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Medical Disability Advisor  >  Paresthesia  >  Treatment

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

Treatment

Treatment for paresthesia is based on the underlying cause of the symptom. For example, carpal tunnel syndrome is treated with wrist splints, anti-inflammatory medications, or surgical decompression. Cubital tunnel syndrome is treated with splinting or surgical decompression. Compression of a nerve in the lower leg (the common peroneal nerve) may be relieved by not crossing the legs. Radiculopathies are treated by avoiding activities that increase pain, following physical therapy, taking NSAIDs, limited bed rest, injections, and surgery when relief is not obtained through previous therapies. Diabetic neuropathy is treated by tighter control of blood sugar levels, topical analgesic medications, and oral medications including NSAIDs, antidepressants, and anticonvulsants. Vitamin B12 deficiency is treated with vitamin supplementation. Guillain-Barré syndrome is treated with plasmapheresis. Multiple sclerosis is treated with corticosteroid medications, interferon beta-1a and beta-1b, and glatiramer acetate.

Source: Medical Disability Advisor






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