Request an Appointment at Mayo Clinic. "I notice the top part of my feet goes tingly and numb when I stand too long, and read my weight and circulation, "This is the first article I read that mentioned reviewing the fit of your shoes, and I'll also reduce my alcohol, "This website could help me so much. Brigid Dwyer, MD, is a board-certified neurologist and an Assistant Professor of Neurology at Boston University School of Medicine. If we combine this information with your protected Football Spinal Cord Injury - The Chris Norton Story, Functional neurologic disorder/conversion disorder, Heart disease in women: Understand symptoms and risk factors, Heart-healthy diet: 8 steps to prevent heart disease, What is a herniated disk? This article looks at what causes numbness in the toes, possible treatments, and when to see a doctor. It can cause burning and numbness in the feet and toes. We avoid using tertiary references. Over time, this pressure causes bone deformity. We avoid using tertiary references. Painful open sores on your fingers and toes. Welcome to the Raynaud's Association. include protected health information. Both cause complications that can have serious, ongoing effects. Weakness in the hand or grip may also accompany the numbness. Pruney fingers are not usually the only symptoms of a medical condition. Olin, JW. Avoid any activity that puts you at risk for falls or injury. Peripheral artery disease is best treated through stopping smoking, increasing exercise, and medications to lower cholesterol, blood pressure, blood sugar, and likelihood of blood clotting. information highlighted below and resubmit the form. National Kidney Foundation. (n.d.). In some cases, the damage can be severe. Multiple autoimmune conditions can cause nerve damage and resulting pain, numbness, and tingling in the feet, often from peripheral neuropathy. Some methods include: When nonsurgical treatment does not successfully heal diabetic foot problems, a doctor might consider surgery. Symptoms include pain, burning, numbness, and tingling in the hands and feet. Sez, P., & Zllner, A. M. (2017, April). Treatment for MS primarily includes medications, including disease-modifying antirheumatic drugs (DMARDs) and corticosteroids, to slow disease progression and manage symptoms. This content does not have an Arabic version. A person should see a doctor if they injure their toe and are experiencing numbness. See your doctor if you think you may have signs or symptoms of Buerger's disease. A Dripping of Butter (4.42): A Victorian servant maid is tupped by the young master. This pain may occur when you use your hands or feet and eases when you stop that activity (claudication), or when you're at rest. Fabry disease. Medication is also used to help manage symptoms like nerve pain. What is lupus? A person may also experience gangrene, which causes tissue death and may lead to amputation. High blood sugar also damages the nerves and interferes with their ability to send signals. Symptoms of toe arthritis are similar to those of arthritis that affects other joints: tenderness, swelling, stiffness, and pain. A diagnosis is typically made through physical examination and treatment is aimed at reducing nerve compression through physical therapy. Stretch well before workouts, wear appropriate exercise shoes, and exercise on level surfaces. One of the complications of diabetes is a condition called diabetic neuropathy. Certain conditions can cause nerve inflammation and irritation that results in tingling in the feet, such as nerve compression, infections, inflammatory conditions, autoimmune disorders, certain medications, and more. When to see a doctor. A doctor will need to determine the underlying cause to treat toe numbness and any other related symptoms. Tingling or numbness in the hands or feet. Philadelphia, Elsevier, Inc.; 2019. https://www.clinicalkey.com. CharcotMarieTooth disease (CMT) is a hereditary motor and sensory neuropathy of the peripheral nervous system characterized by progressive loss of muscle tissue and touch sensation across various parts of the body. information is beneficial, we may combine your email and website usage information with A person with diabetes should have regular podiatric checks to ensure that any foot problems do not cause complications. (2018), How Viagra became a new 'tool' for young men, The amazing story of hepatitis C, from discovery to cure, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.nhs.uk/conditions/dehydration/, https://www.ncbi.nlm.nih.gov/pubmed/26914257, https://www.cdc.gov/nutrition/data-statistics/plain-water-the-healthier-choice.html, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3885627/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3639753/, https://link.springer.com/article/10.1007/s10439-016-1764-6, http://www.diabetes.org/living-with-diabetes/complications/skin-complications.html, https://www.nhs.uk/conditions/atopic-eczema/symptoms/, https://www.raynauds.org/wp-content/uploads/2018/04/Raynauds-Guide-PDF-V3C.pdf. A range of surgical and nonsurgical options may help. The American Academy of Orthopedic Surgeons say 80% of people with Mortons Neuroma can find relief with a combination of the following: People who participate