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[[Category:Needs overview]]
[[Category:Neurology]]
[[Category:Neurology]]
[[Category:Symptoms]]
[[Category:Signs and symptoms]]
[[Category:Primary care]]
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Revision as of 17:27, 11 June 2015

Paraesthesia Microchapters

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Overview

Historical Perspective

Pathophysiology

Causes

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

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Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

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Directions to Hospitals Treating Paraesthesia

Risk calculators and risk factors for Paraesthesia medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Medical Therapy

Treatment should be decided by a neurologist. Medications offered can include prednisone, intravenous gamma globulin (IVIG) and anticonvulsants such as gabapentin or gabitril, amongst others.

In some cases, rocking the head from side to side will painlessly remove the "pins and needles" sensation in less than a minute. A tingly hand or arm is often the result of compression in the bundle of nerves in the neck. Loosening the neck muscles releases the pressure. Compressed nerves lower in the body govern the feet, and standing up and walking around will typically relieve the sensation. [1]

An arm that has "fallen asleep" may also be "awoken" more quickly by clenching and unclenching the fist several times; the muscle movement increases blood flow and helps the limb return to normal.

In general;

  • Immobilization
  • Support vitamin deficiency
  • Treat infections or diseases that may be underlying

Pharmacotherapy

Acute Pharmacotherapies

  • NSAIDs, acetominophin, epidural steroids (if severe)
  • Painful peripheral neuropathies - treat with amitriptyline,desipramine, phenytoin, carbamezapine or topical capsaicin cram

References

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