Numbness and weakness in the legs?
Hello doctor, two years ago I had an accident while riding my motorcycle.
Since the incident, I've felt a slight tilt in my body and discomfort in my lower back that extends to my upper back.
I have visited an orthopedic clinic for examination, and they all said that my bones are fine.
I thought since there were no bone issues, I could just endure the discomfort in my back and waist.
However, I experience discomfort after prolonged sitting or standing.
Recently, whether sitting or lying down, I have started to experience symptoms of numbness in my legs, which have become increasingly pronounced.
Sometimes, I can't even move the numb leg on my own.
Recently, while riding my bicycle, I also experienced numbness and loss of sensation in my toes.
I would like to ask if I should see a neurologist for further evaluation?
Cheng, 20~29 year old female. Ask Date: 2016/09/05
Dr. Lan Shengxing reply Neurology
Hello, yes, this issue should be addressed at a neurology or rehabilitation clinic.
Reply Date: 2016/09/05
More Info
It sounds like you are experiencing a complex set of symptoms following your motorcycle accident two years ago, which include body misalignment, discomfort in your lower back and spine, and increasing numbness and weakness in your legs. Given the persistence and progression of your symptoms, it is indeed advisable to seek further evaluation from a neurologist.
Understanding Your Symptoms
1. Numbness and Weakness: The numbness and weakness in your legs could be indicative of nerve involvement. This might be due to a variety of factors, including nerve compression, radiculopathy (where a nerve root is compressed), or even peripheral neuropathy. The fact that you are experiencing these symptoms more frequently and with increasing severity is concerning and warrants further investigation.
2. Back and Spine Issues: Since you mentioned discomfort in your lower back and spine, it is possible that there may be underlying issues such as a herniated disc or spinal stenosis that could be contributing to your symptoms. These conditions can lead to nerve compression, which may explain the numbness and weakness in your legs.
3. Body Misalignment: The feeling of your body being tilted could suggest postural changes or compensatory mechanisms due to pain or discomfort. Over time, these compensations can lead to further musculoskeletal issues, which may exacerbate your symptoms.
Next Steps
1. Neurological Evaluation: A neurologist can perform a comprehensive examination, which may include imaging studies such as an MRI or CT scan to assess for any structural issues in the spine or nerve pathways. They may also conduct nerve conduction studies or electromyography (EMG) to evaluate the function of your nerves and muscles.
2. Physical Therapy: Depending on the findings, a referral to a physical therapist may be beneficial. Physical therapy can help improve your posture, strengthen the muscles supporting your spine, and alleviate some of the discomfort you are experiencing. A therapist can also provide exercises tailored to your specific needs, which can help in regaining strength and mobility in your legs.
3. Pain Management: If your symptoms are significantly affecting your quality of life, discussing pain management options with your healthcare provider may be appropriate. This could include medications, injections, or alternative therapies such as acupuncture or chiropractic care.
4. Lifestyle Modifications: In the meantime, consider modifying your activities to avoid exacerbating your symptoms. This may include avoiding prolonged sitting or standing, incorporating regular movement breaks, and practicing good ergonomic principles when sitting or working.
Potential Outcomes
While it is difficult to predict the exact outcome without a thorough evaluation, many individuals with similar symptoms can find relief through appropriate medical intervention and rehabilitation. Early intervention is key to preventing further complications and improving your overall function.
Psychological Considerations
It’s also important to address the psychological impact of chronic pain and disability. If you find yourself feeling anxious or distressed about your symptoms, consider speaking with a mental health professional. Cognitive-behavioral therapy (CBT) can be particularly effective in helping individuals manage chronic pain and the associated emotional challenges.
In conclusion, your symptoms following the motorcycle accident are concerning and warrant further investigation. Seeking a neurological evaluation is a crucial next step in understanding the underlying causes of your leg numbness and weakness. With appropriate care and intervention, there is a good chance for improvement in your symptoms and overall quality of life.
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