in high impact sports, such as running, may find that taking a break can help relieve Mortons neuroma. Sjgrens syndrome is an autoimmune connective tissue disorder that affects the exocrine glands, or glands that produce sweat, tears, saliva, and more substances. Blisters can become infected, causing pain and increasing the risk of an infection that spreads throughout the body. https://www.uptodate.com/contents/search. Modaghegh MS, et al. What are the symptoms of vitamin B-12 deficiency? Let your doctor know if you have foot and leg pain, or symptoms like bruising, swelling, or numbness. Lhle M, et al. Tarsal tunnel syndrome is diagnosed via physical examination and nerve conduction studies, and is treated through physical therapy, rest, ice, supportive footwear, braces, orthotics, and cortisone injections. Guillain-Barre syndrome is a serious condition with a mortality rate of between 37%. Leg and foot pain could be from standing or exercising. Review/update the To provide you with the most relevant and helpful information, and understand which The numbness may start to spread and move up the body. I'll try both to see if that moves me forward with regards to my numb feet. It affects more than 10 million people in the United States, according to the Society for Vascular Surgery. Which foods help stabilize insulin and blood sugar? https://www.uptodate.com/contents/search. Tarsal tunnel syndrome results when the posterior tibial nerve located within the tarsal tunnel, a narrow passageway located on the inside of the ankle, becomes compressed. Charcot-Marie-Tooth Disease (CMT). Mayo Clinic Minute: Why the risk of frostbite is greater than you think. Diabetes, especially poorly controlled diabetes, can cause nerve damage and poor circulation. Monoclonal gammopathy of undetermined significance (MGUS). Buerger's disease usually first shows in the hands and feet and may expand to affect larger areas of the arms and legs. Foot symptoms of diabetes vary from person to person and may depend on the specific issues a person is experiencing at the time. National Institute of Neurological Disorders and Stroke. Dehydration can affect the bodys ability to function, causing fatigue, headaches, and other symptoms. Diabetes is usually caused by insulin deficiency (type 1 diabetes) or insulin resistance (type 2 diabetes). The condition also makes it difficult for a person with diabetes to feel irritation, soreness, or infection in the feet. All rights reserved. The following are some of the reasons a person may experience numbness in their toes. Surgical options include: Preventing foot problems is essential for people who have diabetes. Allscripts EPSi. https://www.kidney.org/atoz/content/fabry. Calcium channel blockers for primary Raynaud's phenomenon. Carpal tunnel syndrome fact sheet. Content is reviewed before publication and upon substantial updates. Diabetes increases the risk of blisters in several ways. Numbness can be as uncomplicated as your foot going to sleep or as serious as diabetes or multiple sclerosis. Accessed April 16, 2021. The skin on the fingers can become wrinkly or pruney when soaked in water. An expert explains, Nuts and your heart: Eating nuts for heart health, Paraneoplastic syndromes of the nervous system. ; Hand therapy: Hand therapists know many different ways to treat hand conditions that cause pain This can lead to foot ulcers, blisters, pain, and foot infections. Vestibular schwannoma (acoustic neuroma). "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Insulin is an essential hormone responsible for helping cells absorb sugar from the blood to use for energy. Diabetes is a leading cause of amputations. Similarly, wearing a tight cast or wrap for a foot injury can interfere with proper circulation to the toes. Find out more about how much fluid the body needs every day, how the body balances its fluid, and more. Charcot-Marie-Tooth disease is a genetic disorder caused by a gene mutation that damages the myelin, the protective layer surrounding a nerve. Buerger's disease is a rare disease of the arteries and veins in the arms and legs. Consult a doctor if the color change does not go away. ), ISBN: 978-953-51-0021-8, InTech. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Caffeine (in tea, coffee, cola and in some painkillers) triggers symptoms in some people. Spinal trauma. Cancer treatment shows promise against multiple sclerosis in mouse study, Alzheimer's: Blood test may detect 'toxic' protein years before symptoms emerge, Low levels of vitamin D in the brain linked to increased dementia risk, offering foods with a high liquid content, such as soup or watermelon, finding more flavorful alternatives to water, such as herbal teas or clear juices. National Institute of Neurological Disorders and Stroke. In: Bradley's Neurology in Clinical Practice. Other times peripheral neuropathy can last for several months after treatment is finished until the damaged nerves have healed. The joint most often affected is the metatarsophalangeal (MTP) joint, which connects the big toe to the rest of the foot. It can also bring a burning sensation or feelings of numbness in the toes, said Lobkova. Your doctor will order tests to find out the cause of your numbness. