Neurology
Neuropathy & Nerve Disorders
Peripheral nerve problems can cause numbness, tingling, weakness or pain. Neurology assessment considers the pattern of symptoms and possible underlying causes.
What the assessment may include
A clinician asks about tingling, numbness, pain, weakness and balance, including where symptoms start and whether they affect one or both sides. Diabetes, other conditions and medicines may be relevant. Examination and tests are selected according to the history; not everyone needs the same investigations.
Protecting areas with reduced sensation
If you have reduced feeling in your feet, ask how to check them and whom to contact about a cut, blister or wound that is not healing. Treatment depends on the cause as well as symptoms. Discuss any change in walking or worsening weakness with the clinician.
Symptoms beyond tingling
Explain whether symptoms affect one area or both sides, whether they come and go, and whether they are changing. Numbness, altered sensation, pain and weakness are different features, so describe each rather than grouping them all as poor circulation. Mention problems with balance, footwear, hand use or walking that have developed alongside them.
Take a medicine list and relevant medical history, including existing diabetes care or previous nerve tests. An examination helps decide what further assessment is useful. Not everyone with tingling needs the same blood tests or nerve investigations.
Protecting function while the cause is assessed
Ask whether the plan is directed at an underlying condition, the symptoms or both. If sensation is reduced, discuss looking after the affected area and recognising injuries you may not feel normally. Bring up tasks that have become unsafe so practical support can be considered.
Agree what to monitor and when to review the response to care. Let the clinician know about progression, new weakness or difficulty walking rather than waiting only for the next scheduled visit. Sudden neurological symptoms need urgent assessment and should not be assumed to be part of an existing chronic nerve problem.
Frequently asked questions
Can tingling in the feet be a nerve problem?
It can be, but tingling has several causes. A clinician can assess the pattern and consider tests.
Can diabetes cause neuropathy?
Diabetes is one possible cause of peripheral neuropathy. An assessment is needed to understand your symptoms.
Should a foot wound be checked if I have reduced sensation?
Yes. Contact your healthcare team promptly about a new or non-healing wound.
Will I need tests for neuropathy?
Some people need tests, but the choice depends on the history and examination.
Sources and further reading
These sources provide general health information. Recommendations and services may differ by location; discuss your care with your clinician.