“Pins and needles” sensation hands and feet getting worse

Dear Ask The Doctor: About five years ago I started haveing pins and needles sensation in my finger tips it was quite intense but it would just last for a short time and it would go away with in a few weeks it would come back and it would cover a larger area and be more intence it would come and go over a couple of years it moved to my toes and now includes about half of both hands starting from my finger tips and the same on my feet the pain is diferent now its avery strange painful sensation that dosent go away anymore my finger tips feel kind of bruised and the rest of my hands and my feet ake constantly I am 48 not over wait and very active I have learned to tolerate the pain but it is getting worse I have been to several Doctors with no solution I have no back problems or dis coloring

Dear Jeffrey: 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, and metabolic causes as problems with the Thyroid gland and Diabetes. I recommend you to get an appointment with your doctor and once that your physician has ruled out the vitamin deficiency, and thyroid problems, might be important to rule out some other metabolic causes as Diabetes, or circulatory problems which can produce the symptoms that you described above.