Where the numbness sits tells us which nerve is involved — and several common causes are fully correctable. Dr P K Jha (M.Ch, AIIMS · 30+ years) assesses numbness, tingling, burning feet and weakness at Gaur City 1, Greater Noida. सुन्नपन कहाँ है, इससे पता चलता है कौन सी नस प्रभावित है — और कई आम कारण पूरी तरह ठीक हो सकते हैं। डॉ पी के झा (M.Ch, AIIMS · 30+ वर्ष) गौर सिटी 1, ग्रेटर नोएडा में जाँच करते हैं।
Most numbness is not urgent. These are the exceptions, and in each the delay causes the damage. Go to an emergency department rather than waiting for an appointment. ज़्यादातर सुन्नपन आपात स्थिति नहीं है। ये अपवाद हैं, और इनमें देरी ही नुक़सान करती है। अपॉइंटमेंट का इंतज़ार न करें — तुरंत इमरजेंसी जाएँ।
A nerve compressed at the wrist, a root pinched in the neck, and a generalised neuropathy all feel like "tingling" to the patient — but they need entirely different treatment. कलाई में दबी नस, गर्दन में दबी जड़, और सामान्य न्यूरोपैथी — मरीज़ को सब "झुनझुनी" ही लगती है, पर इलाज बिल्कुल अलग होता है।
Numbness in the thumb, index and middle fingers, worst at night, relieved by shaking the hand. Common in desk work, in pregnancy, in diabetes and in thyroid disease. Early treatment is a night splint; delay risks permanent thumb muscle wasting.
A nerve root pinched in the neck. Pain and tingling running from the neck down the shoulder and arm into specific fingers, often worse on neck movement. See our cervical spondylitis page. Most improve without surgery.
Pain, numbness or tingling running from the lower back down the back of the leg, sometimes to the foot. Usually a disc pressing on a nerve root. Detailed on our back pain and sciatica page. Surgery is the exception, not the rule.
Symmetrical numbness and burning starting in both feet and slowly moving up — the "stocking" pattern — later involving the hands. Diabetes is the commonest cause in India, followed by vitamin B12 deficiency, thyroid disease, alcohol and kidney disease.
Numbness in the little finger and half the ring finger, often with weakness of grip. Caused by pressure on the nerve at the elbow — common in those who lean on their elbows, drive long hours, or sleep with the arm bent.
Vitamin B12 deficiency — common in vegetarians and in long-term metformin users — thyroid disease, and some medications. These are found on blood tests and often improve substantially once treated, which is why testing comes before scanning.
A significant share of numbness and tingling in our OPD turns out to be vitamin B12 deficiency, uncontrolled diabetes, or thyroid disease. These cost a fraction of an MRI to find and are treatable. Patients frequently arrive having had three scans and no blood work. हमारी OPD में सुन्नपन और झुनझुनी का बड़ा हिस्सा विटामिन B12 की कमी, बेक़ाबू मधुमेह या थायरॉइड निकलता है। इनकी जाँच MRI से कहीं सस्ती है और इलाज संभव है।
Nerve conduction studies and imaging are ordered when the pattern calls for them — a single nerve that needs localising, a root that needs confirming, or a neuropathy whose cause is not clear from blood tests. Bring any previous reports so nothing is repeated unnecessarily. नर्व कंडक्शन स्टडी और स्कैन तभी कराए जाते हैं जब पैटर्न उसकी माँग करे। पुरानी रिपोर्ट ज़रूर साथ लाएँ ताकि जाँच दोबारा न करानी पड़े।
B12 replacement, thyroid correction, tighter sugar control, or stopping a culprit medicine. Where a correctable cause exists, this does more than any pain medication. Improvement in nerves is slow — expect months, not days.
Burning nerve pain responds poorly to ordinary painkillers and well to specific agents that act on nerve signalling. These are started low and increased gradually, and judged over weeks. Taking paracetamol repeatedly for nerve pain rarely helps.
