Right Leg Weakness and Pain: Seeking Neurology Solutions

Lower back and leg pain (right leg weakness)

Hello: I hold a mild physical and mental disability certificate (lower limb disability).
Although I cannot walk quickly or run, I can stand and walk on my own without any issues.
Recently, I suddenly noticed weakness in my right leg, and I need to support my right thigh with my right hand while walking (with my hand in my pocket pressing against my thigh).
Currently, I cannot walk independently for more than 100 meters (my right leg becomes completely weak and requires rest).
If I need to walk for an extended period, I have to use a wheelchair.
Recently, I tested raising and straightening my right leg and found it very painful, as if the tendons were about to tear (there is a painful tendon below the connection point of my calf and thigh).
I am unsure which specialty to consult.
Could you please recommend relevant outpatient clinics for treatment? I have found information online about "tendon release surgery" and am wondering if it would be helpful.
Thank you for taking the time to respond, and I appreciate your help.

Mr. Li, 40~49 year old female. Ask Date: 2016/06/01

Dr. Jiang Junyi reply Neurology

Hello, based on your description, there are many potential causes for leg weakness, such as muscle atrophy, lumbar nerve compression, and vascular obstruction, among others.
A thorough examination is necessary.
I recommend consulting with a neurologist or a rehabilitation physician to discuss evaluation and treatment options.
Wishing you good health and peace.
Dr.
Tao, Neurology Department, cares about you.

Reply Date: 2016/06/01

More Info

It sounds like you are experiencing significant issues with your right leg, particularly weakness and pain that are affecting your mobility. Given your history of mild physical disability and the recent onset of these symptoms, it is important to approach this situation with careful consideration and appropriate medical evaluation.

First and foremost, it is crucial to consult with a neurologist. Neurologists specialize in disorders of the nervous system, which includes the brain, spinal cord, and peripheral nerves. Your symptoms of right leg weakness and pain could be indicative of several neurological conditions, including nerve compression, neuropathy, or even issues related to the spinal cord. A thorough neurological examination, including a detailed history and physical examination, will help determine the underlying cause of your symptoms.

In addition to a neurological evaluation, it may also be beneficial to see an orthopedic specialist. Orthopedic doctors focus on the musculoskeletal system, which includes bones, muscles, tendons, and ligaments. They can assess whether there are any structural issues in your leg or spine that may be contributing to your weakness and pain. Imaging studies, such as X-rays or MRI scans, may be necessary to visualize any potential abnormalities.

You mentioned feeling a sensation as if a muscle or tendon is about to "snap" when you try to lift your leg. This could suggest a problem with the muscles or tendons themselves, such as a strain or tear, or it could be related to nerve involvement. The pain you are experiencing in the area where the thigh connects to the calf could also be related to muscle fatigue or overuse, especially if you have been compensating for weakness in your leg.

Regarding the term "鬆筋手術" (loosening muscle surgery), it is essential to clarify what this entails. If you are referring to a surgical procedure aimed at relieving tension or tightness in the muscles or tendons, this may be appropriate in certain cases, but it would depend on the specific diagnosis made by your healthcare providers. Surgical interventions are typically considered after conservative treatments, such as physical therapy, medication, or injections, have been explored.

Physical therapy could be a valuable part of your treatment plan. A physical therapist can work with you to strengthen the muscles in your leg, improve your mobility, and develop strategies to manage pain. They can also provide exercises tailored to your specific needs and limitations, helping you regain function and independence.

In summary, I recommend that you seek a comprehensive evaluation from both a neurologist and an orthopedic specialist. They will work together to determine the cause of your right leg weakness and pain and develop an appropriate treatment plan. It is essential to address these symptoms promptly to prevent further complications and improve your quality of life. Remember to communicate openly with your healthcare providers about your symptoms and any concerns you may have, as this will help them provide the best care possible.

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