Quick Answer
Glove-stocking tingling starting in feet suggests length-dependent neuropathy.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Progressive tingling or burning starting in both feet in a stocking distribution suggests peripheral neuropathy —— often length-dependent. Common contributors in Nepal include diabetes, B12 deficiency, alcohol and medications; others are autoimmune or inherited.
At the clinic, Dr. Jitendra Prasad Yadav (NMC 8029) examines distribution, underlying labs and, when indicated, NCS/EMG to localize and grade. Treatment addresses cause (glycaemic control, replacement, substance review) plus symptom management and safety counselling. Not all numbness is neuropathy —— central causes are screened by exam.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for peripheral neuropathy.
Bring medication list and prior labs. No outcome is guaranteed.
See /conditions/neuropathy and /conditions/trigeminal-neuralgia.
Frequently asked questions
Answers reviewed by Dr. Jitendra Prasad Yadav • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
Supplements only help when a deficiency is present; underlying cause-directed care is needed.
If the underlying cause is corrected early (e.g., improving glucose control, treating vitamin deficiency), improvement may occur. Long-standing neuropathy is often not fully reversible.
It can mimic dental pain; dental exam may be normal, and neurological assessment helps clarify.
The trigeminal nerve is large and carries sensations from the face; abnormal activation produces severe, sharp pain.
Progressive tingling starting in both feet, especially with diabetes, B12 deficiency or chemotherapy history, suggests peripheral neuropathy. Dr. Jitendra evaluates distribution (glove-stocking), underlying cause labs, and NCS/EMG when indicated. Burnout or anxiety alone rarely causes persistent stocking numbness — tar…
More: All FAQs → · Ask Dr. Jitendra →
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References & Review
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
- International Classification of Headache Disorders, 3rd edition (ICHD-3).
- Harrison's Principles of Internal Medicine — Neurology sections.
- American Academy of Neurology guidelines for selected conditions (where applicable).
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.