Author: Foot Doc
Date: 3/26/2007 7:20 am PDT
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DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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First of all, occasional waking in the morning with one hand "asleep" is often occasioned by pressure on nerves from sleeping position, but that would not as likely the cause if both hands were somewhat numb unless there were some physical cervical spine component. When numbness occurs in the feet for similar reasons, it is more commonly related to pressure on nerves at or near the vertebral level.
Burning that is not associated with local irritation, contact or other dermatitis or cutaneous eruption is frequently related to nerve disorders, and may be resultant from direct pressure on or entrapment of nerves themselves, or disease processes such as diabetes and pernicious anemia which affect the nerves, or certain other metabolic disorders, or sometimes the side effects of excessive alcohol usage, or CNS perception disorders or primary nerve disease. Frequently, as should be evident by the large number of possible diverse causes, a concerted and detailed effort is required for specific diagnosis, and effective treatment may or may not be readily available, depending on the cause.
I would recommend that you see your internist for a general medical evaluation, and if deemed necessary, a referral to a neurologist. Unless the cause is either local irritation, a local dermatitis or nerve pressure or entrapment of a nerve within the foot itself, a podiatrist may not be your best choice of specialist to treat this problem. |
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