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Tingling in arms and hands and legs and feet

(Keywords: Tingling in arms and hands, chiropractic, tingling in legs and feet, spinal cord )

Tingling in arms and hands, also in the lower limbs and the head and neck are distinct signs of nerves under stress. One should not jump to conclusions of rare neurological diseases, but they do occur and we will discuss some later, but rather think of basics.




For more information about Lou Gehrig's disease copy and paste this link into your web browser: http://web.alsa.org/site/MessageViewer?em_id=75667.0&dlv_id=78022



An aside: Neurological diseases strike fear into our hearts, and not without good reason, and images like this one below flash through our minds. Bad taste? Perhaps, but for the first time there have been some real break throughs in the prevention and possible treatment of serious illnesses like Motor Neuron Disease. Read further.

The first thought that should go through your mind should you begin to experience tingling, is one of adequate rest . Are you getting enough sleep? When did you last take a holiday? Have you been working too hard, or watching too many thrillers on TV? Or long hours trolling the net?



"An unhurried sense of time is in itself a form of wealth."

Bonnie Friedman







"If a cluttered desk is a sign of a cluttered mind, then what are we to think of an empty desk?"

Albert Einstein



The second thought concerns the B vitamin group . They are vitally involved in healthy nerves, preventing tingling in arms and hands, and legs and feet. Any deficiency will cause nerve degeneration. One such condition is called Pernicious Anemia, a deficiency of vitamin B12. Perhaps a B complex supplement? Jabs in the butt have been shown to be beneficial.


If you determine that you have anemia, consider adding both Vitamin B supplements and iron supplements to round out your diet. Iron deficiency and anemia can lead to fatigue, irritability and other complications. Consult with your doc to determine the appropriate dosages.




Obviously a B vitamin deficiency means aspects of the diet are lacking. (There is a rare condition is which B12 is not well absorbed, due to a deficiency of "Intrinsic Factor" secreted by the lining of the stomach, no matter how much B12 you consume, but we'll ignore that for the time being.) For more info about foods that you should be consuming for B vitamins, to prevent tingling in arms and hands, and elsewhere, click here. VITAMIN B and Generalised muscle weakness ...


A third thought concerns an irritated nerve in your spine, or even after it emerges from your spine. There are hundreds of possible causes, but these three webpages will give you some idea of what I am talking about. For information about possible causes of tingling in arms and hands, and elsewhere, click here.

And now for a bit of science. Perhaps not your strong point, but it's interesting. Stick with me!

SPINAL CORD

Tingling in arms and hands

This is a cross-section of your spinal cord. Ignore the little bits of details, but see two parts of the cord:

  1. The grey matter in the centre, in those funny shaped structures with horns. This is where the cell bodies of the nerves are. More about that later.
  2. The white matter outside of the horns. This is where the long tracts of nerves travelling up and down your spinal cord to the brain are found.

  • Also the motor nerve emerging at the bottom of the picture from the anterior motor horn in the grey matter on the way to muscles, and the sensory nerve returning higher up to the posterior sensory horn . Damage to the motor nerve causes muscle weakness, to the posterior sensory nerve you might experience tingling in arms and hands. Or legs.










  • Below you can see how it looks in situ in the spine. Now you can see the nerves coming in and out from of the spine, supplying the tissues of the body. They glide through a small gap in the spine called a foramen. Again, the one at the top, the sensory nerve brings information in to the cord, and that at the bottom, the motor nerve, sends information to the muscles. This is where the so-called Peripheral Nervous System begins. (as compared to the Central Nervous System , the brain and spinal cord)

    It is with this foramen where chiropractors work, nerves being irritated by either a facet joint injury, or a disc joint, both in close proximity to the mixed nerve in the foramen. More regularly we see tingling in arms and hands, and legs, but weakness occurs too if the motor nerve is injured.



    Guillain-Barre Syndrome

    Tingling in arms and hands

    If you live in a city of 100 000 people, then 1-2 persons will this year get GBS. About 5 000 total cases in the USA in one year. Fairly rare I think you will agree, so don't start assuming that the tingling you are experiencing is caused by GBS! It's a quite rare neurological disease.

    It's not known what causes GBS but it usually starts after a viral infection. Heavy sport while infected has been implicated. It can also be caused by vaccinations, still a very controversial subject in chiropractic circles, and has been reported after surgery.

