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Nerve damage: numb feet, burning hands, tingling
Nerve damage: numb feet, burning hands, tingling: this guide covers half by symptom and half by cause, because both are searched: numbness and tingling in a…
This guide is general education, not a diagnosis or an individual treatment plan. Urgent, severe or worsening symptoms belong with the local emergency service or a qualified clinician.
What this guide covers
This guide covers half by symptom and half by cause, because both are searched: numbness and tingling in a stocking-and-glove pattern, burning feet at night, hands that go dead at night (median nerve, and the splint-first evidence), the outer thigh patch that is meralgia paraesthetica, foot drop, one-sided numbness that must be treated as a stroke until proven otherwise, and saddle numbness with bladder change as a same-day emergency.
Causes: diabetes and prediabetes, B12 (including the metformin link), alcohol, thyroid, chemotherapy, compression, idiopathic. Plus what a nerve conduction study is, the 10 g monofilament foot check, and which drugs have real evidence in neuropathic pain. One focused section asks: "Numb hands at night: which fingers tells you which nerve".
How to use it
Start with the description that most closely matches your question about Nerve damage: numb feet, burning hands, tingling. Use the evidence section to understand what is known, then use the boundary section to decide when self-education should stop and clinical care should begin.
The page keeps the main question, its evidence base and its limits together in one canonical place. That makes it useful as a quick orientation and avoids splitting a broad subject into shallow pages before each narrower answer has enough verified material of its own.
Search vocabulary in four languages
Terminology changes across borders. These are example phrases people use for the same subject in Estonian, Finnish, Russian and English; they are included as a practical vocabulary aid, not as hidden keywords.
| Language | Example phrase |
|---|---|
| Estonian | jalad tuimad ja kipitavad |
| Estonian | käed surisevad öösel |
| Finnish | jalat puutuu ja pistelee |
| Russian | немеют и покалывают ноги причины |
| English | numb hands at night which nerve |
Evidence and provenance
The evidence map below records the primary, official or openly licensed material chosen for this guide. It is deliberately visible so a reader can tell the difference between a rule published by an authority, a measured dataset and an editorial explanation.
Source: NICE CG173 neuropathic pain in adults (official), IWGDF guidelines on diabetes-related foot disease (open access), Toronto consensus on diabetic neuropathies (Diabetes Care, published), metformin and B12 evidence (DPPOS, published). · checked 2026-09-09
Source names are preserved even where an authority changes its web address. No figure is added to this launch page unless it is already present in the cited source description or can be computed from a named dataset.
Scope and boundaries
/feet covers diabetic foot care as footwear and daily checks; this covers the nerve itself, everywhere in the body, and the causes worth testing.
Connected TempoLife guides
The following paths are the intentional hand-offs named in the brief. They keep adjacent subjects separate while making the next useful reference easy to find.
Glucose
Continue to the related TempoLife reference.
Feet
Continue to the related TempoLife reference.
Tiredness
Continue to the related TempoLife reference.
Backpain
Continue to the related TempoLife reference.
Why it belongs on TempoLife
/glucose, /feet, /tiredness, /backpain, the apex B12 hub.
Frequently asked questions
What does this guide cover?
This guide covers half by symptom and half by cause, because both are searched: numbness and tingling in a stocking-and-glove pattern, burning feet at night, hands that go dead at night (median nerve, and the splint-first evidence), the outer thigh patch that is meralgia paraesthetica, foot drop, one-sided numbness that must be treated as a stroke until proven otherwise, and saddle numbness with bladder change as a same-day emergency. Causes: diabetes and prediabetes, B12 (including the metformin link), alcohol…
What evidence does it use?
NICE CG173 neuropathic pain in adults (official), IWGDF guidelines on diabetes-related foot disease (open access), Toronto consensus on diabetic neuropathies (Diabetes Care, published), metformin and B12 evidence (DPPOS, published).
Where does this guide stop?
/feet covers diabetic foot care as footwear and daily checks; this covers the nerve itself, everywhere in the body, and the causes worth testing.
Turn the reference into a routine
TempoLife brings food, movement, sleep and everyday health habits into one private place when you want to track what happens next.