A night wrist splint for carpal tunnel, elbow padding for ulnar problems, and workstation correction for neck-related symptoms. Simple, cheap, and effective early. These are the interventions that avoid surgery when started in time.
Once feet are numb they cannot warn you. Daily inspection including between the toes, well-fitting closed footwear, never walking barefoot even indoors, and getting any wound seen early. This prevents more amputations than any tablet.
For a compressed nerve that has not responded to conservative treatment, where there is progressive weakness or muscle wasting, or where a disc is causing a clear and worsening deficit. Surgery is advised when it is genuinely needed — not as a first option.
Nerves regenerate at roughly a millimetre a day. Numbness that has been present for years may not fully reverse even after the cause is corrected. The earlier the assessment, the more there is to save — which is the honest reason not to wait.
That is the classic description of carpal tunnel syndrome — the median nerve compressed at the wrist. Numbness affects the thumb, index and middle fingers, is worst at night, and improves on shaking the hand. Early cases often respond to a night wrist splint and activity change. Treated early it rarely needs surgery; left for years the muscle wasting at the base of the thumb may not fully recover.
No. Low vitamin B12, thyroid disease, uncontrolled diabetes, kidney disease and some medications all cause tingling, and several are correctable. Anxiety with overbreathing causes tingling around the mouth and in both hands. Blood tests are usually part of the first assessment for that reason.
Yes. Blood sugar control slows further nerve damage, and there are medicines that specifically reduce nerve pain, which ordinary painkillers do not treat well. Equally important is daily foot inspection and proper footwear — numb feet lose the ability to warn you about injury, and a small unnoticed wound is how serious complications begin.
It depends on the pattern. Nerve conduction studies are best for single-nerve problems like carpal tunnel or for generalised neuropathy. An MRI of the neck or lower back is more useful when the numbness follows a nerve root distribution from a pinched nerve. The examination determines which, and often neither is needed at the first visit.
Same-day OPD appointments are usually available at Gaur City 1, Greater Noida. Call +91-9311696923 to confirm a slot. Video consultation is also available.
Related conditions we treat at Neuro Care India. न्यूरो केयर इंडिया में इलाज की जाने वाली संबंधित समस्याएँ।
Types of headache, when a scan is actually needed, and why daily painkillers can make it worse.सिरदर्द के प्रकार, स्कैन कब ज़रूरी है, और रोज़ पेनकिलर लेना क्यों नुक़सानदेह है।
Read more →पढ़ें →BPPV, vestibular migraine and balance problems — and the vertigo that needs emergency care.BPPV, वेस्टिबुलर माइग्रेन और संतुलन की समस्या — और वह चक्कर जिसमें तुरंत जाँच ज़रूरी है।
Read more →पढ़ें →What to do during a seizure, first-seizure evaluation, and guidance on driving and pregnancy.दौरे के दौरान क्या करें, पहली बार दौरे की जाँच, और ड्राइविंग व गर्भावस्था संबंधी सलाह।
Read more →पढ़ें →Disc problems, leg pain and when surgery is genuinely needed — which is less often than you think.डिस्क की समस्या, पैर का दर्द, और सर्जरी वाक़ई कब ज़रूरी है।
Read more →पढ़ें →Bring recent blood reports, any nerve conduction study, and a list of your current medicines. OPD at Shop No 101, Aarza Square 2, Gaur City 1, Greater Noida. हाल की ख़ून जाँच, नर्व कंडक्शन रिपोर्ट और मौजूदा दवाओं की सूची साथ लाएँ। OPD: शॉप नं 101, आरज़ा स्क्वायर 2, गौर सिटी 1, ग्रेटर नोएडा।
This page is educational and is not a substitute for a clinical consultation. If you have any of the warning features listed above, seek emergency care rather than booking an appointment. यह पृष्ठ केवल शैक्षिक जानकारी है, डॉक्टरी परामर्श का विकल्प नहीं। ऊपर बताए चेतावनी संकेत हों तो अपॉइंटमेंट के बजाय तुरंत इमरजेंसी में जाएँ।
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