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Feeling cold feet without actually what they might indicate a neurological problem

Lately, I feel I have cold feet long, but they are not touching. Could this be a symptom of something that is coming?

RESPONSE Dr. John Jones, Vascular Center, Mayo Clinic in Rochester, Minnesota, USA:
Although to clarify the exact source of the symptoms is necessary to perform a physical examination and diagnostic tests, a possible cause to feel cold feet, but actually they are, is to have a neurological problem as peripheral neuropathy.
Naturalmente, hay muchas razones para que los pies se enfríen y la más obvia es el ambiente frío, combinado a la falta de calzado adecuado o de medias. De igual manera, el sudor frecuente o constante (hiperdrosis), generalmente producto del nerviosismo o de literalmente “quedarse helado en los pies”, también puede provocar frío en los pies, sobre todo si la evaporación produce un enfriamiento rápido. Por otro lado, los pies igualmente pueden enfriarse cuando el flujo sanguíneo no es bueno en las arterias que los abastecen. Sin embargo, en todas estas circunstancias, los pies están realmente fríos al tocarlos.

Por lo general, cold sensation in the feet is benign and there is no serious underlying cause. However, feeling cold feet are not really what could indicate a nerve problem, such as peripheral neuropathy that can cause this symptom. Peripheral neuropathy occurs as a result of nerve damage or injury caused by any underlying medical disorder. Diabetes is one of the most common causes of peripheral neuropathy, although the disease can also result from a vitamin deficiency, metabolic problems, kidney disease, liver disease, and exposure to toxins. Peripheral neuropathy also be inherited and sometimes never found the cause for the disease.

Peripheral nerves are those nerves outside the brain and spinal cord (central nervous system). Peripheral neuropathy usually starts in the longest nerves in the body that are coming to the toes, hence, symptoms usually appear first in the feet and then at the bottom of the legs. Other possible symptoms of peripheral neuropathy are feeling numbness, tingling, burning or pins and needles in the feet and legs that may spread to the hands and arms as well as stabbing or burning pain and sensitivity to touch. As peripheral neuropathy progresses, a person could lose feeling, lose coordination and muscle weakness present.

You should see a doctor to evaluate your situation. If the doctor suspects a peripheral neuropathy or other nerve damage, there are several tests that could be made to discover the underlying source of the problem. To help with diagnosis, the doctor may talk to you about your medical history and perform a physical and neurological exam that would include a review of reflexes, strength and muscle tone, the ability to feel certain feelings, and their posture and coordination.

addition, you may do blood tests to check the level of vitamins, thyroid function, blood sugar levels, as well as liver and kidney function, because this can also affect nerves. In addition, your doctor may suggest you undergo an electrophysiological test, known as electromyography (EMG), and a nerve conduction study. Both tests measure the electrical signals from the peripheral nerves and how well they transmit signals to the muscles.

In some cases it may be necessary to perform a nerve biopsy (procedure that removes a small piece of a sensory nerve near the ankle to check for problems) and imaging tests such as MRI or CT scan to determine the cause nerve damage.

is important for a doctor to evaluate your situation soon. If the source of the problem was peripheral neuropathy and cold sensation in the feet just a symptom of it, you could find in the early stages of the disorder and in that case, maybe all you need would be to discover and treat the underlying cause of nerve damage. In contrast, if allowed to proceed nerve damage, the person may feel pain and other symptoms that may be more difficult to treat successfully.