Numbness in Toes

The primary symptom of numbness in your toes is a loss of sensation. This can significantly impact your sense of touch and balance because you won’t be able to feel the position of your toes on the ground.

While the main symptom is this loss of sensation, you might also experience some other unusual feelings. These can include:

– A prickling sensation

– A pins-and-needles feeling

– Tingling

– A weak or feeble feeling in your toes

 

These additional symptoms can be helpful for your doctor to diagnose the underlying cause of the numbness in your toes.

 

What causes numbness in your toes?

Your body has a intricate system of nerves that connect your toes and fingers to your brain. If any of these nerves leading to your toes are damaged, blocked, infected, or squeezed, you could feel numbness in your toes.

There are several medical conditions that can cause this numbness:

 

Alcoholism or Chronic Alcohol Abuse

When you drink alcohol excessively over a long period, it can severely impact your nerve health. Alcohol depletes essential vitamins, especially B vitamins, which are crucial for maintaining healthy nerves. Additionally, alcohol itself is toxic to nerve cells. This combination can lead to peripheral neuropathy, a condition where the nerves in your hands and feet get damaged, causing numbness, tingling, and pain.

 

Charcot-Marie-Tooth Disease

Charcot-Marie-Tooth disease is a genetic disorder that affects the protective covering around your nerve fibers called the myelin sheath. Without this sheath, nerve signals get disrupted. Over time, this leads to progressive nerve damage that causes weakness, muscle wasting, and numbness in your feet and hands.

 

Diabetes and Diabetic Neuropathy

High blood sugar levels associated with diabetes can damage both the nerve fibers themselves and the blood vessels that supply them. This results in diabetic neuropathy, which often causes numbness, tingling, and pain in your feet.

 

Frostbite

Frostbite occurs when your skin and underlying tissues freeze due to extreme cold. If not treated promptly, frostbite can cause permanent damage to the nerves in the affected area. This means you might experience long-term numbness or loss of sensation in those areas.

 

Guillain-Barré Syndrome

Guillain-Barré syndrome is an autoimmune disorder where your immune system mistakenly attacks the myelin sheath around your nerve fibers. This leads to rapid onset of muscle weakness and numbness that typically starts in your feet and can spread to other parts of your body.

 

Herniated Disk

A herniated disk happens when one of the spinal disks bulges out and compresses nearby nerves. If this compressed nerve runs down to your lower extremities, you might feel numbness or tingling sensations in your feet.

 

Lyme Disease

Lyme disease is caused by a bacterial infection from a tick bite. In some cases, this infection can affect your nervous system. Neurological symptoms may include numbness or tingling sensations due to inflammation of the nerves.

 

Morton’s Neuroma

Morton’s neuroma involves thickening of tissue around a nerve between your toes. This thickened tissue compresses the nerve, leading to pain, numbness, and tingling in your toes.

 

Multiple Sclerosis

Multiple sclerosis is an autoimmune disease that damages the myelin sheath around nerve fibers in your central nervous system (brain and spinal cord). This damage disrupts communication between your brain and the rest of your body, potentially causing numbness or tingling sensations in various parts of your body, including your toes.

 

Peripheral Arterial Disease (PAD)

Peripheral arterial disease involves narrowing or blockage of blood vessels that supply blood to your limbs. Reduced blood flow can lead to nerve damage because nerves don’t get enough oxygen and nutrients. This results in numbness or pain in your feet.

 

Peripheral Vascular Disease (PVD)

Peripheral vascular disease is similar but affects all peripheral blood vessels. Reduced blood flow due to narrowed or blocked vessels can cause nerve damage leading to numbness or pain in your feet.

 

Sciatica

Sciatica occurs when the sciatic nerve (which runs from your lower back down through each leg) gets compressed or irritated. This compression causes pain, numbness, and tingling that radiates from your lower back down into one or both legs and toes.

 

Shingles

Shingles is caused by reactivation of the varicella-zoster virus (the same virus that causes chickenpox). It affects nerve fibers near where it reactivates and often causes a painful rash along with numbness or tingling sensations along affected nerve paths.

 

Side Effects of Chemotherapy Medications

Some chemotherapy medications are toxic to nerves and can directly damage nerve fibers. This leads to peripheral neuropathy characterized by numbness, tingling, and pain in hands and feet.

 

Spinal Cord Injury

A spinal cord injury disrupts communication between your brain and parts of your body below the injury site. Depending on where the injury occurs on the spinal cord, it may cause numbness or loss of sensation below that level—including in your toes if it’s a lower spinal cord injury.

