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From Numbness to Comfort: A Comprehensive Guide to Paresthesia Management | Paresthesia Relief: Strategies and Steps for Effective Management | Beyond the Pins and Needles: Smart Approaches to Paresthesia Management | Conquer Paresthesia Discomfort: Expert Insights on Effective Management

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Managing paraesthesia -

We all often experience odd sensations over various parts of our body. We sit in a particular position for some time, if cross legged we may notice that one leg feels a little numbness but that sensation returns immediately. Sometimes the same situation occurs in the upper limbs like resting an arm in a particular posture, numbness occurs for a short period and feels totally normal within a few seconds.⌛

If the same situations occur frequently and on a chronic basis it is called paraesthesia. The description of the sensation experienced may be varied such as shooting, aching, burning, feeling of tightening, sometimes a raw feeling or something crawling over the affected area.

Most paraesthesia occurs spontaneously, but some are particularly worse, when triggered by sometimes , even the mildest of stimuli.it can be painful or sometimes disturbing and nagging sensations.📍


Causes -

  • Persistent pressure over certain nerves like the peroneal nerve while sitting cross legged and ulnar or radial nerve when the arm is held in an abnormal posture or even sciatica nerve leading to tingling over the thighs.

  • Involvement of the peripheral nerves in deficiencies, including vitamin B12, vitamin B1 and vitamin  B6 or other micronutrient deficiencies.

  • Associated conditions which affect peripheral nerves include Type 2 diabetes mellitus, hypothyroidism, calcium and parathyroid disorders and renal disorders.

  • Spinal cord involvement may also be associated with nerve compressions of the existing nerve roots called radiculopathy and paraesthesia, with associated symptoms including weakness of the affected muscle which may be a prominent feature.

  • Nerve entrapment syndromes like carpal tunnel syndrome or connective tissue disorders like rheumatoid arthritis.

  • This is very common in patients with alcohol dependence syndrome primarily related to toxic damage of the nerves and associated vitamin  deficiencies.

  • Seen in patients with herpes zoster infection(shingles).



What to do -

After a detailed history doctor can narrow down the possible causes and would plan further evaluation.

Blood test is necessary to look for evidence of anaemia, thyroid hormone levels, vitamin B12 deficiencies, type 2 diabetes mellitus , renal dysfunctions etc.


Managing chronic paraesthesia -

A lot of these symptoms dissolved over time with treatment of the primary conditions.

For example strict blood sugar control is known to reduce  symptoms of diabetic related neuropathy. Correction of vitamin B 12 deficiency usually requires B12 injections to supplement the levels and greatly helps the associated neuropathy.



Most conditions are treated with medications for variable periods of time.as the primary condition gets resolved, most paraesthesia gradually improves and a patient is relieved of these troublesome symptoms and is able to lead a normal life.



Dolly Satsangi (Gagandeep)

B.Sc., B.Pharmacy, M.sc (CRRA), PG diploma in Theology

C.course in Alternative medicines

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