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Treatment for tingling in the feet starts with treating the underlying cause to reduce inflammation and nerve irritation, typically through physical therapy or anti-inflammatory medication. If a person thinks they may have symptoms of MS, they should see their doctor for the correct treatment. Don't stop a prescribed medicine if you suspect it may be making symptoms worse. Accessed April 19, 2021. Stroke: Hope through research. Perzyska-Mazan J, Maliska M, Gasik R. Neurological manifestations of primary Sjgren's syndrome. If a person does frequently experience pruney fingers due to a medical condition, they will often appear alongside other symptoms. It can lead to paralysis and might have, People use their feet almost constantly, whatever level of activity they are involved in on a daily basis. Rheumatoid arthritis (RA) can also cause pain and tingling in the feet. Working with a doctor gives the best chance of dealing with any problem. They may require treatment in a hospital and rehabilitation afterward. http://www.diabetes.org/living-with-diabetes/complications/neuropathy/. National Library of Medicine. Severe foot infections may mean a doctor has to amputate the foot. PVD tends to affect blood vessels leading to and from the extremities, such as the hands and feet, reducing blood flow to both. Keeping skin clean and dry can help them avoid infections. This can result in Raynaud's disease, which can cause numbness, paleness, pain, and tingling of the fingers and toes in response to cold temperatures. Genetics and Rare Diseases Information Center. A person may choose to wear rubber gloves to do the dishes or avoid spending a long time immersed in warm water if they find pruney fingers bothersome. Cerebral aneurysms fact sheet. Anyone experiencing dehydration should drink more water. Supplements for heart health: Which ones are beneficial and which ones are not? Vitamin B12 deficiency. It happens when the immune system attacks healthy blood vessels. Splints: A splint or brace can ease hand pain and prevent the inflammation from getting worse. There are some chronic conditions, such as diabetes, multiple sclerosis, hypothyrodism (underactive thyroid), autoimmune diseases, and infections, that may cause tingling in the feet. Pain also can spread from the ball of the foot out to the tips of the toes. Clinical manifestations of Sjgren's syndrome: Extraglandular disease. How Viagra became a new 'tool' for young men, The amazing story of hepatitis C, from discovery to cure, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4422657/, https://www.ahajournals.org/doi/10.1161/ATVBAHA.120.314595, https://professional.diabetes.org/sites/professional.diabetes.org/files/media/foot_complications_monograph.pdf, https://www.cdc.gov/diabetes/library/features/healthy-feet.html, https://orthoinfo.aaos.org/en/diseases--conditions/diabetic-charcot-foot/, https://www.statpearls.com/todayspearl/10-21-2017/, https://www.ncbi.nlm.nih.gov/books/NBK537328/, https://www.ncbi.nlm.nih.gov/books/NBK553110/, https://www.frontiersin.org/articles/10.3389/fsurg.2021.655902/full, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716750/. Numbness can occur along a single nerve on one side of the body, or it may occur symmetrically, on both sides of the body. What other areas does diabetes affect in the body? While controlling blood sugar by following the recommended diabetes treatment plans is the best way to prevent these serious problems, self-care and regular checkups with a doctor can also help prevent problems from developing. They should also avoid going barefoot and wear properly fitting shoes. (n.d). The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. Hypertension: Can 15 minutes of yoga a day help control blood pressure? Diabetic neuropathy is nerve damage that affects a range of nerves in the bodies of some people with diabetes. In: Goldman-Cecil Medicine, 25th ed. Drinking water regularly throughout the day can help a person stay hydrated. References "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Diabetic neuropathy and peripheral vascular disease are serious conditions that a doctor must monitor closely. Numbness. Quitting smoking can be hard. You should schedule a visit with your healthcare provider if you have been experiencing tingling in your feet that: Tingling in your feet is a sign of nerve irritation and/or damage, and should be addressed by a healthcare provider to treat the underlying cause, if possible, or provide treatment options to help manage symptoms and improve your quality of life. These infections may spread to the bloodstream, damaging organs and endangering a persons life. 2000; doi: 10.1097/00002508-200012000-00012. The skin on fingertips, toes, palms, or feet appears bluish or greenish. If you have not been diagnosed with any chronic conditions, numbness in your feet and toes might be the first sign. https://www.uptodate.com/contents/search. Tingling feet can result from other conditions, including pregnancy, stroke, a pinched nerve, and medication. Neuropathy (nerve damage). Your doctor might check the tone and numbness of anal muscles with a rectal exam. Conditions that can affect the fingers include: