Physician-in-Chief and Chairman of the Division of Rheumatology, Hospital for Special Surgery
The Joseph P. Routh Professor of Medicine, Weill Medical College of Cornell University
I am 74 and was diagnosed with RA 10 years ago. I am experiencing numbness at night in both arms and numbness that is almost permanent in both feet and ankles. Is this expected? Is it treatable?
Answer: It sounds as though you have a neuropathy, which means that the nerves of your arms and legs are irritated either by the RA itself and/or through pinching of nerves in the neck or back. You need to see a neurologist to define the actual cause which can range from RA itself, to a pinched nerve, pernicious anemia due to vitamin B12 deficiency, a medication or some combination. Once that has been defined, specific treatment can be instituted, Also, there are excellent medications that can control neuropathic pains such as Neurontin. Your neurologist will be able to prescribe it or other medications.
posted 8/11/2004