Numbness and tingling, often described as a “pins and needles” sensation, are common symptoms that can signal underlying health issues, particularly neurological conditions. In India, where busy lifestyles and occupational demands are prevalent, knowing when to see a neurologist for numbness and tingling is crucial for timely diagnosis and effective treatment.

What Are Numbness and Tingling?

Numbness is the loss of sensation in a part of the body, while tingling feels like prickling or burning, often likened to a limb “falling asleep.” These symptoms can occur in the hands, feet, arms, legs, or face and may be temporary or persistent.

Types of Numbness and Tingling

• Transient: Short-lived, often due to pressure on nerves.
• Chronic: Persistent or recurrent, linked to neurological or systemic conditions.
• Unilateral: Affects one side of the body, potentially indicating stroke or nerve compression.
• Bilateral: Affects both sides, often related to systemic issues like diabetes or vitamin deficiency.

Common Causes

• Peripheral Neuropathy: Often due to diabetes or alcohol use, causes burning or tingling in hands and feet.
• Cervical Radiculopathy: Caused by pinched nerves in the neck, leading to tingling in arms or hands.
• Carpal Tunnel Syndrome: Results from wrist nerve compression, especially in repetitive jobs.
• Stroke or TIA: Sudden numbness or tingling, especially on one side of the body, may indicate a serious event.
• Multiple Sclerosis: Autoimmune disease with tingling, balance issues and vision disturbances.
• Vitamin Deficiencies: Especially B12 deficiency, causing tingling, fatigue and memory problems.
• Spinal Cord Disorders: Tumors or infections compressing the cord, affecting sensation and movement.
• Systemic Conditions: Thyroid or kidney disease, lupus, etc., often cause diffuse tingling or numbness.

When to See a Neurologist

• Persistent numbness or tingling lasting more than a few days.
• Accompanying symptoms like weakness, poor coordination, or loss of reflexes.
• Sudden onset, especially if one-sided, indicating stroke.
• Symptoms that are worsening or spreading over time.
• Red flags like fever, weight loss, or incontinence.

Summary

Numbness and tingling are not always minor issues. If they persist or are associated with other neurological symptoms, seeing a neurologist can lead to early diagnosis and better outcomes. In India, especially in 2025, access to quality neurological care is growing, making it easier for patients to get help when they need it.