    According to the Centre for Disease Control (CDC):

    What happened in 1976 with GBS and the swine flu vaccine?

    "In 1976 there was a small increased risk of GBS following vaccination with an influenza vaccine made to protect against a swine flu virus. The increased risk was approximately 1 additional case of GBS per 100,000 people who got the swine flu vaccine. The Institute of Medicine (IOM) conducted a thorough scientific review of this issue in 2003 and concluded that people who received the 1976 swine influenza vaccine had an increased risk for developing GBS. Scientists have multiple theories on why this increased risk may have occurred, but the exact reason for this association remains unknown."

    That means that the number of people who had the flu injection in that year nearly doubled the rate of GBS. A small risk? I have a cousin who developed GBS 5 days after a flu injection in 2010.

    It is a devastating, life threatening illness, from which victims usually spontaneously recover. It strikes both the sensory and motor parts of these peripheral nerve roots, so the cardinal signs are sudden onset of tingling in arms and hands and legs, usually starting in the legs, and then quite profound weakness.

    For the science bofs, this is a Lower Motor Neuron condition, so the reflexes are diminished, bilaterally.

    Since it may affect breathing, it can be life threatening.

    For more detailed information, click here. ( detail gbs )

    More about PERNICIOUS ANAEMIA

    Tingling in arms and hands

    Pernicious Anaemia was a fatal disease until about a century ago.

    Bizarre. The very smart doctor who worked this out, cured his patients by regurgitating his own digestive juices, and feeding it to his patients!

    Pernicious Anaemia too causes tingling in arms and hands, but it's a whole different kettle of fish.

    Firstly, the cause is different, a vitamin B-12 deficiency. Whilst this can be a dietary deficiency, especially for Vegans who eat absolutely no foods from animal sources, but more usually it is caused by repeated stomach disturbances leading to a chronic gastritis. For more about indigestion and heartburn, click here. INDIGESTION HEARTBURN ...



    Secondly, it is a Central Nervous System disease (brain and spinal cord, remember?!! We'll do page on Alzheimers later!), so the reflexes are increased and there is spasticity and muscle spasms.


    Take the Alzheimer's Test. How many fff's do you see?

    FINISHED FILES ARE THE RE

    SULT OF YEARS OF SCIENTI

    FIC STUDY COMBINED WITH

    THE EXPERIENCE OF YEARS...


    • Alzheimer's Heavy: You counted 3 fff's
    • Alzheimer's Light: Not so bad, you saw 4 ffff's
    • Senior Moment: You missed only one. 5 fffff's
    • Genius: I don't believe it. You got all 6 ffffff's. Well done. For some odd reason the brain has difficulty processing the word OF.


    A bit more SCIENCE, I'm afraid!

    Tingling in arms and hands

    We mentioned above the white matter in the spinal cord where the long bundles of nerves to and from the brain are found. Pernicious Anaemia affects two of them because Vitamin B-12 is essential for the building blocks of these nerves.

    • One of the bundles affected is travelling UP the cord, carrying vital information TO the brain.
    • The other travelling DOWN the cord FROM the brain.

    In the next picture, can you see those columns of white matter with the green dots? They are the so-called Posterior Columns that carry four very important nerve impulses to the brain, viz the ability to feel

    1. light touch
    2. knowing where your limbs are in space
    3. what is in your hand with your eyes closed
    4. vibration

    All of this is lost in Pernicious Anaemia which is one of the reasons why the patient experiences tingling in arms and hands.

    Pernicious Anaemia is particularly nasty because it also affects another bundle of nerves in the white matter, running in the opposite direction, down the cord. Can you see the Cortico-spinal tract in the next picture? This is the long bundle of motor nerves coming down the cord from your brain (mine too! I'm using the CST right now to type) in order to give instructions to the muscles. Take note of it. If it's damaged it produces quite different signs - weakness. No tingling in arms and hands either because it is a bundle of motor nerves.

    Actually, it's three different tracts. Makes no difference. Because they emerge from the Medullary Pyramids in the brain, a lesion of the cortico-spinal tract is called 'pyramidal'. Probably a bit of useless information for you so just forget it. Perhaps if you are a chiropractic student, rememember that a pyramidal lesion causes spastic weakness.



    Can you see why a stroke (just one of many conditions that can affect the Cortico-spinal tract) produces weakness on the opposite side of the body?

