What Causes Itchy Pins & Needles Feelings On Skin?
Itchy pins and needles feelings on the skin is a medical condition called paresthesia 1. Paresthesia is a very strange feeling, and it often causes individuals to worry about the possibility of a serious medical problem 1. However, itchy pins and needles are very common, and usually nothing to worry about. Paresthesia is due to a problem with nerve signals, whether due to internal problems or external pressure 1. Most cases appear and disappear spontaneously, or go away once the nerve compression stops.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Types
There are two types of paresthesia: transient and chronic 1. Transient paresthesia comes and goes, and chronic paresthesia is more constant 1.
Transient Paresthesia
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Transient paresthesia may happen when temporary nerve compression happens 1. This includes nerve compression from staying in one position too long while putting pressure on a nerve or putting too much weight on a nerve. Cold temperature exposure can also cause transient paresthesia 1. Hyperventilation and panic attacks are other causes of transient paresthesia 1.
Chronic Paresthesia
Chronic paresthesia is a dysfunction of neurons, and has a variety of medical causes 1. Circulation problems, common in the elderly, cause paresthesia 1. Diabetes, thyroid problems and nutritional deficiencies can also cause chronic paresthesia 1. Immune system disorders such as multiple sclerosis and lupus also cause chronic paresthesia 1. Shingles, a virus known as herpes zoster, is also a cause, as well as Lyme disease. Chronic nerve compression leads to chronic paresthesia 1. Other causes include transient ischemic attack, motor neurone disease and Guillain-Barre Syndrome. Frost bite may cause chronic paresthesia 1.
Considerations
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If a patient has concerns about paresthesia, she should consult her physician for a referral to a neurologist 1. Neurologists specialize in nervous system problems.
Identification
Neurologists diagnose nerve problems by running a variety of tests. Nerve conduction tests and electromyography help determine nerve signal issues. Blood tests help determine any vitamin deficiencies that cause paresthesia 1. Sometimes a doctor will run a spinal tap or order a magnetic resonance imaging (MRI) test to confirm suspicions of multiple sclerosis or other diseases.
Treatment
If there is an underlying condition, it requires treatment. Beyond that, the only treatment options are extremely temporary. These options include Prilocaine or Lidocaine. These are topical creams that provide some relief to individuals with paresthesia 1. Excess use of these creams can further paresthesia, so users must be careful to only use the prescribed amount 1.
- If there is an underlying condition, it requires treatment.
- These are topical creams that provide some relief to individuals with paresthesia 1.
Warning
People with paresthesia need to be careful when using the appendage affected 1. For instance, hand paresthesia may cause the person to drop things 1. Foot paresthesia may result in tripping and falling 1.
Related Articles
References
- Paresthesia
- National Institute of Neurological Disorders and Stroke. Paresthesia Information Page. Updated March 27, 2019.
- Cleveland Clinic. Numbness: Possible Causes. Updated January 29, 2019.
- National Institute of Diabetes and Digestive and Kidney Diseases. Peripheral Neuropathy. Updated February 2018.
- Merck Manual Professional Version. Numbness. Updated January 2019.
- Razazian N, Yavari Z, Farnia V, et al. Exercising Impacts on Fatigue, Depression, and Paresthesia in Female Patients with Multiple Sclerosis. Med Sci Sports Exerc. 2016;48(5):796-803. doi:10.1249/MSS.0000000000000834
- Koes BW, van Tulder MW, Peul WC. Diagnosis and treatment of sciatica. BMJ. 2007;334(7607):1313–1317. doi:10.1136/bmj.39223.428495.BE
- American Association of Neurological Surgeons. Herniated Disc.
Writer Bio
Katie Duzan is an accomplished writer who lives in Cary, N.C. She has been a writer since 2006. She has published a variety of articles on websites such as Overstock.com. Duzan holds a Bachelor of Science in business administration and computer information systems from the University of Arkansas, and currently attends the University of North Carolina at Charlotte where she is pursuing her Master of Arts in special education.