Tingling and aching toes

Dear Ask The Doctor: The toes on one foot have been aching constantly for a few weeks. The tips of the toes feel like they are asleep. Could this be a circulatory problem?

Dear Mike: Amongst the multiple causes of tingling, “pins and needles” and numbness of the extremities (arm-hands and leg-feet), there are: vitamin deficiencies (Vitamin B12), nerve compressions at the level of the spine, problems with the peripheral nerves of hands and feet, circulatory problems and metabolic causes as problems with the Thyroid gland and Diabetes. Once that your physician ruled out the vitamin deficiency, and thyroid problems, might be important to rule out some other metabolic causes as Diabetes and definitely circulatory problems also, which can produce the symptoms that you described above.