<s>[INST] HELLO, MY PROBLEM IS TOE TINGLING, SOMETIMES BURNING AND/OR PAIN, NUMBNESS, ICEY FEELINGS, FEELS AS IF PINS AND NEEDLES SETS IN BUT NEVER ALL AT THE SAME TIME. I ALSO HAVE SOME NUMBING IN THE TIPS OF A COUPLE OF FINGERS RIGHT HAND. OH YES, THE BIG TOE S BIG JOINT ON EACH FOOT,HAS BEEN GIVING ME SOME PAIN. AM I GOING CRAZY? 72,5 9 175lbs, PACEMAKER [/INST] Hi, Please get your thyroid profile, vitamin B12, blood sugar and vitamin D checked and uric acid checked, as these are the most common causes. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon </s>