Lack of feeling in toes on right foot

[scarlet224]

I'm not sure what is causing my toes on my right foot to feel asleep for about 3 weeks now.  No sciatic pain ever on that side of my body.  I can  feel   if I push my fingernail into the skin on the toes but they feel as though they are half asleep & like  I'm walking on cotton.  Also have a lot of wooziness going on inside my head.  Not spinning or dizzy like faint when standing up too quick but woozy.  Some numbness & tingling in my fingertips as well, not as bad as the foot.  Thank you for any ideas or information to help me.

[scarlet224]

   I am still woozy in my head, have periods of nausea, sometimes all day.  Going on for 5 months.   My right toes are still numb & the top of my foot & sometimes feel it in my ankle  about a month now.   Another  symptom I had but only flares up now & then  is my left center of my buttocks bothered me after I sat on a hard chair.  I did stretches in bed to relieve it & now I can't touch the skin & even my clothes hurt the skin there.  I have had this in other parts of my body for no reason & it seems to travel around & show up somewhere else the next time.  I went to my Neuro & she has an MRI of my brain ordered & wants to check my B12 & Vit D.  When I went to her I didn't have this skin sensitvitiy so whatever advise you can give me on any of this I will greatlly appreciate it.  Thank you.

[Dr Sharma]

Hi there. You need to consult a neurologist for checking you for vitamin b complex, D deficiency, hypothyroidism, rheumatoid arthritis, diabetes mellitus and cervical spine disc issues like herniation and degeneration. Certain blood testing and MRI spine would be required to aid in diagnosis. Hope these help in diagnosis. Your doctor may be required to rule out multiple sclerosis also. MS is a chronic demyelinating disorder where the disease phase is characterized by active phase and remissions. It has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. Therefore, it would be prudent to consult your neurologist with these concerns. Hope this helps. Take care.