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Medical Disability Advisor  >  Paresthesia  >  Return To Work

Paresthesia


Related Terms


  • Numbness and Tingling
  • Pins and Needles
  • Sensation Disturbance

Differential Diagnoses


  • Alcoholic neuropathy
  • Carcinomatous neuropathy (breast or lung cancer)
  • Diabetic neuropathy
  • Entrapment neuropathies (carpal tunnel, cubital tunnel, peroneal neuropathy)
  • Guillain-BarrĂ© syndrome
  • Human immunodeficiency virus (HIV)
  • Hypocalcemia
  • Medication side effect
  • Multiple sclerosis
  • Radiculopathy (cervical or lumbar)
  • Restless legs syndrome
  • Toxicologic conditions
  • Vitamin B12 deficiency

Specialists


  • Endocrinologist
  • Family Practice Physician
  • General Surgeon
  • Hematologist
  • Internal Medicine Physician
  • Medical Toxicologist
  • Neurologist
  • Orthopedic (Orthopaedic) Surgeon
  • Pharmacologist
  • Physiatrist
  • Preventative Medicine Specialist

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Factors Influencing Duration


Length of disability is based on the primary disease, not the paresthesia. However, paresthesia can complicate the primary disease and influence the length of disability.

Medical Codes


ICD-9-CM:
782.0 - Symptoms Involving Skin and Other Integumentary Tissue; Disturbance of Skin Sensation; Anesthesia of Skin; Burning or Prickling Sensation; Hyperesthesia; Hypoesthesia; Numbness; Paresthesia; Tingling

Return to Work (Restrictions / Accommodations)


Accommodations may include work environment design to avoid self-injury. Individuals with carpal tunnel syndrome and other nerve entrapment syndromes may need to avoid activities that exacerbate symptoms. Ergonomic keyboards and reconfiguring the work area may be necessary to help keep the wrist in proper alignment. Individuals with cervical or lumbar radiculopathy may also require work restrictions and accommodations to prevent exacerbation of symptoms and underlying condition. These individuals are often unable to lift and bear weight. Individuals with paresthesias due to diabetic neuropathy may need to regularly monitor their blood sugar and take insulin. Workplace and avocational exposures to potential toxins may need to be modified using appropriate industrial hygiene techniques.

Source: Medical Disability Advisor






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