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Bernard Shakey

Numbness in foot

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I was diagnosed with PD a little over two years ago. At times I've had some tingling in my hands and legs. But for the past 24 hours I've had an intermittent tingling sensation in the front bottom of my left foot. It cycles on and off--I feel the tingling for a couple of seconds and then it stops for a couple of seconds. Do you think this is related to my PD or is it something else--maybe peripheral neuropathy? Thanks.

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You can get sensory changes on the side of the body your Parkinson start's on (or your worse side); however this sounds more like a disc compression or nerve compression.  Best to see a neurologist.  If it resolves with dopamine it could be PD related.

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Dr. Okun,

Is it likely to get sensory changes before motor symptoms of Parkinsons?  Or do motor symptoms typically occur first?

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In most cases the motor symptoms occur first.  Sensory symptoms occur in a small minority of PD patients.

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On ‎3‎/‎22‎/‎2017 at 3:49 PM, Bernard Shakey said:

I was diagnosed with PD a little over two years ago. At times I've had some tingling in my hands and legs. But for the past 24 hours I've had an intermittent tingling sensation in the front bottom of my left foot. It cycles on and off--I feel the tingling for a couple of seconds and then it stops for a couple of seconds. Do you think this is related to my PD or is it something else--maybe peripheral neuropathy? Thanks.

I have this also.  It doesn't hurt or bother me but it is a curiosity!

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That type of tingling is often arthritis in the back or a slipped disk.  There are many causes and Parkinson would be down the list of possibilities based on your description.

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Hi doc,I  get the same tingling on my worst side few minutes after taken my meds and when it wears off,And I have done spinal MRI to rule out nerve compression/radiculopathy.My neurologist thinks it is parkinson disease related,Currently taking ropinirole.

 

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If it is related to medications or medication timing it could be Parkinson related.

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Hi Doctor,

Not to cause thread drift but you talk about "sides".  Do all PD patients eventually have the disease spread to both sides of the body or can motor related symptoms stay on one side for the patient's lifetime (tremoring etc)?

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Dr. Okun

I seem to have a mix of all the above. The Sinemet helps me manage the burning/tingling in both feet/legs. I have similar sensations and relief in my arms/shoulders but my legs far worse . My Chiropractor wants to use a decompression therapy machine to determine if my problems are structural or metabolic . This would take 10 to 20 treatments. Are you a fan of this type of therapy or have another idea ?

I sincerely thank you. 

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I do not believe a decompression machine is appropriate to treat numbness and neuropathy.

In typical garden variety Parkinson the motor symptoms will appear eventually on both sides....one side may be so mild that you need a carefully examination to uncover the symptoms...

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