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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 35765
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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My palms and feet feel sensitive to cold and the finger tips

Customer Question

Hello
JA: Hello. What do you want help with?
Customer: My palms and feet feel sensitive to cold and the finger tips feel numb at times
JA: Do you have a fever? Do you have any other existing medical conditions?
Customer: no I don't
JA: Anything else in your medical history you think the doctor should know?
Customer: not really
Submitted: 5 months ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 5 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  Dr. Arun Phophalia replied 5 months ago.

What is your age?

Do you have high cholesterol, neck and back pain, high blood pressure, diabetes?

Are you on any medications?

Customer: replied 5 months ago.
35 years. No medical condition.
Expert:  Dr. Arun Phophalia replied 5 months ago.

Thanks for the additional information. I am writing the answer for you and will get back to you in a few minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

Expert:  Dr. Arun Phophalia replied 5 months ago.

The causes need to be considered for it are;

1) Nerves; pinched nerves in neck and back can cause sensitive feet and palms and cold/numb finger tips.

2) Arteries; Early atherosclerosis or capillaries affection due to autoimmune phenomenon.

3) Deficiency disorder like Vitamin B12.

Out of them pinched nerves in neck and back are the most common. Physical therapy is the treatment.

Investigations advised for your symptoms are;

1) Electromyography/nerve conduction studies (EMG/NCS)

2) MRI of the spine and brain

3) blood glucose, glucose tolerance test and glycosylated hemoglobin

4) serum B12 level with methylmalonic acid (with or without homocysteine),

5) serum protein electrophoresis

6) Anti-nuclear antibody

7) Lyme testing

8) Rheumatoid factor

9) Sjogren's syndrome testing (Anti-Ro, Anti-La Antibodies)

Skin and nerve biopsy are recommended after the results of these investigations.

This should give the diagnosis and guidelines for the management.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 5 months ago.

Was this information helpful to you? I would be glad to answer any further questions.

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Wishing you all the very best in life.