Ask A Doctor - body numbness - DesiMD Healthcare Services

   

I have body numbness it's on my face legs arms chest it's off in on most the time in I have been to er in past they said nothing much bout it in did blood work ct scan in that bout it I'm male 23 thanks ? - Asked by J M on 27-May-2014 22:07:03

Answer Count: 2    

  • Internal Medicine

    Answered by Dr. Suneel Vallabhaneni on 29-May-2014 18:43:44

    Numbness localizing to hands/arms or legs could be from compression of nerves exiting from the spine at the neck or lower back areas but they almost always are associated with neck pain or back pain. Since you didn't mention these - it may not be the cause in you. Other causes could be Vitamin B12 or folate deficiency - the only way to rule these out is by checking the blood levels of these vitamins. Chest numbness is unusual with any of the above causes. If your symptoms are associated with muscle spasms - there is a possibility of Multiple sclerosis(MS), but multiple sclerosis is usually predominant in females. MRI of the brain and spine is the best test to rule this out. The other possibility is a connective tissue disease - work up for these can start with serum antibody tests like ANA, P-ANCA or C-ANCA. You may not need all the extensive testing I mentioned above. If you see a good primary care physician, he is going to get more detailed history from you and with a good physical exam - this would help him avoid extensive testing. If your symptoms are associated with racing of the heart, feeling of impending death, chest tightness - and if these symptoms along with the numbness are worsened with stressful events in your life, then this could be anxiety or panic attacks. There is a chance that these symptoms could be psychological. Let me know if this answered your question and do not hesitate to contact us back if you have any further questions.
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  • Answered by Dr. on 29-May-2014 23:30:19

    Hi,

    Multiple sclerosis (MS) is the most probable cause If numbness of face is accompanied by facial pain, headache ; numbness of leg with leg pain, gait disorder, restless leg burning feet, difficulty walking, falls and numbness of chest with dyspnea. There can also be lowered sensation (Hypesthesia) or muscle weakness and focal transient neurological signs. Clinically MS can be diagnosed by loss of abdominal reflexes, deep tendon reflexes, extensor plantar response, Hyperreflexia, sensory and motor deficits. These can be documented by appropriate localized nerve conduction studies. CSF examination during bouts show protein and immunoglobulin raise and oligoclonal bands , pleocytosis. 

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