Neuropathy or nerve damage may result in the dysfunction of nerves that detect temperature. People with this type of damage may feel as though their feet are cold, even if the extremities are not cold to the touch. A pins-and-needles sensation or numbness may also develop. Underlying medical disorders such as diabetes and injury can result in peripheral neuropathy, which affects the body's longest nerves, those that reach the toes. The National Institutes of Health reports that over 20 million people in the US have some form of this disorder.

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