Paresthesia (paraesthesia in British English) is a sensation of tingling, pricking, or numbness of the skin with no apparent long-term physical effect, more generally known as the feeling of pins and needles.
Transient paresthesia
Most people have felt the sensation of an extremity "falling asleep". This lack of sensation is caused by a temporary impedance of blood flow to the extremity which results in nerve cells being starved of
oxygen and
glucose. Additionally, the impedance of blood flow is usually due to pressure on the limb which in turn compresses the nerve cells, making transmission of neural impulses more difficult. Transient paresthesia is the familiar sensation of "pins and needles" felt when oxygen and glucose-rich blood return to the nerve cells which in turn fire at an accelerated rate until they establish their regular transmission rate.
Chronic paresthesia
Chronic paresthesia indicates a problem with the functioning of nerve cells, or
neurons. This malfunction, which is especially common in older individuals, is often the result of poor
circulation in the limbs (such as in peripheral vascular disease), or may be caused by
atherosclerosis—the build up of plaque on
artery walls. Without a proper supply of
blood and nutrients, nerve cells can no longer adequately send signals to the
brain. Because of this, paresthesia is also a symptom of
vitamin deficiency and
malnutrition, as well as
metabolic disorders like
diabetes and
hypothyroidism.
More on
[ Paresthesia ]
Family Practice Notebook: Paresthesia - Offers a look at the symptoms, differential diagnosis and lab evaluation.
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Paresthesia - Information sheet compiled by the National Institute of Neurological Disorders and Stroke (NINDS).
Meta Description: [ Paresthesia information sheet compiled by the National Institute of Neurological Disorders and Stroke (NINDS). ]