Red flags – pins and needles

Your patient will need urgent referral if they have any of the following.

  • Onset after trauma, surgery or systemic infection
  • Multiple areas involved or progressive symptoms
  • Additional behavioural or memory changes, or dizziness/headaches
  • Fever or other systemic upset
  • Disturbances of autonomous nervous system or objective muscular weakness
  • Patient is at high risk because of age, existing chronic conditions or lifestyle factors (Dr Tillmann Jacobi January 2021)