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How long has this been going on?
Do you have any other medical problems or take any medications?
This is not an answer, but an Information Request. I need this information to answer your question. Please reply, so I can answer your question. I look forward to helping you.
Carpel tunnel does not affect areas other than the hands.
How to tell what is causing this?
Unfortunately, the only way to get to the bottom of what is going on is to see a physician, possibly a neurologist, for a full exam, possibly imaging studies and specialized testing such a nerve conduction and/or nerve biopsy.
I wish that there was an easier way to get the answers you need but, unfortunately that is not the case.
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