Neurological Pain: Symptoms and Next Steps for Relief

Generalized pain and numbness?

I am experiencing persistent pain and numbness on the left side of my body, starting from my left calf and thigh, extending to my left hand fingers, lower back, neck, and left side of my face.
Now, the right side has also begun to show similar symptoms.
Walking has become increasingly difficult, and I cannot stand for long periods.
My left foot feels weak, and my left hand is also affected.
I have undergone nerve conduction studies five times over the past three years, with previous results being normal.
However, a couple of days ago, the report indicated conduction values of 47 and 49 in my foot.
This situation is truly distressing, and I feel like it is continuously worsening.
I am very afraid of experiencing this numbness, pain, tightness, and weakness throughout my entire body.
I am struggling both mentally and physically, and I fear further deterioration or atrophy.
My fingers have noticeable indentations.
What further tests should I consider?

jerry, 30~39 year old female. Ask Date: 2016/06/16

Dr. Lan Shengxing reply Neurology

Hello, if all current tests are normal, you can still undergo evoked potential testing to determine if there are any issues with the central nervous system.
If both the central and peripheral nervous systems show no abnormalities, it is recommended that you engage in appropriate exercise.
Amyotrophic lateral sclerosis (ALS) does not typically cause numbness or pain, so you do not need to be overly concerned.

Reply Date: 2016/06/16

More Info

Understanding neurological pain can be a complex and challenging journey, especially when symptoms like persistent pain, numbness, and weakness affect multiple areas of the body. Based on your description, it sounds like you are experiencing a range of neurological symptoms that are progressively worsening, which can be distressing both physically and mentally.

Symptoms Overview
The symptoms you describe—numbness, pain, and weakness in your left leg, hand, and other areas—suggest a possible neurological issue. The fact that you have had multiple nerve conduction studies (NCS) over the past three years, with the most recent showing reduced conduction values in your feet, indicates that there may be an underlying neuropathy or nerve compression affecting your peripheral nervous system.

Potential Causes
1. Peripheral Neuropathy: This condition can arise from various causes, including diabetes, vitamin deficiencies, autoimmune diseases, or exposure to toxins. It often leads to symptoms like numbness, tingling, and weakness in the extremities.

2. Cervical or Lumbar Radiculopathy: If there is compression of the nerve roots in the cervical (neck) or lumbar (lower back) spine, it can lead to pain and weakness radiating down the arms or legs, respectively.

3. Multiple Sclerosis (MS): This is a demyelinating disease that can cause a wide range of neurological symptoms, including pain, weakness, and sensory disturbances.

4. Complex Regional Pain Syndrome (CRPS): If there has been a history of injury, CRPS can develop, leading to severe pain and changes in sensation.

Next Steps for Relief
1. Consult a Neurologist: Since you have already undergone several nerve conduction studies, it may be beneficial to consult a neurologist who specializes in peripheral nerve disorders. They can provide a comprehensive evaluation and may recommend additional tests, such as MRI scans of the brain and spine, to rule out other conditions.

2. Physical Therapy: Engaging in physical therapy can help improve strength and mobility. A physical therapist can design a tailored program to address your specific needs, focusing on strengthening exercises and pain management techniques.

3. Pain Management: If your pain is severe and not responding to over-the-counter medications, a pain management specialist may offer treatments such as nerve blocks, medications like gabapentin or pregabalin, or even more advanced options like spinal cord stimulation.

4. Psychological Support: Chronic pain can take a toll on mental health. Seeking support from a psychologist or counselor who specializes in chronic pain can help you develop coping strategies and improve your overall well-being.

5. Lifestyle Modifications: Incorporating regular low-impact exercises, such as swimming or cycling, can help maintain mobility without putting too much strain on your body. Additionally, ensuring a balanced diet rich in vitamins and minerals can support nerve health.

6. Regular Monitoring: Since your symptoms are evolving, it’s crucial to have regular follow-ups with your healthcare provider to monitor your condition and adjust treatment plans as necessary.

Conclusion
Your experience of persistent pain, numbness, and weakness is understandably distressing, and it’s important to take proactive steps to address these symptoms. By consulting with specialists, engaging in physical therapy, and exploring pain management options, you can work towards finding relief and improving your quality of life. Remember, you are not alone in this journey, and there are healthcare professionals who can support you through these challenges.

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