Bacterial and fungal infections can affect the skin around the nails and between the fingers. numbness and tingling in fingers or toes; joint pain; weight loss; A person should see a doctor for severe, persistent, or reoccurring pain in the hands or wrists. People with diabetes may be more at risk of developing several skin conditions. Diabetic neuropathy and peripheral vascular disease are serious conditions that a doctor must monitor closely. Uncontrolled blood sugar can cause blood vessel injury that can lead to cardiovascular disease, kidney damage, nerve injury in the extremities, and eye problems. Accessed April 19, 2021. Fabry disease symptoms overview. (See Top 100 in Health & Household) #839 in Pain Relief Medications & Treatments; Customer Reviews: 4.1 out of 5 stars 172 ratings. Get the facts: Drinking water and intake. But, what about numbness in toes? Riggin EA. (2019). Arnold R, Issar T, Krishnan AV, Pussell BA. These might develop due to reduced circulation or uncontrolled blood sugar. If a person is concerned about any symptoms related to unusual sensations in their arms or hands, they should see a doctor. Learn more here. Learn more about the causes of toe cramps and how to treat them here. This eventually damages or destroys skin tissues and may lead to infection and gangrene. Accessed April 19, 2021. Diabetic peripheral neuropathy is diagnosed via blood work and physical examination. Diagnosis of alcoholic neuropathy is most often made from a physical examination and medical history, including duration, quantity, and frequency of alcohol use, blood work, and nerve conduction studies. Guillain-Barr syndrome is an autoimmune disorder in which the body attacks its own nerves. All rights reserved. Karam C, et al. Multiple sclerosis (MS) is a disease of the central nervous system that results in widespread muscle weakness and sensory disturbances when the immune system attacks the myelin sheath, the protective layer that surrounds the nerves of the brain and spinal cord. 1. Even just going for a walk or stretching can help relieve numbness by getting your blood flowing. Water-induced finger wrinkles improve handling of wet objects. Buerger's disease is far more common in males than in females. Pruney fingers are a common experience after taking a long bath, swimming, or washing dishes. Does multiple sclerosis (MS) tingling come and go? Eat a healthy, balanced diet including fruits, vegetables, whole grains, beans, fish, and low-fat dairy. There is no cure for eczema, but people can manage symptoms with a combination of OTC or prescription medication, creams, gentle bath products, and by avoiding known triggers. All rights reserved. Having foot problems severe enough to require amputation is a major risk factor for death, even when a doctor amputates the foot to prevent the infection from spreading. Left untreated, ulcers can damage the foot and become infected. Advertising revenue supports our not-for-profit mission. Demyelinating disease: What can you do about it? Multiple sclerosis: Can it cause seizures? Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Wearing thick socks or slippers indoors can help to warm up cold feet. Accessed April 16, 2021. Raynaud's disease. Shy, ME. Singer RJ. Vitamins for MS: Do supplements make a difference? In this article, we look at foot problems that can occur in people with unmanaged or poorly managed diabetes and discuss how to prevent and manage these effects. Drinking water is often overlooked as a necessary part of staying healthy. Approved. If wrinkly fingers happen without being submerged in water, it could be a sign of a medical problem. This article will describe symptoms, diagnosis, and treatment of both common and unusual causes of tingling in the feet, and when to see a healthcare provider. The narrowed blood vessels reduce the volume of the fingertips slightly, causing loose folds of skin that form wrinkles. In more severe cases, a person may need medication. National Fabry Disease Foundation. Numbness describes a loss of sensation or feeling in a part of your body. A combination of poor circulation and nerve damage means that a person may not notice the ulcers until they are severe. Tingling or Numbness in Your Hands and Feet ; 13. U.S. National Library of Medicine. People may get bunions if they wear tight, narrow shoes that push the big toe inward. Raynauds phenomenon happens when a persons blood vessels respond too strongly to cold and stress. other information we have about you. Kristen Gasnick, PT, DPT, is a medical writer and a physical therapist at Holy Name Medical Center in New Jersey. https://www.uptodate.com/contents/search. Some infections include: Infections are diagnosed through physical examination and blood work and require time and possibly antiviral or antibiotic medication for recovery. Many people find relief from numbness in toes with different shoes, rest, or warmth. These complications may include: Sometimes, doctors can reverse complications, such as infections. Numbness can feel different to different people. http://www.nhlbi.nih.gov/health/health-topics/topics/raynaud/. Tissues that don't receive blood don't get the oxygen and nutrients they need to survive. What is multiple sclerosis? Briemberg HR, et al. National Multiple Sclerosis Society. National Institute of Neurological Disorders and Stroke. 