of pregnancy) multiple||8000.00|
|Fetal ultrasound (up to 10 weeks) multiple||3000.00|
|Fetal ultrasound (at 11-14 weeks) multiple||4900.00|
|Doppler ultrasound of the arteries by monitoring (in obstetrics and gynecology)||1900.00|
|Echocardiography (ECHO KG)||3500.00|
|Duplex scanning of the brachiocephalic arteries with color Doppler blood flow mapping||3500.00|
|Cartiplex bleeding with color-coded arteries||4710.00|
|Triplex scanning of the vessels (arteries and veins) of the upper limbs||4710.00|
|Duplex scanning of arteries (1st upper or lower limb)||2000.00|
|Duplex scanning of vessels (arteries and veins of the 1st upper or lower limb)||3100.00|
|Duplex scanning of vessels ( arteries and veins) of the lower extremities||5800.00|
|Triplex scanning of the vessels (arteries and veins) of the lower extremities||5800.00|
|Duplex scanning of transcranial arteries and veins||3500.00|
|Triplex scanning of transcranial arteries and veins||3500.00|
|Triplex scanning of veins (upper or lower extremities)||4100.00|
|Triplex scanning (1st 903 upper or|
|Duplex scanning of arteries (upper or lower extremities)||3600.00|
|Triplex scanning of arteries (upper or lower extremities)||3600.00|
|Duplex scanning of renal arteries||3500.00|
|Triplex scanning of renal arteries||3500.00|
|Duplex scanning of the aorta||3300.00|
|apples with dopplerography of the vessels of the eyes and orbit (1 eye)||2400.00|
|Ultrasound examination of the eyeball with triplex scanning of the vessels of the eyes and orbits (1 eye)||2400.00|
|Ultrasound examination of the eyeball with Doppler sonography of the vessels of the eyes and orbit (2 eyes)||4100.00|
|Ultrasound examination of the eyeball with triplex scanning of the vessels of the eyes and orbits (2 eyes)||4100295|
|Electrocardiography with exercise (20 squats)||2740.00|
|Study of unprovoked tidal volumes and flows (FVD)||1530.00|
|Study of tidal volumes using drugs||2000.00|
|Holter blood pressure monitoring (ABPM)||4000.00 heart rate monitoring (HM-ECG)||4800.00|
|Holter heart rate monitoring (HM-ECG) + ECG 48 hours||6000.00|
|Holter heart rate monitoring (HM-ECG) + ECG 72 hours||7500.00|
|Echoencephalography (ECHO EG)||1660.00|
Sciatica: causes, treatment, prevention – Professor’s Clinic
This disease is often called “inflammation of the sciatic nerve”, but this is not entirely correct.Inflammation itself is quite rare, so it is correct to talk about damage to the sciatic nerve, the most common of which is compression (pinching). For this pathology, names such as “piriformis syndrome” and “sciatica” can also be used. However, most often doctors use the term “sciatica”. It should be noted that sciatica is not a diagnosis. This term refers to the totality of symptoms that can occur with various diseases, as a rule – with diseases of the spine.
Sciatica often manifests itself in middle-aged and elderly people, but the first symptoms of the disease may appear earlier – in 20-year-olds and even in adolescence.
What is ishasa then? It is necessary to start with the fact that the sciatic nerves are the largest in the human body. They come out of the spinal cord and go all the way down to the lower legs. In the region of the knee, the sciatic nerve is divided into two parts, one of which is responsible for the innervation of the lower leg, the other for the innervation of the foot.The sciatic nerves also provide innervation to the pelvic organs. They are responsible for both sensitivity and motor functions of the leg muscles.
If the disease affects these nerves, then it begins to manifest itself with various symptoms – pain, swelling, loss of sensitivity in the legs.
As already mentioned, the most common cause of sciatica is the disease of the spine: intervertebral hernias, osteochondrosis of the spine, spondylolisthesis, dysfunction of the lumbosacral joint. Disorders of metabolic processes, trauma, tumors and infections can provoke the onset of the disease.
Sometimes sciatica manifests itself in pregnant women: as a result of changes in the body, a shifted center of gravity can lead to problems with the spine and, as a result, damage to the sciatic nerve.
The main symptom of the disease is pain. In the first phase of inflammation of the sciatic nerve, pain in the lumbar region is usually felt. In the future, the pain syndrome can spread down the leg – to the back of the thigh, lower leg, foot and toes.
Pain with a lesion of a nerve can be of various nature – it can be aching, burning, stabbing, shooting, sharp or dull.Sometimes it spreads over the entire surface of the leg, and sometimes it can be observed only in its separate part. The pain can be debilitating, unbearable, and in others it is a little uncomfortable. From time to time, the pain may disappear, but after a short period of time it will return again. Sciatica pain can last from a few days to several months. In the intervals between attacks, patients are often worried about lumbar stiffness, muscle tension and other manifestations.
Usually, pain affects only one leg, but in many cases it can be observed in both legs.It has been noticed that in women the right leg is most often affected, and in men – the left.
