I've been experiencing numbness in my second toe for the past 2 days after wearing heels for an extended period. Additionally, my recent reports show low levels of Vitamin B12 and D. Could you please advise on the possible cause and treatment for the numbness, considering my vitamin deficiencies?
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Numbness in the second toe following prolonged use of heels, combined with documented Vitamin B12 and D deficiencies, can be multifactorial in origin.
The most likely causes include:
1. Local compressive neuropathy – Prolonged pressure from high heels can irritate the digital nerves, especially the second interdigital nerve, possibly leading to a Morton’s neuroma or entrapment neuropathy.
2. Peripheral neuropathy – Low Vitamin B12 is a well-known cause of sensory neuropathy, which may present with distal paresthesias, especially in the feet.
3. Biomechanical stress – Altered foot posture in heels can lead to metatarsalgia, capsulitis, or local nerve irritation.
4. Vitamin D deficiency – While not directly causing numbness, it may contribute to neuromuscular fatigue, altered gait, and overall foot discomfort.
Given the overlap of mechanical, nutritional, and neurological factors, a thorough clinical examination is essential to pinpoint the exact cause. Management may include nerve conduction studies, foot posture analysis, and addressing the vitamin deficiencies in a structured manner.
I would recommend a personal consultation so we can evaluate this comprehensively and initiate the appropriate treatment plan tailored to your condition.
B12-
Tab nurobion forte 1-0-0 3 months
Or
Inj vitcofol 2cc IM once a week 6 weeks
D3-
T tayo 60k once a day for 5 days then
Once a week for 6 weeks then
Once a month for 6 month
Or
Inj arachitol 6lac IM once a week 8 weeks
Vitd3
Uprise d60k once a week for eight weeks, followed by one per month for six months a complete therapy by WHO.
VIT B12
TAB NEUROKIND OD ONE AT NIGHT FOR 3 MONTHSAFTER DINNER.
Numbness is due to extend wearing of heals. It's temporary.
Ok
As per ur history the possible cause for numbness is wearing of heels, ct ur multivitamin deficiency treatment and avoid heels.. if it's continue after a month please consult for more detailed history
Low level of vitamin b 12 is unlikely to cause numbness in in a single toe.Mostly it could be due to local nerve pressure as a result of tight fitting shoes.Avoid high heels and tight fitting foot wear for a few days.You can take neurobion forte for low vitamin b 12.
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life .
Dear Patient,
Thank you for sharing your concerns about the numbness in your toe and your recent vitamin deficiencies. Here’s a detailed assessment and guidance for your condition:
Possible Causes of Numbness:
1. Nerve Compression:Wearing heels for extended periods can compress nerves in the feet (e.g., Morton’s neuroma or pinched nerves), leading to temporary numbness.
2. Vitamin Deficiencies: Low **Vitamin B12** and **D** levels are known to cause peripheral neuropathy (nerve-related numbness/tingling). B12 is crucial for nerve health, while Vitamin D supports nerve function.
3. Poor Circulation: Tight footwear may also restrict blood flow, contributing to numbness.
Recommended Steps:
1. **Footwear Adjustment:**
- Avoid heels or tight shoes until symptoms resolve.
- Opt for comfortable, well-fitted footwear with cushioning.
2. Vitamin Supplementation:
- **Vitamin B12:** Take **methylcobalamin supplements** (as prescribed) to correct the deficiency. Dietary sources (eggs, dairy, lean meats) can help.
- Vitamin D: Follow the advised regimen (e.g., **Uprise D60K once weekly** for 8 weeks, then monthly). Sun exposure and fortified foods (milk, fish) aid recovery.
3. Symptom Relief:
- Gentle foot massages and warm soaks may improve circulation.
- Over-the-counter pain relievers (e.g., paracetamol) can ease discomfort if needed.
4. When to Seek Further Evaluation:
- If numbness persists beyond a week or spreads to other areas.
- If you develop weakness, burning pain, or balance issues.
Consultation Recommendation:
While these measures may help, persistent numbness warrants a clinical examination to rule out other causes (e.g., diabetes, chronic neuropathy). For personalized advice and a detailed treatment plan, you’re welcome to connect with me. Feel free to reach out on WhatsApp at **Eight Zero Zero Nine Eight Two One Three Three Two** to discuss further.
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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