Hands and feet pain – Neurology

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hands and feet pain

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.

It sounds like you are having hand and feet discomfort. There are many, many possible causes to your symptoms and without the ability to obtain a history and examine you I can not provide you with a diagnosis. however, I will briefly go over the possible causes.

There can be neurologic and non-neurologic causes of hand and foot pain. Some causes of pain in the hands and feet are not neurologic. For example, arthritis often acts up with excessive activity and cause become transiently more painful than usual. Certain viral infections can cause pain in several joints at once; this is usually transient and resolves once the viral illness resolves. Vascular insufficiency, meaning when the blood does not reach the extremities well due to build up of plaque in the arteries, can also cause painful extremities. In addition, autoimmune conditions can cause pain in the joints of the hands and feet. In general, the type of pain seen with these conditions is usually dull and aching and worsens with movement of the joint.

Neurologic causes of combined hand and foot pain may include neuropathy, a problem with the nerves. The symptoms are usually tingling, burning, or sharp shooting pains. There are several causes of neuropathy, including diabetes, autoimmune problems, some types of plasma cell problems, and many others.

Pain in the wrists and hands at night sometimes is caused from poor positioning of the hands and repetitive daytime movements (such as in those who type a lot), leading to compression of the nerve that runs through the wrist (the median nerve) leading to a condition called carpal tunnel. Pain predominantly in the sole of the foot, particularly in the morning, might occur in a condition called plantar fascitis, in which there is a sort of inflammation of the soft tissue in the sole of the foot. Symptoms are usually worst on awakening and improve with walking.

It would be best for you to be evaluated by a general practioner (a family doctor, an internist). He/she can determine the nature of your problem (neurologic vs. non-neurologic) based on your history and physical examination, and he/she will be able to refer you to the appropriate specialist.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.

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