What conditions could cause simultaneous tingling in both hands and feet?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Tingling in both the hands and feet is most commonly a sign of peripheral neuropathy, a condition in which the nerves outside the brain and spinal cord are damaged. The leading causes include diabetes (the most common), vitamin deficiencies (especially B12), and chronic alcohol use. Other possible causes include autoimmune disorders, infections, or certain medications. Because symptoms can worsen over time and may signal an underlying condition, early evaluation is important.

Not sure what's causing your symptoms? A free, instant, and confidential online symptom check can help you understand possible causes based on your unique profile and guide you on what to do next—whether that means monitoring at home, adjusting your diet, or seeing a doctor. It only takes a few minutes and could save you hours of worry.

Reviewed for medical accuracy: 07/14/2026

Important Next Steps

Learn likely causes of tingling hands, feet See if tingling needs care today Find out what’s causing numbness and tingling Discover OTC options for tingling relief Find a doctor for nerve symptoms Understand medically valid home remedies for tingling Check if tingling could signal something serious

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Explanation

Tingling in both hands and feet, known as peripheral neuropathy, can happen for a few reasons. Peripheral neuropathy means the nerves outside your brain and spinal cord are not working right. This can cause tingling, numbness, or pain.

Here are some common causes:

Diabetes: High blood sugar can damage nerves over time.
Vitamin Deficiencies: Not having enough vitamins like B12 can hurt your nerves.
Alcohol Use: Drinking too much alcohol can also damage nerves.
Other Causes: Some medicines, infections, or even cancer treatments can cause nerve problems.

If you are feeling this tingling, you can use our free symptom checker to help identify possible causes, but it's important to talk to a doctor for a proper diagnosis and to find out what can be done to help.

(References)

Hanewinckel R, Ikram MA, & Van Doorn PA. (2016). Peripheral neuropathies. Handbook of clinical neurology, 27637963.
Wolf SL, Barton DL, Qin R, Wos EJ, Sloan JA, Liu H, et al. (2012). The relationship between numbness, tingling, and shooting .... Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 21479990.
Castelli G, Desai KM, & Cantone RE. (2020). Peripheral Neuropathy: Evaluation and Differential Diagnosis. American family physician, 33320513.

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