What tests or treatments can help with persistent tingling and pulsing sensations after a neurological event?

Question #29100

17 days ago

What tests or treatments can help with persistent tingling and pulsing sensations after a neurological event? - #29100

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Hello Doctor, About two years ago, I had a sudden neurological event after an injury. Initially, I experienced: Loss of speech (difficulty talking) Severe dizziness Electric-like sensations and tingling in my hands, arms, and fingers At that time, I had: EEG of the brain: normal MRI of the spine: normal I was prescribed medication for nerves and vitamin B12. The severe dizziness improved after 1–2 months, but some symptoms persisted. Current symptoms for the past two years: Persistent tingling in hands, arms, and fingers (worse with computer use, improves slightly with rest) Fatigue in the hands Pulsing sensation in the scalp above the eyes (stronger on the left side, where nerve problems started) Tingling and mild pain in the left eye Irritable bowel symptoms (abdominal pain and bloating that come and go) These symptoms have been ongoing for two years, sometimes fluctuating, and have not improved with previous medications or rest. I would like your advice on: Whether these symptoms are still nerve-related or brain-related Any additional tests or treatments that may help relieve the persistent tingling, pulsing, and eye symptoms Thank you very much for your help.

How often do you experience the tingling in your hands, arms, and fingers?:

- Constantly

Have you noticed any specific activities that make your symptoms worse?:

- Using the computer

How would you rate the intensity of the pulsing sensation in your scalp?:

- Very severe — debilitating

Have you experienced any changes in your vision since the onset of symptoms?:

- No changes

How would you describe your overall energy levels during the day?:

- Moderate — some fatigue

Have you had any recent diagnostic tests or consultations since your last visit?:

- No, same as before

What medications or treatments have you tried for these symptoms?:

- Prescription medications

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Doctors' responses

Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

17 days ago

Your symptoms suggest a chronic but likely non-progressive neurological and functional condition that began after the initial injury, especially since serious causes were ruled out by normal MRI and EEG. The persistent tingling in your hands and arms—worsening with computer use and improving with rest—points toward nerve irritation or compression (such as repetitive strain or mild peripheral neuropathy) rather than a central brain disorder. The scalp pulsing sensation and eye discomfort may be related to nerve hypersensitivity or tension-type headaches, while the associated irritable bowel symptoms and fluctuating intensity over time suggest a component of autonomic nervous system imbalance or stress-related functional disorder. Since symptoms have persisted for two years without worsening into severe deficits, this is reassuring and not suggestive of a dangerous progressive disease; however, it does require a targeted re-evaluation, including possible nerve conduction studies, vitamin levels (especially B12, D), and ergonomic/lifestyle assessment. In summary, your condition is likely manageable and not life-threatening, but improvement will require a combined approach of medical reassessment, nerve care, posture correction, and stress regulation rather than expecting spontaneous resolution.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

17 days ago

Hello dear
See as per clinical history it seems combination of nerve irritation and functional nerve disorder
It has
Tingling sensation
Fatigue
Headache
Ibs
Scalp pulsing
However chances of below conditions can be ruled out
Brain tumour
Infection
Gastric issues
Schwannoma
I suggest you to please get following tests done for confirmation and share result with neurologist in person for better clarity
CBC
Serum ferritin
Serum tsh
Serum dopamine and serotonin
Serum bradykinin
EMR
Laser Doppler flow metry
Brain USG
Serum b12
Serum d3
Please donot take any medication without consulting the concerned physician
Hopefully you recover
Regards

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

15 days ago

The symptoms you’re describing—persistent tingling, pulsing sensations, eye discomfort, and IBS-related issues—warrant a thorough re-evaluation. These could still be related to nerve issues or potentially overlooked aspects of your initial neurological event. It’s essential to investigate both peripheral and central nervous systems again given the persistent nature and initial neurological presentation. A follow-up MRI of the brain might be helpful to rule out any new or missed lesions or changes. For the tingling and fatigue in your hands and arms, nerve conduction studies can assess for any peripheral nerve damage, such as carpal tunnel syndrome or ulnar neuropathy, especially given the exacerbation linked to computer use. Another consideration is repetitive strain injuries from prolonged typing that could exacerbate nerve problems. Alongside these steps, evaluating your vitamin B12 levels again would be prudent since deficiencies here can cause neurological symptoms. For the pulsing sensation in the scalp and eye discomfort, consultation with a neurologist and possibly an ophthalmologist might be beneficial. They can determine if these symptoms are migraine-related or ocular in nature. Headaches with ocular symptoms sometimes overlap with vascular issues, so ruling out such concerns is important. In terms of treatment, if nerve compression is involved, ergonomic assessments and adjustments in your workspace maybe could help, and physical therapy can be useful to relieve symptoms. For your digestive symptoms, revisiting dietary triggers and exploring potential stress-related exacerbation can be useful. Getting a referral to a gastroenterologist for more targeted IBS treatment might offer additional relief. Always ensure consistent follow-ups with your healthcare provider to track how your symptoms evolve with any new interventions.

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