    Now, in the picture below, can you see the cell body of the motor neuron? (in the grey matter), and its Anterior Root (aka Ventral Root) going down to the muscle? This is what that bastard virus polio attacks. So the victim of polio would experience weakness rather than tingling in arms and hands and legs. But weakness of a quite different kind. When a cell body in Anterior Horn (in the grey matter) is attacked one gets a different sort of weakness, called flaccid paralysis.

    Think of the difference between someone with a stroke (spastic paralysis) and another with polio or Guillain-Barre (flaccid paralysis). Quite different, eh?

    AMYOTROPHIC LATERAL SCLEROSIS (ALS)

    ALS is a particularly nasty disease because, unlike Guillain-Barre it doesn't spontaneously resolve, nor like Pernicious Anaemia can it be cured (not yet, anyway) and unlike Polio which strikes, leaves its mark and move on, ASL just progresses. When the diagnosis is made, the patient finds their daily life torpedoed and their most fundamental expectations about life blown to smithereens.

    It's not usually hereditary (it is in 10% of cases).

    If you live that city of 100 000 people, two will get it this year. They will both die, usually within about three years, probably because they can't breathe. The muscles just stop working.

    ALS is horrid because it not only attacks the cell body of the motor neuron (same as polio does), but it also attacks the Corticospinal tract that brings info from the brain to the ventral motor cell body. Double motor wammy.

    The result is that ALS produces a bizarre mixture of signs. Weakness and wasting of muscles, muscle twitches and cramps, and increased reflexes. For the bofs, Upper Motor Neuron signs (because the Corticospinal Tract is damaged) and Lower Motor Neuron signs (because the cell body of the motor neuron is damaged). The end result - severe paralysis.

    Please note. Many of these signs occur in otherwise normal people. The twitching, cramping, etc. associated with ALS are the result of a dying muscle, therefore these symptoms without clinical weakness or atrophy of an affected muscle is likely not ALS. Because you have cramps in a calf muscle does not mean you are about to get a severe neurological disease! That on its own is usually caused by a mineral deficiency, perhaps zinc or magnesium, or another mineral.

    ALS may start with weakness but not tingling in arms and hands, and clumsiness (such as in doing up a button) or in the legs, in which case victims begin to stumble; or in the face - usually first affecting the voice and later swallowing - and finally the trunk muscles so breathing becomes difficult. This is the usual cause of death.

    Lou Gehrig

    Tingling in arms and hands

    ALS first hit the headlines when a very famous American baseball player contracted the disease. It usually starts around 40-50 years old. If you've seen the film, you will not have forgotten how Lou wacked the bottom of a bottle of tomato sauce and splattered the whole table.

    There is still no known cure or cause for Lou Gehrig's disease(ALS). Is it like polio and Guillain-Barre, a virus? Probably not. However, just recently, there have been some extremely interesting developments into the causes of ALS, and with what is known as a Ketogenic diet for a cure.



    RESEARCH

    • Netherlands study.
    • The diet of pre-illness ALS patients was compared with healthy controls, and the following results were reported:

      "A high intake of Poly-unsaturated fatty acids and vitamin E is associated with a 50–60% decreased risk of developing ALS, and these nutrients appear to act synergistically." For more information, (http://jnnp.bmj.com/cgi/content/abstract/78/4/367)

    • Japanese study
    • Again the diet of pre-illness ALS sufferers was compared with a normal group, and researchers came to the conclusion:

      "Our findings suggest that high intakes of carbohydrate and low intakes of fat and some kinds of fatty acids may, when combined, increased the risk of ALS."

      Incidently, the Japanese are getting some very encouraging results from high doses of a form of vitamin B12 called Methylcobalamin injected daily intra-muscularly. In tablet form it's quite useless, insufficient is absorbed due to an intestinal deficiency of "intrinsic factor" perhaps one of the causes of ALS.



      A bit of History

      In the 1920's an American chiropractor /osteopath, Dr Conklin postulated that epilepsy was caused by toxic chemicals in the brain, and put patients on long fasts of up to three weeks. Pretty extreme, I think you will agree, but the results were impressive, and despite his critics, considerable interest ensued.

      This produces a state known as ketosis, in which the body is forced to derive energy from body protein and fat in the absence of any dietary calories. Exactly how ketosis helps epilepsy is still not known, and much research is currently being done.

