” Other descriptors include feelings of extreme cold, “like frostbite,” despite an absence of temperature changes upon physical exam. Patients with
diabetic neuropathy or Guillain-Barre syndrome sometimes experience numbness, tingling, or “needles and pins” sensations. Pain descriptors vary between patients, and don’t reliably identify the etiology. Pain may worsen with activity or with wearing clothes over the affected area, or may have a daily pattern.