01/27/2026
Causes of pain and/or numbness in hands or feet:
Hand and foot numbness (typically in both hands and both feet, often in a symmetrical "gloves-and-stocks" pattern) is most commonly caused by problems in the **peripheral nervous system** and the brain or spinal cord. Here are the most frequent causes, ranked roughly from most common to less common:
# # # Common Causes
1. **Peripheral neuropathy** (damage to the peripheral nerves)
- Diabetes (diabetic neuropathy) – by far the #1 cause worldwide
- Statin Medications
- Vitamin B12 deficiency
- Alcohol-related neuropathy
- Chemotherapy or certain medications
- Chronic kidney disease
- Idiopathic neuropathy
2. **Nerve compression/entrapment** (less likely to affect both hands and feet at once)
- Carpal tunnel syndrome (hands only)
- Tarsal tunnel syndrome or morton’s neuroma (feet only)
- Usually not symmetrical in all four limbs
3. **Spinal cord or nerve root problems** (can affect hands + feet, but usually with other signs)
- Cervical spinal stenosis (neck) + lumbar spinal stenosis (low back) together
- Severe vitamin B12 deficiency causing subacute combined degeneration of the spinal cord
- Rarely multiple sclerosis or transverse myelitis
4. **Systemic/autoimmune diseases**
- Guillain–Barré syndrome (often starts in feet, ascends)
- Chronic inflammatory demyelinating polyneuropathy (CIDP)
- Sjögren’s syndrome, lupus, rheumatoid arthritis
- Small-fiber neuropathy (burning pain + numbness)
5. **Toxic exposures**
- Heavy metals (lead, arsenic)
- Excess vitamin B6 (pyridoxine)
- Certain industrial chemicals
# # # Red Flags (See a Doctor Quickly)
- Rapidly progressing numbness or weakness
- Numbness that starts in the feet and moves upward
- Loss of bladder/bowel control
- Difficulty walking or frequent falling
- Associated back/neck pain, vision changes, or speech problems
- Balance issues
# # # Quick Self-Check Questions
- Do you have diabetes or prediabetes?
-Do you take Statin Medications?
- Do you drink alcohol heavily?
- Are you vegan or have gastric bypass history? (B12 risk)
- Is the numbness burning, tingling, or like “pins and needles”?
- Do you have balance issues?
- Does it feel like you’re walking on cotton or wearing socks/gloves when you’re not?
Don't let anyone tell you there is nothing you can except take medications!! We have an advanced home treatment program available that has a very high success rate treating peripheral neuropathy.
If you have any of the symptoms below, give us a call today.
Hopkins Health
904-468-2167
3321 S. Fletcher Ave
Fernandina Beach, FL 32034