2014; doi: 10.1016/j.jemermed.2013.08.140. Park JK, et al. Differences Between Peripheral Neuropathy and MS. Can Tingling in the Hands and Feet Be a Symptom of Diabetes? Numbness in the arm has many possible causes that range from mild to severe. Your doctor suspects or needs to rule out a brain tumor or stroke; Schedule an office visit if your numbness: Begins or worsens gradually; Affects both sides of the body; Comes and goes; Seems related to certain tasks or activities, particularly repetitive motions; Affects only a part of a limb, such as your toes or fingers By Kristen Gasnick, PT, DPT Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Miles, MD. Gorevic, PD. Anyone who notices any of the following changes should seek immediate medical attention: In diagnosing diabetic foot problems, a doctor may: Treatment for diabetic foot problems varies according to the severity of the condition. In addition to helping you get rid of occasional numbness, regular exercise can also help prevent numbness in the first place. Ulcers may also make walking very painful. Symptoms of tarsal tunnel syndrome In the feet are similar to those of carpal tunnel syndrome in the hands. Diabetic ulcers can become infected, especially if a person does not treat them or keep them clean. 2004-2022 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Doctors call this Charcot foot. It causes red, dry skin that may itch or swell. There are many reasons for numbness in the toes, ranging from minor to severe. In Buerger's disease, blood vessels swell and can become blocked with blood clots (thrombi). He is a Diplomat of the American Board of Orthopaedic Surgery and is a member of the American Association of Hip and Knee Surgeons, American Orthopaedic Association, American Association of Orthopaedic Surgery, and the North Pacific Orthopaedic Society. Arteriovenous malformations and other vascular lesions of the central nervous system fact sheet. Accessed April 28, 2021. Fasting diet: Can it improve my heart health? People with vitamin B-12 deficiency may have a variety of symptoms, including fatigue, nerve problems, and. Then, elevate the heels above the toes. 2004-2022 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Numbness can have a variety of causes. For those who don't quit, amputation of all or part of a limb is sometimes necessary. ASK YOUR DOCTOR Preparing for an appointment? Most people are likely to know the common experience of pruney figures after a long bath, swimming, or washing dishes. A stroke is an interruption in blood supply to the brain and is a life threatening emergency. Accessed Dec. 13, 2020. If you notice swelling, pain, dizziness, or blurred vision, call your doctor right away. 9th ed. When this process does not work correctly, sugar remains circulating in the blood, causing health problems. Learn more about which foods to eat and which to avoid. It may also feel like there is a pebble or other object under the foot. Let your doctor know if you have foot and leg pain, or symptoms like bruising, swelling, or numbness. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Causes include circulatory, systemic disease, environmental, and inflammatory, so it's important to contact {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/a\/aa\/Cure-Numbness-in-Your-Feet-and-Toes-Step-1.jpg\/v4-460px-Cure-Numbness-in-Your-Feet-and-Toes-Step-1.jpg","bigUrl":"\/images\/thumb\/a\/aa\/Cure-Numbness-in-Your-Feet-and-Toes-Step-1.jpg\/aid1374403-v4-728px-Cure-Numbness-in-Your-Feet-and-Toes-Step-1.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

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\n<\/p><\/div>"}, Journal archive from the U.S. National Institutes of Health, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/8\/8d\/Cure-Numbness-in-Your-Feet-and-Toes-Step-12.jpg\/v4-460px-Cure-Numbness-in-Your-Feet-and-Toes-Step-12.jpg","bigUrl":"\/images\/thumb\/8\/8d\/Cure-Numbness-in-Your-Feet-and-Toes-Step-12.jpg\/aid1374403-v4-728px-Cure-Numbness-in-Your-Feet-and-Toes-Step-12.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

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\n<\/p><\/div>"}, Dealing With Chronic Numbness Caused By Other Conditions, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/e\/ec\/Cure-Numbness-in-Your-Feet-and-Toes-Step-14.jpg\/v4-460px-Cure-Numbness-in-Your-Feet-and-Toes-Step-14.jpg","bigUrl":"\/images\/thumb\/e\/ec\/Cure-Numbness-in-Your-Feet-and-Toes-Step-14.jpg\/aid1374403-v4-728px-Cure-Numbness-in-Your-Feet-and-Toes-Step-14.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

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\n<\/p><\/div>"}, Educational website from one of the world's leading hospitals, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/8\/8b\/Cure-Numbness-in-Your-Feet-and-Toes-Step-18.jpg\/v4-460px-Cure-Numbness-in-Your-Feet-and-Toes-Step-18.jpg","bigUrl":"\/images\/thumb\/8\/8b\/Cure-Numbness-in-Your-Feet-and-Toes-Step-18.jpg\/aid1374403-v4-728px-Cure-Numbness-in-Your-Feet-and-Toes-Step-18.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

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