Medically Reviewed By Stacy Sampson, D.O.
— Written By Healthgrades Editorial Staff and Cecilia Effa
Updated on April 26, 2022
This article will explain what tingling in the toes is. It will also describe the causes and treatment options of the condition.
What is tingling in the toes?
Tingling is an odd sensation that people usually feel in their arms, legs, or feet. It can feel like “pins and needles” in your toes or like a prickling sensation. The medical name for this sensation is paresthesia.
You can feel tingling in the toes for various reasons, includingmultiple sclerosis, stroke, prolonged pressure on nerves, or a lack of vitamins and minerals.
Tingling in toes may have many different causes, including:
- an injury, such as stubbing your toe
- ill-fitting shoes
- circulation issues, such as
Raynaud’s disease Trusted Source PubMed Central Highly respected database from the National Institutes of Health Go to source - nerve damage
Alternatively, a tingling toe may happen because ofperipheral neuropathy. The peripheral nerves that relay signals between the body, the spinal cord, and the brain do not function properly with this disorder.
What causes tingling toes?
Depending on the cause of the tingling, itmayoccur just in the feet or in other areas of the body. A tingling feeling may be the only symptom you experience, or you may also feel pain and numbness.
Tingling toes can result from nerve or skin damage in the toes and surrounding tissues. Disorders that affect the nerves, such as peripheral neuropathy andstroke,may also cause tingling toes.
Tingling in the toes may have several common or more serious causes, including:
Common causes of tingling toes
Tingling in the toes may have several common causes, including:
- sitting on your toes or feet, or sitting in the same position for too long
- injury, such as stubbing your toe
- exposure to cold
- pressure on a nerve
- exposure to toxins or poisons
- frostbite
- ischemia, an insufficient flow of blood to any tissue, such as peripheral artery disease
- peripheral neuropathy, a disorder that causes dysfunction of nerves that lie outside your brain and spinal cord
Diseases or disorders causing tingling toes
Tingling in the toes may be due to a specific, underlying disease or disorder that causes nerve damage, including:
- Alcoholic neuropathy: This is a nerve damage condition associated with excessive alcohol consumption.
- Diabetes: This is a chronic disease that affects your body’s ability to regulate its sugar level
- Guillain-Barre syndrome: This is an autoimmune nerve disorder that mistakenly attacks the body’s nerves for foreign invaders.
- HIV: This is a virus that attacks the immune system.
- Multiple sclerosis: This is a disease that affects the brain and spinal cord, causing weakness, coordination, balance difficulties, and other problems.
- Rheumatoid arthritis: This is a chronic autoimmune disease characterized by joint inflammation.
- Shingles: This is a reactivation of the varicella-zoster virus, which remains in the body in an inactive state followingchickenpox.
- Systemiclupuserythematosus: This is an autoimmune disease in which the body attacks its own healthy cells and tissues.
Other disorders causing tingling in the toes can be vitamin deficiencies, especially vitamin B12 deficiency.
Serious or life threatening causes of tingling toes
In some cases, tingling toes may be a symptom of a serious or life threatening condition that a healthcare professional should immediately evaluate.
These can include a stroke, or it could be a transient ischemic attack that causes temporary stroke-like symptoms that may be a warning sign of an impending stroke.
The duration and course of tingling toes vary widely, depending on the cause. Symptoms caused by an injury often have a sudden onset, whereas foot tingling resulting from underlyingperipheral neuropathytypically develops slowly and persists or worsens over time.
Read more about neuropathy here.
You should seek medical attention if a sudden tingling sensation in your toe happens alongside other symptoms, such as:
- numbness or weakness on one side of your body
- change in consciousness or alertness, such as passing out
- worst headache of your life
- change in mental status or sudden behavior change
- confusion or delirium
- lethargy
- hallucinations and delusions
- garbled or slurred speech
- inability to speak
- paralysis or inability to move a body part
- sudden change in vision
- loss of vision
- eye pain
If your tingling toe is persistent or causes you concern, seek medical advice. It may be a serious condition such as a stroke that needs immediate medical attention.
Read more about strokes here.
What other symptoms might occur with tingling toes?
Tingling in the toes may accompany other symptoms, depending on the underlying condition. Symptoms that frequently affect the toe also involve other body systems.
Toe symptoms that may occur along with tingling toes
Tingling toes may accompany other symptoms affecting the toe, including:
- bleeding
- blistering
- burning feeling
- numbness
- pain
- redness, warmth, or swelling
Other symptoms that may occur along with tingling toes
Tingling toes may accompany symptoms related to other body systems, including:
- changes in sensation
- difficulty walking
- extreme sensitivity to touch
- foot problems, such as ulcers and bone orjoint pain
- impaired coordination
- muscle weakness
- nerve pain
- numbness or tingling in other areas of the body
- pain when walking
- sharp pain that may be worse at night
How do you treat tingling toes?
It is important to understand why your toes are tingling in the first place. Successful treatment for the sensation of tingling relies on an accurate diagnosis and understanding of the causes.
Lifestyle changes
You can make lifestyle changes to protect nerve cells, including:
- eating a balanced diet of fruits, vegetables, whole wheat, and proteins
- making sure you have enough vitamins and minerals, such as vitamin B12
- avoiding foods high in salt, trans fats, and sugar
- avoiding excessive alcohol consumption
- getting enough sleep
- getting regular exercise
Medications
Medications for any tingling in the toes will vary according to the underlying cause. If caused by peripheral neuropathy, medications can include:
- antidepressants
- anticonvulsants
- creams, sprays, or patches, such as lidocaine
Diagnosis
To diagnose your condition, your doctor or licensed healthcare professional will ask you several questions related to your tingling toes, including:
- Do you experience tingling toes all of the time?
- How long have you felt thetinglingin your toes?
- Do you have any other symptoms?
- What medications are you taking?
What are the potential complications of tingling toes?
Because tingling toes can occur due to serious diseases, lack of treatment can result in serious complications and permanent damage.
Once a medical professional can diagnose the underlying cause, it is important to follow your unique treatment plan. Your treatment plan can help reduce the risk of potential complications, including:
- brain damage, if the tingling is due to a stroke
- loss of limb
- permanent nerve damage
Summary
Tingling in the toes is a prickly “pins and needles” feeling that can occur for many different reasons. You may also feel the tingling sensation in many other parts of your body, such as your fingers or legs.
It can be due to various conditions, such as an injury to the toe or the result of a stroke.
If you experience any serious symptoms while having a tingling sensation, seek immediate medical care.