 

Vasculitis or Inflammation of Blood Vessels

Vasculitis involves inflammation of blood vessels which can affect blood flow and nerve function. This inflammation reduces oxygen and nutrient supply to nerves, leading to damage and resulting in numbness or tingling sensations.

Each of these conditions has its unique way of impacting nerve health and causing numbness in different ways. Understanding the underlying cause is crucial for proper diagnosis and treatment.

You might also experience numbness in your toes after sitting for a long time. This sensation loss, often referred to as “going to sleep,” happens because the nerves leading to your toes get compressed while you’re sitting. When you stand up and blood flow returns, your toes may feel numb. Usually, this is followed by a pins-and-needles sensation before circulation and sensation return to normal.

 

Diagnosis Numbness in the Toes

When you experience numbness in your toes, your healthcare provider will use a variety of tests to figure out what’s causing it.

Blood Tests

To check for underlying conditions: Blood tests can help identify if there are any underlying health issues, such as diabetes or vitamin deficiencies, that could be contributing to the numbness.

X-rays

To look at bone structure: X-rays can provide images of your bones and help your doctor see if there are any structural problems, like a herniated disk or bone fractures, that might be compressing nerves.

Computed Tomography (CT Scan)

For detailed images: a CT scan uses X-rays and computer technology to create detailed cross-sectional images of your body. This can help your doctor see if there are any abnormalities in your spine or other areas that could be causing the numbness.

Positron-Emission Tomography (PET Scan)

To observe metabolic activity: a PET scan uses a small amount of radioactive material to observe metabolic activity in your body. It can help identify areas where there might be abnormal nerve function or other issues.

Magnetic Resonance Imaging (MRI)

For detailed nerve and tissue images: An MRI uses magnetic fields and radio waves to create detailed images of your internal structures, including nerves and soft tissues. This is particularly useful for diagnosing conditions like multiple sclerosis or nerve compression.

Nerve Conduction Tests and Electromyography (EMG)

To assess nerve function: These tests measure how well your nerves are working. Nerve conduction tests check how fast electrical signals move through your nerves, while EMG evaluates the electrical activity of your muscles to see if there’s any nerve damage.

How to Treat Numbness in Toes

If you’re experiencing numbness in your toes, your healthcare provider will likely recommend one or more treatment options based on the underlying cause. Here’s a breakdown of the various treatments that might be suggested:

Physical Therapy

For neurological conditions or peripheral neuropathy: Physical therapy can help improve muscle strength and function. This is especially useful for conditions that affect nerve health and muscle control.

Surgery

Lumbar discectomy for a pinched nerve: If a herniated disk is compressing a nerve, surgery may be necessary to relieve the pressure and restore normal nerve function.

Nerve Pain Medications

To dull pain and reduce abnormal sensations: Medications specifically designed to manage nerve pain can help alleviate the discomfort and unusual sensations associated with numbness.

Stress Management and Relaxation Techniques

To reduce anxiety: Stress and anxiety can exacerbate symptoms of numbness. Techniques like meditation, deep breathing, or yoga can help manage stress levels.

Disease-Modifying Therapy

For conditions like multiple sclerosis: This type of therapy aims to slow down the progression of diseases that affect the central nervous system, such as multiple sclerosis, which can cause numbness in the toes.

Diabetic Neuropathy Medications

Anti-seizure drugs like pregabalin: These medications are often used to block nerve pain signals in people with diabetic neuropathy, helping to reduce the numbness and pain associated with this condition.

Medications for Anxiety

To help with symptoms of a panic attack: If anxiety is contributing to your numbness or if you experience panic attacks, medications specifically for anxiety can be beneficial.

Medications for Fibromyalgia

Pregabalin, duloxetine, and milnacipran HCI: These medications are used to treat fibromyalgia symptoms, which can include numbness in the toes. They work by addressing both pain and mood disturbances.

Dietary Changes and Vitamin Supplementation

To fix deficiencies: Ensuring you have a balanced diet and supplementing with essential vitamins can help correct any deficiencies that might be contributing to nerve damage or numbness.

Alternative Treatments

Reflexology: While research is limited, some people find alternative treatments like reflexology beneficial for managing conditions that cause toe numbness, such as diabetes. Reflexology involves applying pressure to specific points on the feet to stimulate healing and relaxation.

Each of these treatments targets different aspects of what might be causing the numbness in your toes. Your healthcare provider will help determine the best course of action based on your specific situation.