Numbness in Legs: When to See a Neurologist

Loss of sensation in both feet?

Hello doctor, since around last winter, I have been experiencing some numbness from my thigh to the soles of my feet and toes.
There is no weakness, just a feeling of slight dullness.
I initially thought it was due to the cold weather, but it hasn't improved until now.
Which specialty should I see for this? What kind of tests might be needed?

Kyotong, 10~19 year old female. Ask Date: 2016/04/12

Dr. Gao Chunde reply Neurology

In neurology, nerve conduction studies are typically arranged, and additional relevant tests may be added as necessary.

Reply Date: 2016/04/12

More Info

Numbness in the legs, particularly when it extends from the thigh down to the feet and toes, can be a concerning symptom that warrants further investigation. While it may initially seem benign, especially if there is no accompanying weakness, persistent numbness can indicate underlying neurological issues that should be addressed.
Given your description, it is advisable to consult a neurologist. Neurologists specialize in disorders of the nervous system, which includes the brain, spinal cord, and peripheral nerves. They are well-equipped to evaluate symptoms like numbness and can help determine the underlying cause.
When you visit a neurologist, they will likely conduct a thorough clinical evaluation, which may include a detailed medical history and a physical examination. They will assess the distribution of the numbness, any associated symptoms, and any potential risk factors you may have, such as diabetes, vitamin deficiencies, or a history of trauma.
In terms of diagnostic tests, the neurologist may recommend several investigations to pinpoint the cause of your symptoms. These could include:
1. Nerve Conduction Studies (NCS): This test measures how well electrical signals travel through your nerves. It can help identify nerve damage or dysfunction.

2. Electromyography (EMG): This test assesses the electrical activity of muscles and can help determine if there is any nerve or muscle damage.

3. Magnetic Resonance Imaging (MRI): An MRI of the spine may be ordered to check for any structural abnormalities, such as herniated discs or spinal stenosis, that could be compressing nerves.

4. Blood Tests: These may be conducted to check for conditions like diabetes, vitamin B12 deficiency, thyroid dysfunction, or other metabolic issues that could lead to neuropathy.

5. Ultrasound: In some cases, ultrasound may be used to visualize the nerves and surrounding structures.

The persistence of your symptoms, especially if they have not improved over time, is a key indicator that further evaluation is necessary. While cold weather can exacerbate certain conditions, it is unlikely to be the sole cause of ongoing numbness.
In summary, seeing a neurologist is the appropriate course of action for your symptoms. They will guide you through the necessary evaluations and help determine the best treatment options based on the findings. Early intervention can be crucial in managing any potential underlying conditions effectively and preventing further complications.

Similar Q&A

Understanding Leg Numbness: When to See a Neurologist or Orthopedist

In the past two weeks, I have experienced numbness in my legs (from the thigh to the calf) when I first sit down, lie down, or while walking. The numbness is accompanied by a cool sensation, and it occurs intermittently. About three years ago, I went to a major hospital for X-ray...

Dr. Jiang Junyi reply Neurology
Hello, your foot numbness may be due to a herniated lumbar disc causing nerve root compression. This often presents with radiation into the calf. Clinically, a neurologist may arrange for a nerve conduction study to assess the extent of nerve compression. If the symptoms are more...

Understanding Limb Numbness: When to Seek Medical Attention

Hello, I have a health issue. My limbs, especially my legs, often feel numb, and the situation is becoming more frequent. Sometimes I wake up with numbness in my feet. I'm not sure if I need to see a doctor. Please let me know, thank you. Best regards.

Dr. Huang Yingzhe reply Neurology
Please make sure to consult a neurologist! There are many causes for limb numbness (given your age, you probably don't have diabetes, right!?) At the very least, it's important to determine if there is a need for medication or other interventions!

Understanding Leg Numbness: When to See a Neurosurgeon

I've been experiencing numbness while sitting these past few days, and when lying down, my legs become even more numb, making it difficult to sleep. Should I see a neurosurgeon?

Dr. Lai Zhaokang reply Neurosurgery
Sure. Wishing you well.

Post-Hip Replacement Recovery: When to Consult a Neurologist?

My father underwent hip replacement surgery two to three months ago and has been doing rehabilitation on his own. If he experiences numbness in both legs, should he see a neurologist? I am from Tainan, and I would appreciate any recommendations for experienced attending physician...

Dr. Shi Guozheng reply Orthopedics
Numbness in both feet can certainly be caused by issues related to the lumbar spine. You can consult a neurologist, but it's also advisable to see an orthopedic specialist (spine specialist). In Tainan, the Orthopedic Department at National Cheng Kung University Hospital is ...