Quick Answer
Feet-first tingling that climbs —— when nerve evaluation matters.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Occasional tingling from pressure is transient. Persistent, symmetric tingling starting in feet and ascending to hands (glove-stocking), burning at night, reduced sensation, or weakness suggests peripheral neuropathy.
Common contributors: diabetes and prediabetes (worldwide #1), vitamin B12 deficiency, thyroid/kidney disease, alcohol, and medications including some chemotherapies. Less common: autoimmune, hereditary.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for peripheral neuropathy.
Evaluation at Kathmandu Neurology Clinic: distribution, duration, comorbidities, medication review, metabolic labs, and nerve conduction studies/electromyography (NCS/EMG) only when indicated by exam —— not routine. Foot care and fall prevention are discussed.
Seek prompt care for rapidly progressive weakness, bladder/bowel involvement, or severe pain limiting walking.
Dr. Jitendra Prasad Yadav (NMC 8029) interprets EEG/EMG/NCS where clinically indicated. See /conditions/neuropathy and /conditions/memory-loss for related numbness-cognition interplay. 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.
Cervical sensations can coexist, but dizziness is often multifactorial and needs systematic assessment rather than assuming a single neck cause.
Yes; vertigo is the sensation of spinning. Dizziness is a broader term including lightheadedness, unsteadiness, and near-fainting. Different causes underlie each.
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 →
Related articles
Nerve Conduction Study (NCS/EMG) in Kathmandu: What to Expect
Nerve conduction study Kathmandu: NCS and EMG explained for tingling, numbness or weakness evaluation with Dr. Jitendra Prasad Yadav (NMC 8029).
Numbness and Tingling in Kathmandu: When to See a Neurologist
Numbness tingling Kathmandu: when tingling needs neurological evaluation, common causes, red flags with Dr. Jitendra Prasad Yadav (NMC 8029).
Neuropathy Causes and Treatment in Kathmandu —— Tingling, Numbness and NCS
Neuropathy in Kathmandu: diabetes, B12, stocking distribution and NCS/EMG when indicated —— with Dr. Jitendra (NMC 8029).
Medical Disclaimer
Content on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified healthcare professional. Always seek the advice of your physician or other qualified provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. In case of a medical emergency, contact emergency services immediately. No doctor–patient relationship is established by use of this site or by contacting the clinic through the site.
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.