neuropathy that comes and goes
Informed by recognized medical guidance
Overview
Neuropathy that comes and goes is a type of nerve problem where you have symptoms like tingling, numbness, or pain that appear, then get better, and may return later. It is not constant – it can happen in episodes or flare-ups.
Key facts
- Nerves carry signals between your brain and the rest of your body. When they are irritated or damaged, you may feel unusual sensations.
- Intermittent neuropathy means the symptoms are not always present – they can come and go over days, weeks, or months.
- The cause varies, but common triggers include pressure on a nerve (like sleeping in an awkward position), certain health conditions, or vitamin imbalances.
Yes, many people experience temporary nerve symptoms at some point. For example, a 'pins and needles' feeling after sitting cross-legged is a common, harmless type. But if it keeps coming back or is bothersome, it may be worth discussing with a doctor.
Anyone can have neuropathy that comes and goes, but it is more common in people with diabetes, carpal tunnel syndrome, or those who have had a recent injury. It can also affect people with certain vitamin deficiencies or autoimmune conditions.
Symptoms
- Sudden weakness or paralysis of one side of the body or a limb
- Loss of bladder or bowel control
- Sudden severe headache with stiff neck
- Trouble speaking or understanding speech
- Any symptom that comes on very quickly and is unlike previous episodes
- ⚠Pain that becomes constant and severe
- ⚠Numbness that spreads quickly to new areas
- ⚠You have a fever along with the nerve symptoms
- ⚠You recently had an injury and now have nerve symptoms
Common symptoms
- Tingling or 'pins and needles' in the hands, feet, arms, or legs that comes and goes
- Numbness that fades away and then returns
- Burning or shooting pain that lasts for a few minutes to a few hours
- Sensitivity to touch – even a light touch can feel uncomfortable during an episode
- A feeling like your limb has 'fallen asleep' and then wakes up
Symptoms in children
- Children may describe a 'funny feeling' or 'buzzing' in their fingers or toes
- They might shake their hands or feet to try to make the feeling go away
- Trouble gripping small objects or tripping more often (if legs are affected)
Symptoms in older adults
- More often felt in the feet and lower legs
- May notice changes in walking or balance during an episode
- Symptoms can be mistaken for normal aging, but it is worth checking with a doctor
Causes
Main causes
- Pressure on a nerve – for example, from a slipped disc, tight muscles, or repetitive motions
- Diabetes – high blood sugar can damage nerves over time, causing symptoms that may come and go
- Vitamin deficiencies – especially of vitamin B12, B6, or B1
- Autoimmune conditions – like multiple sclerosis or lupus, where the immune system attacks nerves
- Infections – such as shingles (herpes zoster) which can cause painful nerve symptoms that flare and fade
- Medications – certain drugs can cause temporary nerve symptoms (e.g., some chemotherapy drugs)
- Alcohol misuse – can damage nerves and cause fluctuating symptoms
Risk factors
- Having diabetes or prediabetes
- Being over 40 years old
- Having a family history of nerve problems or autoimmune diseases
- Repetitive hand or wrist movements (like typing or using tools)
- Poor nutrition or restrictive diets
- Chronic kidney or liver disease
When to see a doctor
See a doctor urgently if:
- Symptoms that come on suddenly and are very painful
- You have trouble walking or moving your hands
- You have loss of sensation that makes you injure yourself without noticing
Book a routine appointment if:
- Symptoms that keep coming back and bother you
- You have diabetes and notice new tingling or numbness
- You are concerned about possible vitamin deficiencies
Diagnosis
Your doctor will ask about your symptoms, when they happen, and how long they last. They may also check your reflexes, strength, and sensation. This helps rule out more serious causes.
Tests that may be done
- Blood tests – to check for diabetes, vitamin levels, and signs of inflammation or infection
- Nerve conduction studies – to see how well your nerves send signals
- Electromyography (EMG) – to check how your muscles respond to nerve signals
- Imaging – such as an MRI or ultrasound to look for pressure on a nerve (like a herniated disc)
What to expect at your appointment
You will usually start with your family doctor (GP). If needed, they may refer you to a neurologist (a doctor who specialises in the brain and nerves). Most tests are painless or cause only minor discomfort. The doctor will explain the results and discuss next steps with you.
Treatment
Treatment depends on what is causing the neuropathy. The goal is to manage symptoms and treat any underlying condition. For many people, symptoms improve on their own or with simple measures.
Self-care at home
- Rest the affected area when symptoms flare up
- Apply a warm or cool compress – see which feels better
- Gently massage the area to improve blood flow
- Avoid tight clothing or jewellery that presses on nerves
- If you have diabetes, keep your blood sugar levels stable
Medical treatments
Your doctor may recommend medicines that help calm nerve signals, such as certain antidepressant or anticonvulsant medications (not typically used for depression or seizures in this case). Physical therapy can help if the cause is nerve compression. For some conditions, such as carpal tunnel syndrome, a wrist splint may be advised. Always follow your doctor's instructions – never take medications without a prescription.
When is surgery considered?
Surgery is rarely needed for neuropathy that comes and goes. It may be considered if there is a clear nerve compression (like a pinched nerve in the spine or wrist) that does not improve with other treatments.
Living with this condition
Intermittent neuropathy can be unpredictable, but many people manage well by learning what triggers their symptoms. Keep a simple diary of when symptoms happen and what you were doing – this can help your doctor find patterns.
Lifestyle tips
- Take breaks during repetitive tasks like typing or gardening
- Maintain good posture, especially when sitting or sleeping
- Protect your hands and feet from extreme heat or cold
- Avoid crossing your legs for long periods
Diet and exercise
Eat a balanced diet rich in B vitamins: whole grains, lean meats, eggs, nuts, and leafy greens. Regular, gentle exercise like walking or swimming can improve circulation and reduce symptoms. Stay hydrated.
Mental health and emotional wellbeing
Having symptoms that come and go can be frustrating or worrying. It is normal to feel anxious or fed up. Talk to your doctor if you feel down – they can suggest counselling or support groups.
Prevention
Some causes can be prevented. For example, managing diabetes, maintaining a healthy weight, avoiding repetitive strain, and eating a nutritious diet can all reduce your risk. However, not all cases can be prevented.
Vaccines
Vaccines are not available for most causes of neuropathy. However, getting the shingles vaccine can prevent shingles, which can cause nerve pain.
Screening programmes
If you have diabetes, regular foot checks and blood sugar monitoring can help catch nerve problems early. There is no routine screening for the general population.
Complications
If left untreated
- Symptoms may become more frequent or constant over time
- Loss of sensation can lead to injuries, like burns or cuts that you don't feel
- Muscle weakness or wasting if the nerve damage progresses
Long-term outlook
For most people, intermittent neuropathy does not lead to serious problems. Many cases improve with simple changes or treatment. Even when the cause cannot be cured, symptoms can often be managed so they don't interfere with your daily life.
Find support
International organisations
Local organisations
- National Health Service (NHS) ↗ · United Kingdom
External links open third-party websites. Ruqelo Health is not responsible for external content. Listing an organisation does not imply endorsement.
Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
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Sources and guidance
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 30, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.