Tingling and paraesthesia

Tingling and numbness, that is, changes in sensation, not veru clear feelings, are a fairly common disorder from an epidemiological point of view.

In these cases, the severity of the problem is closely related to its localization.

The soles of the feet and palms of the hands are undoubtedly the most critical areas since they compromise the balance in the first case, and the fine movements of the fingers in the second.

tingling paraesthesia osteopathy Genova
The dermatomes
Guyton & Hall, Fisiologia medica
(seconda edizione), EdiSES, pag.563

Other areas may be merely annoying, others even go unnoticed.

In any case, alteration of the sensitivity is without doubt the expression of a global disorder.

With the exception of central, organic damage or otherwise exceptional cases paraesthesia usually has an osteopathic basis.

It often happens that in fact a dysfunctional picture affects the conduction of nerve structures delegated to the transfer of sensitive information.

This can happen as a result of mechanical stress on a log or a peripheral nerve root or due to a craniosacral dysfunction directly involving the central structures.

A muscle contracture, a joint dysfunction, the voltage of a band can very often give a component of compression on nerves and adjacent vessels.

On the other hand a cranio-sacral dysfunction, causing stress on the outer meninges, may be responsible for similar symptomatic expressions, or perhaps even larger and heavier ones.

In these cases, an osteopathic correction is absolutely necessary.

I'll describe the case of a 58-year old housewife with paresthesias of the palms of the hands causing her not being able to perform simple daily tasks such as washing dishes or hang out the laundry.

The symptom had been present for a few months and manifested itself in a continuous tingling, especially in the morning, and with a very pronounced deficit of tactile sensitivity.

According to osteopathic examination the patient had a significant restriction at the base of the skull lesion with foci in the right temporal bone level.

The patient also had a restriction of mobility at the level of the fifth cervical vertebra and dynamic alteration of the second rib on the right.

After reducing the dysfunction, the problem was significantly reduced in the short term and completely resolved within several weeks.

In this case there were no neurological damage or other problems for which the patient had been sent to local palliative therapy with almost zero results.

In fact, the problem started from the base of the skull and the cervical dorsal spine but the palms of the hands did not show any kind of problem.