Symptoms of sciatica may differ in different cases, the most common are the following:
- Pain in the buttock that extends to one leg, aggravated by prolonged sitting, standing, coughing, sneezing;
- Feeling of “creeping creeps”, tingling, burning;
- Weakness, muscle tension, numbness;
- Sharp pain, aggravated by walking, bending, coughing, sneezing.
- Numbness, burning in the legs, weakness, “cottoniness”;
- Unbearable pain, muscle spasms, weight loss in one leg;
- Shooting pain in the lower back, leg.
Less commonly, sciatica can manifest itself with symptoms such as swelling of the legs, excessive sweating of the feet, or, conversely, lack of sweating, reddening of the skin, increased body temperature at the site of the lesion, or, conversely, its cyanosis and cold snap.
If you have sciatica-like symptoms, you should see a neurologist.
Improper treatment, or its complete absence, can lead to complications of sciatica, such as stiffness in movement when walking, gait disturbance, inability to move some of the toes or feet. In severe cases, the patient loses the ability to get up, walk or sit. Acute pain syndrome can lead to neuroses, stress, fainting, insomnia. Atrophy of some leg muscles is also possible. If the nerve processes that provide the functionality of the pelvic organs are damaged, then urination and defecation disorders may occur.
At the doctor’s office, the patient’s medical history and life history are analyzed, and a complete neurological examination is performed. The methods of instrumental diagnostics are used – most often ultrasound. In some cases, an MRI, CT, or X-ray may be ordered.
Depending on the cause and severity of the disease, both medication and non-medication can be used. In cases where conservative treatment has not worked, surgical treatment may be prescribed.
Non-drug methods include:
Medication is prescribed only by a doctor and must be supervised. As a rule, the course of such treatment includes vitamin complexes, muscle relaxants, antispasmodics, glucocorticosteroids, non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics.
For prophylactic purposes, moderate regular physical activity, walks in the fresh air are recommended. Nutrition for sciatica should be organized in such a way that there would be no overload of the gastrointestinal tract.It is best to eat 5-6 times a day, but little by little. The diet must necessarily include fiber, magnesium, calcium, iron, vitamins A, C, E.
Calcium is found in large quantities in fish and seafood, dairy products, liver nuts. Magnesium can be found in legumes, pistachios, and avocados. Salty, spicy and fatty foods, light carbohydrates, which contribute to rapid weight gain, should be removed from the diet.
An annual preventive physical examination is strongly recommended.
In the Professors’ Clinic (Druzhby st. 15a) and in the MC “Professorskaya Klinika” (Griboedova st., 93) highly qualified neurologists are available to whom you can refer to both sciatica and symptoms of other neurological diseases. You can clarify information, make an appointment by calling a single phone in Perm – 206-07-67 or on our website.
Definition und Synonyme von numbness im Wörterbuch Russisch
AUSSPRACHE VON STUNNING AUF RUSSISCH
WAS BEDEUTET STUNNING AUF RUSSISCH
Hier klicken, um die ursprüngliche Definition von “numbness” auf Russisch zu sehen .Hier klicken, um die automatische Übersetzung der Definition auf Deutsch zu sehen .
Definition von numbness im Wörterbuch Russisch
BAU vgl. siehe betäubt sein. Numbness Wed see numb.
Hier klicken, um die ursprüngliche Definition von “numbness” auf Russisch zu sehen .Hier klicken, um die automatische Übersetzung der Definition auf Deutsch zu sehen .
WÖRTER AUF RUSSISCH, DIE REIMEN WIE STUNNING
MIT “Numbness” VERWANDTE WÖRTER IM WÖRTERBUCH RUSSISCH
ÜBERSETZUNG VON STUNNING
Erfahre, wie die Übersetzung von numbness auf 25 Sprachen mit unserem mehrsprachigen Übersetzer Russisch lautet.Die Übersetzungen von numbness auf andere Sprachen, die in diesem Bereich vorgestellt werden, sind zustande gekommen durch automatische statistische Übersetzung , wobei die Basiseinheit der Übersetzung das Wortis “numbness.
Übersetzer Deutsch –
1.325 Millionen Sprecher
Übersetzer Deutsch –
510 Millionen Sprecher
Übersetzer Deutsch –
280 Millionen Sprecher
Übersetzer Deutsch –
270 Millionen Sprecher
Übersetzer Deutsch –
260 Millionen Sprecher
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TENDENZEN BEIM GEBRAUCH DES BEGRIFFES “NEMONIZATION”
Auf der vorherigen Grafik wird die Häufigkeit der Nutzung des Begriffs “numbness” in den verschiedenen Ländern angezeigt.
10 BÜCHER, DIE MIT
STEHEN IM ZUSAMMENHANG STEHEN
Entdecke den Gebrauch von numbness in der folgenden bibliographischen Auswahl. Bücher, die mit numbness im Zusammenhang stehen und kurze Auszüge derselben, um seinen Gebrauch in der Literatur kontextbezogen darzustellen.
