Numbness is a loss of sensation in an area of the body, most often the hands and feet. It may be accompanied by tingling, burning or “pins-and-needles” sensations. Numbness occurs when a nerve pathway is compressed, irritated or injured, disrupting the normal signaling between the brain and other areas of the body. It may occur in just one area, or it can occur on both sides of the body, depending on the nerve pathway that's affected. Some causes of numbness include:
diabetes (diabetic neuropathy)
circulatory disorders including peripheral artery disease (PAD)
spine diseases and conditions including herniated discs and spinal arthritis
Evaluation begins with a physical exam and a medical history, as well as detailed information about the symptoms you're experiencing. Tests may also be ordered, including:
blood tests to look for diseases and other contributing causes
spinal tap to evaluate your spinal fluid
nerve conduction studies
electromyelogram to test the electrical signals in your muscles
diagnostic imaging including MRI or CT scan
Treatment will depend on the cause of the numbness. When numbness occurs as a result of a herniated disc or inflammation or irritation around the spine, corticosteroid injections may help relieve inflammation so impingements are relieved. In some cases, spinal surgery may be needed to realign and fuse portions of the spine. Diabetic neuropathy may be controlled with better glucose management, and some types of numbness may be successfully treated with lifestyle changes, like avoiding exposure to toxins known to cause numbness, being more physically active or limiting alcohol consumption. Some types of numbness and tingling may be aided by medications used to treat depression or seizures. Before any treatment begins, a comprehensive examination will be conducted to determine the cause of your symptoms.
We accept most major insurance plans. If you have any questions, please contact our office.
"Great visit with Dr. Kogan! She really focused on the reason for my symptoms, not just treating them as they happened. Very experienced and educated."