17 Causes of Tingling in Hands and Feet You Shouldn’t Ignore!

Possible Causes of Tingling in Hands and Feet

Many cases of tingling or "pins and needles" in the hands and feet are linked to peripheral neuropathy, a condition that results from nerve damage. This nerve damage can cause numbness, weakness, and tingling sensations.

Various factors contribute to peripheral neuropathy. In the U.S. alone, around 20 million people suffer from this condition. Here, we will explore the causes of peripheral neuropathy and other factors that can lead to tingling.

1. Pinched Nerve

Tingling or numbness in the hands and feet can be caused by a compressed or irritated nerve in the lower back, often due to injury or swelling. Other symptoms of nerve compression include pain and limited movement.

Treatment Options:

• Rest

• Medication

• Physical therapy

• Surgery (if other treatments fail)

2. Toxins

Exposure to certain toxins—either through ingestion or skin absorption—can lead to tingling sensations in the limbs.

Common toxins include:

• Arsenic

• Thallium

• Mercury

• Antifreeze

Immediate medical treatment is required based on the type of toxin involved.

3. Alcohol

Alcohol is a neurotoxin that damages nerve tissue. Excessive drinking can lead to a form of peripheral neuropathy called alcoholic neuropathy, which causes pain, tingling, and numbness in the hands and feet.

Studies show that 25–66% of chronic alcohol users develop alcoholic neuropathy. Reducing or quitting alcohol is the primary treatment.

4. Anxiety

People with anxiety often experience rapid breathing (hyperventilation), which can disturb the balance of oxygen and carbon dioxide in the blood, leading to tingling in the feet.

In some cases, psychological factors may also play a role—people with anxiety tend to become more aware and sensitive to bodily sensations, amplifying the tingling sensation.

Treatment Options:

• Cognitive Behavioral Therapy (CBT)

• Talk therapy

• Anti-anxiety medication

• Relaxation techniques (yoga, meditation, breathing exercises)

5. Pregnancy

Many pregnant women experience tingling in their feet due to pressure from the growing uterus on the nerves.

Relief Tips:

• Stay hydrated

• Change sitting and sleeping positions frequently

• Elevate your legs while resting

When to See a Doctor:

• Persistent tingling that doesn’t go away

• Weakness in hands or feet

• Swelling in hands and feet

6. Repetitive Strain Injury (RSI)

Performing repetitive movements for prolonged periods without breaks can cause nerve compression, leading to tingling in the hands. Poor posture may also contribute to RSI.

Commonly Affected Areas:

• Hands and wrists

• Forearms and elbows

• Neck and shoulders

Other Symptoms:

• Sharp or dull pain

• Tenderness

• Muscle stiffness

• Pulsing sensation

• Weakness

• Muscle cramps

Treatment Options:

• Anti-inflammatory medications

• Cold compress

• Compression bandages

7. Vitamin Deficiencies

Deficiencies in vitamins E, B1, B6, B12, or niacin can cause nerve damage, leading to tingling in the hands and feet. Vitamin B12 deficiency is a common cause of peripheral neuropathy.

Other Symptoms of Vitamin Deficiencies:

• Confusion

• Shortness of breath

• Extreme fatigue

• Headaches

• Digestive problems

• Chest pain

• Nausea

• Enlarged liver

Treatment: A healthy diet or vitamin supplements can help restore proper levels.

8. Multiple Sclerosis (MS)

MS is a chronic disease that affects the brain and spinal cord. According to the National MS Society, tingling in the feet is often one of the first symptoms of MS.

Other Symptoms of MS:

• Vision problems

• Pain and muscle spasms

• Severe fatigue

• Dizziness

• Balance issues

• Bladder dysfunction

• Sexual dysfunction

• Cognitive impairment

If you suspect MS, consult a doctor for early diagnosis and treatment.

If tingling in your hands or feet occurs frequently or is accompanied by pain, weakness, or swelling, seek medical attention to determine the underlying cause and receive proper treatment.