Numbness of the Beast God. The Story of a Lonely Soul: Complete Collection …
Danaire’s work remains and is forever doomed to remain completely out of sight of both readers and critics.Too much …
Emergency Medicine: Symptoms, Home First Aid
symptoms, first aid at home Olga Viktorovna Zakharenko. Pain, weakness, numbness , muscle atrophy in a limited area, paralysis – damage to a separate nerve end. TE> KE SYMPTOMS ON …
Olga Viktorovna Zakharenko, 2010
Visual neurology: trans.from English – Page 70
3 Will find Will fall out “- -‚ 1 Paresthesias Numbness g “t” 1 t TB ° t = Athlete Supraspinal foci of PSSK Hemianesthesia on the opposite side of the trunk ZTK Ignoring on the posterior side ‘Thalamus Difficult …
Barker R., Barazi S., Neil M. Translated from English. G.N. Levitsky / Ed. IN AND. Skvortsovoy, Roger Barker, 2009
A book about healthy and safe childbirth: hypnorodia-method…
She becomes heavy, numb and unable to move. You can feel your fingers getting bigger. You are now going to transfer numbness and numbness to the right cheek.
Mary F. Mongan, 2011
Chronic diseases, their peculiar nature and … – Page 77
184. 185. Leucorrhoea, like milk, flowing.Burning, itching leucorrhoea. 186. Numbness and 90,061 numbness of 90,062 fingers, also in warmth.
Samuel Hahnemann, 2011
Sexual Failure Anxiety Syndrome in Men and …
In addition to the disorders that we identified during a simple survey, patients indicated the appearance of warmth in the back of the head and cheeks, a feeling of emptiness in the head; numbness of the anterior surface of the neck;
Garnik S. Kocharyan, 1995
Spinal hernia. Non-surgical treatment and prevention
Cervical spine Lumbar spine Thoracic spine Shoulder pain Arm pain Dizziness Pressure surges Combination of headaches with pressure surges and dizziness Numbness fingers Numbness fingers …
A.V. Sadov, Sadov AV, 2013
Neurological issues: proceedings of the Clinic of Nervous Diseases …
In 1907 he suffered typhus, in 1907-8 malaria, in 1919 typhoid fever. in May 1933, there was a creeping sensation and numbness on the outer surface of the left thigh. In August, they were joined by a burning sensation in …
Voronezh State Medical Institute.Clinic for Nervous Diseases, 1935
Historical Geography of Political Myth: Image …
Inducing numbness – there is a cold medicine that cools the organ to such an extent that it makes the substance of pneuma, which carries the driving and sensing force to it, cold by nature and thick, and [thanks to this] mental …
Alexander G. Yurchenko, 2006
Canon of Medicine: – Page 242
which will last longer – the time of keeping the strength [of the patient] or the time of pain, and also – which of the two circumstances is more harmful – the sensation of pain or the danger expected from numbness , and choose first that [method of treatment],
Avicenna, W. I. Karimov, E Khurshut, 1994
10 NACHRICHTEN, IN DENEN DER BEGRIFF “NAME” VORKOMMT
Erfahre, worüber man in den einheimischen und internationalen Medien spricht und wie der Begriff numbness im Kontext der folgenden Nachrichten gebraucht wird.
Numbness of teeth.What could it be?
For about a month now, a strange sensation, my teeth seemed to be numb. More precisely, the feeling is well, like after opening the lid with your teeth. As if they interfere with each other … “Woman.ru – Internet for women, Sep 15”
A trifle, but unpleasant. Causes 90,045 numbness 90,048 fingers
Numbness of fingers is a fairly common, but no less alarming symptom.Since there is a large … “Likar.Info, Sep 15”
What could be the cause of numbness in hands?
Numbness in the hands is a symptom that accompanies many diseases. Most often this is evidence of osteochondrosis or intervertebral hernias. “Arguments and Facts, Apr 15”
Why do arms and legs go numb at night?
Most likely, such numbness is caused by compression of some nerve bundles when the body is in an uncomfortable position.For example, in the hand there is … “Arguments and Facts, Apr 15”
Why fingers go numb
Very often numbness of fingers is the result of various diseases of blood vessels, nerves of the hands or irritation of the nerve roots of the spinal cord … “neboley.com, Jan 15”
What research should be done if the arm hurts?
Pain and numbness in the hand can be caused by compression of the median nerve.To diagnose this problem and determine where the compression occurred, … “Channel One, Nov 14”
Numbness of legs during pregnancy! HELP !!!!!
You may have pinched a nerve, hence numbness . Once I woke up, did not feel the half of my face and hand, I thought ***** I had a stroke, it turned out … “Woman.ru – Internet for women, Okt 14”
What causes a herniated disc, how to solve …
The spinal canal in the cervical spine is very narrow, so the hernia often begins to compress the spinal cord.The result is numbness … “Channel One, Sep 14”
Parental Fear Becomes Child Phobia
Numbness , loss of consciousness, nausea, chills, heart palpitations, feeling hot or cold are just some of the symptoms that can … “Postimees, Aug 14”
Numbness of fingers or toes is a fairly common symptom.Why are fingers numb? Diseases causing numbness can be … “Likar.Info, Aug 14”