Only a qualified physician should determine the causes and treatment of numbness in the toes for a patient, depending on the severity of the clinical manifestations and the state of his health.
Neurologists, vascular surgeons, endocrinologists and orthopedists are involved in the diagnosis of diseases accompanied by sensory disorders of the lower extremities. It is important not to ignore alarming symptoms and promptly seek advice from a doctor .
There are many external and internal environmental factors that can provoke numbness in the toes, so you should undergo a comprehensive medical examination of the whole body.
The most common cause of numbness in the toes is pathology of the nervous or vascular system. To choose the most effective treatment tactics, it is necessary to accurately establish the cause that led to complete or partial loss of sensitivity and other symptoms.
The main diseases that may be accompanied by numbness of the fingers of the lower extremities include:
If you notice numbness in your toes, you should not immediately panic. There are also non-pathological causes of impaired sensation in the feet.
Wearing tight and uncomfortable shoes has a negative effect on the state of blood circulation and innervation of the toes.
Prolonged stay in such shoes leads to disruption of lymphatic and venous outflow and blood circulation, which manifests itself in the form of pain and loss of sensitivity.
Sensory impairment of the lower extremities most often occurs in patients with chronic venous insufficiency syndrome. This pathological condition is characterized by the presence of blood stagnation in the venous system of the lower extremities, which leads to circulatory failure.
If the toes are numb due to venous insufficiency, then patients are also bothered by other unpleasant symptoms. In most cases, patients complain of a feeling of heaviness in the lower extremities, the appearance of telangiectasia on the skin, swelling, pain, fatigue, trophic disorders of the skin (ulcers, hyperpigmentation, lipodermatosclerosis and others).
The clinical picture of the disease depends on the severity , so if you suspect the development of venous insufficiency, you should visit a vascular surgeon as soon as possible.
Raynaud's disease has a complex development mechanism, and the exact causes of this pathological condition have not yet been studied. It is believed that predisposing factors are genetic predisposition , diseases of the endocrine system, vibration disease, and chronic hypothermia.
Typically, the pathological process involves the hands and fingers, but the feet, tip of the nose, ears, and red border of the lips can also be affected. If your toes go numb when exposed to low temperatures, then Raynaud's disease should be suspected.
A distinctive feature of the clinical picture of the disease is the pronounced staging of the pathological process. Due to a pronounced spasm of small blood vessels, the patient first turns pale the skin of the affected areas (toes, including the big toe), and complains of numbness and mild tingling. Further, the skin acquires a cyanotic tint, and blisters with hemorrhagic contents may form. Sometimes the attack ends with necrosis of the skin, subcutaneous tissue and even bone tissue.
In most cases, in the first stage after numbness of the toes, the affected area of the skin acquires a normal appearance and sensitivity is restored. and medications that affect vascular muscles and nerve endings are widely used to treat pathology
Depending on the location of the pathological process, certain clinical symptoms of the disease occur. Pain and loss of sensitivity appear due to pinching of a nerve in the lumbar spine.
If you lose sensation in your toes and have one or more of the above symptoms, you should immediately consult a neurologist or orthopedist . Osteochondrosis is a progressive disease, so it is better to start treatment in the early stages of the development of the pathological process.
Diabetes mellitus has a number of typical complications associated with damage to the vascular system. One of these complications is diabetic foot syndrome, in which the pathological process involves the vessels and nerves of the distal parts of the lower extremities, which causes a characteristic clinical picture. If your toes are numb due to diabetes, you should immediately consult an endocrinologist and vascular surgeon.
Vascular damage in diabetes is progressive, so the most striking symptoms of the disease are trophic ulcers, necrosis and gangrene of the toes.
Treatment of the disease should be comprehensive and aimed, first of all, at normalizing blood sugar levels, as well as maintaining the normal condition of blood vessels and nerve endings. To treat numbness of the toes in advanced stages of the disease, minimally invasive or radical surgical interventions are used.
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