Quick Answer
From diabetes to B12 deficiency —— the checks behind tingling feet and hands.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Peripheral neuropathy often begins with tingling or numbness in the feet, later affecting hands in a glove-and-stocking pattern. Burning pain, heightened sensitivity, or weakness may follow. The most common cause worldwide is diabetes, including prediabetes, but vitamin B12 deficiency, thyroid disorders, kidney disease, alcohol use, medications, and other conditions also contribute.
Evaluation includes sensory examination, review of metabolic factors and medications, and nerve conduction studies when indicated. Foot care, fall prevention, and discussion of contributors are important alongside symptom discussion.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for peripheral neuropathy.
Supplements help only when deficiency is documented. Optimizing glucose control, nutrition, and early reporting of new sensory changes are constructive steps while awaiting evaluation.
seek care promptly for rapidly progressing weakness, bladder or bowel changes, or pain limiting walking.
Educational purpose only.
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.
Note time of onset, call emergency services, do not give food/drink or leave the person alone.
TIA symptoms resolve, but it signals high short-term stroke risk. Urgent evaluation and prevention planning are essential.
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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.