      Then the Mayo clinic started a treatment program, less severe than fasting, which produced similar effects with ketone bodies. The diet was very low in carbohydrate, with adequate protein for growth, and high in fat. It too produced convincing results with epileptic children.

      Interest then waned as anti-convulsive drugs started coming on to the market, and interest in Ketogenic diets lessened to the extent that it was almost non-existent.

      However, some clinics continued the use of the Ketogenic diet, one of which was the Johns Hopkins clinic. What really got the ball rolling was enormous interest generated by the successful treatment of Charlie Abrahams, son of a famous Hollywood producer, who despite medication suffered from uncontrollable seizures. Charlie's father then produced a film, First, Do No Harm , featuring Meryl Streep. Roughly 30% of children on the ketogenic diet had either no seizures, or they were 90% lessened. Most remain well controlled after returning to a 'normal' diet.

      The rest is history. The surge in interest in the Ketogenic diet, not just for seizures but for all neurological diseases soared. And for weight loss.

      Conclusions @ Tingling in arms and hands

      Much of this confirms what we already know. A diet high in starches, particularly simple carbohydrates like sugar, may be extemely toxic to the body.

      Secondly, that nerves are made primarily of fat, and that many of these diseases have to do with fat metabolism. Interestingly, on this high fat Ketogenic diet, the children did not get fat. In fact, they lost weight. The children of Europe and America are not fat simply because they eat too much fat, but too much starch and sugar.

      A diet rich in 'good' fats is extremely beneficial to the body. Where the research is now heading is whether long chain fatty acids are better, or mono-unsaturated fats, or ... and what are the best ratios, and sources, of these different oils. More fish oil? Or Avocados? More Olive oil or Evening Primrose oil? Cold pressed Sunflower ...Salvia Hispanica? Time will tell. Meantime, if a loved one starts with signs of a serious neurological disease, you know if which direction to guide them. Even Parkinsons is showing promising results.

      Hint: This salad (without the tomato) would score high on the ketogenic diet. Perhaps add more Feta (or tuna) and plenty of olive oil. Click here for an Olive garden salad recipe ...

    • Worms for diseases of the Immune System ? Are you serious? Deadly serious!

    • Strike Four Walk @ Tingling in arms and hands

      Research costs money. Big money. The kind of research that cracks frontiers takes the best minds and highly sophisticated equipment.

      We started this page with a depressing picture of a skeleton. I've pondered whether it was in poor taste. However, the reality of these nasty neurological disease is that people for no obvious reason, get sick and die.

      On the hand, for the first time there is now hope for sufferers of diseases like ALS. And it's only because of top thinkers who are stretching their minds, hoping against hope that they will discover a way forwards to stretch out the lives of the sick.

      Strike Four is a team of walkers dedicated to support these researchers. Will you help them strike ALS out? This page is still under construction. More will be added about tingling in arms and hands and feet and face. And about paralysis.

      CHIROPRACTIC

      Why all this on a chiropractic website? Because patients walk into our clinics every complaining of tingling in some part of their body. Usually it's an irritated nerve, such as in Meralgia Paresthetica which is a double crush syndrome. A nerve is pinched in the lumbar spine and in the groin producing pain and/or numbness down the side of the leg.




      LINKS @ Tingling in arms and hands

    • Go from Tingling in arms and hands and legs to MORE CHIROPRACTIC RESEARCH ...

    • Sciatica causes horrible pain in the leg, and sometimes weakness and numbness. LEG PAIN SCIATICA ...

    • Dizziness is also a different kind of tingling. DIZZY ...

    • MONTHLY NEWSLETTER @ Tingling in arms and hands

      Chiropractic-Help.com and Bernard-Preston.com send out a joint monthly newsletter. It covers an overview of a health topic (December 2010 issue #19: Retirement Sentiments), always a nutritional corner (such as Mussels, loaded with anti-oxidants), and a piece from Bernard Preston.

      Sign up at the bottom of any Chiropractic Help Page, for example this one on GRAYS ANATOMY TOUR , The newsletter is free, and one click cancels it if you find it boring or irrelevant. GRAYS ANATOMY TOUR … no doubt about it, Henry Gray was a genius.

      Do you enjoy classical guitar? I love it... here's another genius.



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