Do I have neuropathy or is this cardiac related instead?
About me: 41 years old, female, african american. Diagnosis of right sided bells palsy in 2019. High blood pressure since age 25 (controlled with meds). Slightly high cholesterol. Family history heart disease, bells palsy, diabetes, GI cancer, stroke, high bp, arthritis. Recently experiencing the following symptoms: numbness and coldness/tingling in hands, arms, legs and feet (80%+ time it's the arms/hands). Right now it's all on the right side although it rarely occurs on both sides. Started noticing tingling in right buttock this week. Mostly occurs at night while lying down; goes away (mostly) once I start moving around, however, these symptoms are starting to appear a bit in the day (such as both feet being cold).
Issues: I've been working from home for 3 years on my couch, often falling asleep on it, sometimes working sitting 'indian style' for hours on the couch. When sleeping in my bed I sleep on my arm. Recently had an episode where the cold/numbness was so intense at night it woke me up; my arm was so cold I had to walk around for an hour before it felt warm and like it had "woken up". I've also been experiencing slight, deep but very mild pain behind my right/lower shoulder blade area. Also, had one episode recently where pain occurred suddenly in my right neck (not the muscle, but felt like a shooting pain in the neck 'artery') – a quick 'shoot' and then stopped; 4 episodes of this back to back within a 5 minute period with no recurrence since that day.
Normal ECG 3 months ago but no recent labwork. Doctor is suggesting I start with neuro, then maybe ortho. Thoughts on if this could be neuropathy versus some type of blockage/cardiovascular instead? I have also noticed mild (sharp) chest pains twice this week for the first time ever.