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Been on the Paleo diet for about 8 months. About two weeks ago, after heavy computer work I started feeling some numbness in my left hand (I'm right-handed) and some in my forearm and lots of soreness between my shoulders. I figured I spent too much time at the computer and tried to layoff some. However, my numbness didn't go away so I went to see doctor. They checked my heart, blood pressure, took EKG and blood. They found nothing (except high cholesterol -- although good ratios and mostly Pattern A LDLs). Anyway, they thought carpal tunnel and told me to wear a wrist splint and take some advil.

Well a good week later the numbness is now localized in my thumb and now I am also getting soreness and sensitivity in my finger tips (both hands-they feel sensitive to touch and sometimes feel hot (as if your hands were cold and you inside to a warm room).

Have been seeing a chiropractor and saw an Osteopath (who both dealt with my neck and back), although the finger issue wasn't as prevalent when I saw the Osteopath. Haven't been back to my regular doctor yet as didn't want to have to deal with them wanting me to go on statins. Do have an appointment in a week with a neurologist and am trying to get an doctor's appointment with a doctor somewhat nearby who I got off the Paleo Physicians network. Anyway, it is the finger sensitivity issue that concerns me and makes me wonder about diet.

I am 57 yr old male, work out fairly regularly and in decent shape (had no real health issues before going Paleo. Diet is mostly grassfed meats, veggies, minimal fruit (strawberries and blueberries a few days/week), some dairy (cream). Was taking about 200-400mg Magnesium shortly before issue started, but noticed no difference. Also take about 4,000iu of Vit. D. Cook mostly with coconut oil and butter. My diet has been pretty consistent and not changed much since been paleo. Have also been a bit light-headed during this numbnesss period (although some of it could be nerves).

Any thoughts?

Jeff

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Related to my lightheadedness. Is it possible to be in ketosis without losing weight? Some of how I have been feeling is very similar to the ketosis state I was in when I first started the diet, however, I have not gained or lost any weight lately. – jstern Mar 12 2011 at 18:49

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I am a neurosurgeon.....see this a lot. Tap over your wrist crease and palm of your hand and see if you get a pain of electrical shock. You need to do it briskly. If you get pain or numbness that is call a positive Tinel sign. If you do put your hands upabove your shoulders and bend your wrists so the are at ninty degrees to your forearm. If you develop numbness in the thumb or next two fingers of medial part of the ring finger you likely have carpal tunnel syndrome. That is Phalens sign. Now if this is also associated with neck pain and limitied range of motion, especially lateral bending that also causes the numbness and pain you might have double crush syndrome. Then you need to see a guy like me. That means your disc is compressing the cervical nerve root and the the tranverse carpal ligament is pressing on the median nerve to cause the CTS. CTS is much more prevalent in diabetics. Disc problems are very common is smokers or people with high omega six consumption and fructose consumption and low vitamin D levels. You can have both together or one of the other. If its CTS you get an exam and EMG. If the neck is involved we add a MRI to the work up. Then tell you what we think........treatment options. I hope this helps. Good Luck.

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Don't notice anything different if I tap the crease of my wrist. If I hold my hand/arm above my head and bend my wrist I do get a bit more numbness (not significantly more but some). My neck is stiff on the right side. – jstern Mar 12 2011 at 13:36
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I've gone through a lot of these symptoms, and can say it's not diet related. It doesn't necessarily be carpal - you can have a nerve pinched somewhere in your shoulder area, which can translate to numbness in the fingers. I've experienced this more than once, and as soon as I can get everything popped into place, it's immediately better. Lots of stretching can help unpinch, if that's what it is. If it's carpal tunnels, shop around for a doc and ask people in your area who have had the surgery - not everyone gets relief from it. I don't know much about the surgery, but my guess is that the better the surgeon, the better the results.

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Ditto-not diet related. – Annie Mar 12 2011 at 1:02
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About 10 years ago, my husband started having mild numbness, it would come and go. Then it got worse and eventually it became about half his body that would go numb. When he finally went to his doctor they sent him to the emergency room they were so worried. He had a million tests and even had a neurology consult. In the end they found NOTHING. It turned out to be stress related. The more he worried about it, the more numbness he had. Once he'd been though all the tests and told they couldn't find anything POOF it went away.

Now, I'm not saying your numbness is stress related for sure, I'm just letting you know that these types of symptoms can occur without it being serious.

Good luck!

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I guess it could be stress. I was feeling so good on the diet and this seemed to come out of nowhere and has got me out of sorts. Still plan to meet with the neurologist to make sure it's nothing serious. Thanks for comments. – jstern Mar 12 2011 at 1:51
Nice call, @sherpamelissa. I was a network systems analyst and desktop engineer for a lot of years - sitting and stress can throw you out of whack, even with exercise. Go get a few massages, maybe a ROLF session and see how you feel, will loosen things up and allow what may be out whack to slide back into place OR just unpinch what could be pinched. – jesuisjuba - paleorepublic.com Jul 19 2011 at 14:05
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Could also be a cervical disc herniation. Definintely get it checked out by a traditional doc!

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Lost 50 pounds and since have been low carb/primal 2 years, leanish (about 15%) and at steady weight. Most mornings, when I'm in ketosis (stik check), my fingertips and toes are usually slightly numb but my bum and stomach area feel warm. Blood glucose normal. (4.5 UK)

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Have you consulted with a myofascial therapist? Sometimes muscle fiber can get twisted around nerves and cause all sorts of weird numbness.

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My hand and elbow on my left arm were getting numb at various points throughout the day. After I noticed this, I tried to pay more attention to it even when it wasn't numb.

Turns out I prop my chin on my left hand with my elbow on my desk anytime I'm not typing (such as when I'm using the mouse or just reading the screen). I have to make a conscious effort to not lean on my arm or it will get numb. Even if it doesn't go numb, my arm--especially my elbow--will be sore later on in the day.

I don't know if your posture or "desk habits" might be playing a role or not, but it could be something to look into.

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Maybe try googling Sarno and TMS? Sounds like it could possibly be tension/stress related.

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