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pins and needles in toes

keep getting pins and needles in toes sometimes it is burning also get feeling like someone pouring boiling water down back of legs
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Hi I have been having sharp shooting not pain but sensations in my rt shoulder neck area also it has a burning feeling. Sometimes it feels as if bugs are crawling in that same area..pls advise
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1093617 tn?1279302002
MEDICAL PROFESSIONAL
Thank you for your question. Although without being able to examine you I can not offer you the specific advice on diagnosis and treatment that you need, but I would try to provide you some relevant information about your health concern.

Burning sensation, numbness or tingling sensation in any part of body is considered nerve related in origin. This burning sensation you are having can occur due to impingement, irritation or compression of nerve of thigh or toes/leg. Most frequently involved nerve is lateral cutaneous nerve of thigh (which is branch of femoral nerve). This condition is called meralgia paraesthetica which manifests itself as pain, tingling or burning sensation of outer thigh. It may occur due to injury to nerve either due to spinal deformity or along its path to thigh by any ligament or tendon stretch, excessive tight clothing (therefore it is also called "jeans disease"), diabetic neuropathy or damage to nerve after laparoscopic hernia repair etc. Another nerve which may cause pain in legs is sciatic nerve compression. I would advice a CT scan of spine and thigh, blood sugar levels, and EMG to check out abnormal muscle responses. Once the diagnosis is reached then treatment modalities available are strict rest, loose clothing, painkillers (NSAIDS and opioid), pain modifier medicines like carbamazepine may also be prescribed by the doctor. Therefore a neurologist’s consultation may help you in this regard.  Hope this information proves helpful to you. Take care.


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