Nerve Issues: Persistent Numbness and Neck Stiffness

Numbness in the legs and stiffness in the neck?

Hello Doctor, I would like to ask you about my condition.
I have been experiencing mild numbness in both of my legs throughout the day for a long time.
I often wake up at night with either my hands or feet feeling numb, and at times, the numbness extends to my chest, taking a while to recover.
I also have stiffness in my neck, particularly around the carotid arteries.
Recently, over the past month, I have noticed a sensation of heat in both legs.
On the day of the Mid-Autumn Festival, after eating a few pieces of meat, I felt that my neck was noticeably stiffer than usual.
Currently, I feel that when my legs are slightly bent, crossed, or elevated at a 30-degree angle, the numbness worsens within two minutes.
Given these symptoms, do you think I should seek medical attention? Thank you for your response.

Mr. He, 40~49 year old female. Ask Date: 2016/09/19

Dr. Gao Chunde reply Neurology

Symptoms such as poor blood circulation may indicate issues with the blood vessels or the composition of the blood itself.
It is advisable to seek medical attention for further evaluation.
Generally, you can consult a neurologist or a family medicine physician, and if necessary, you may be referred to other specialists based on the findings.

Reply Date: 2016/09/19

More Info

Based on the symptoms you've described, it seems that you are experiencing a combination of persistent numbness in your legs, stiffness in your neck, and episodes of tingling or numbness that can extend to your chest. These symptoms can be indicative of several underlying conditions, and it is essential to approach them with a comprehensive understanding of potential causes and appropriate next steps.

Firstly, the persistent numbness in your legs, especially if it occurs when sitting or lying in certain positions, could suggest a condition known as peripheral neuropathy. This condition involves damage to the peripheral nerves and can result from various factors, including diabetes, vitamin deficiencies (particularly B vitamins), alcohol use, or even certain medications. Given that you also experience numbness in your hands and chest, this could indicate a more systemic issue affecting your nervous system.

The stiffness in your neck, particularly around the carotid arteries, may be related to muscle tension or could be a sign of cervical spine issues. Conditions such as cervical spondylosis or herniated discs can lead to nerve compression, resulting in pain, stiffness, and numbness in the arms and legs. The fact that your symptoms seem to worsen after certain activities (like eating) may suggest that your body is reacting to stress or strain, potentially exacerbating underlying issues.

The recent development of a "burning" sensation in your legs is also noteworthy. This symptom can be associated with nerve irritation or damage, and it may indicate that the nerves are not functioning correctly. In some cases, this can be due to conditions like multiple sclerosis or other neurological disorders, but it is essential to consider more common causes first, such as nerve compression or inflammation.

Given the complexity of your symptoms, it is advisable to seek medical evaluation. A healthcare provider, particularly a neurologist, can perform a thorough assessment, which may include:
1. Neurological Examination: This will help assess your reflexes, muscle strength, and sensory responses to determine if there is a neurological deficit.

2. Imaging Studies: MRI or CT scans of the cervical spine can help identify any structural issues that may be contributing to your symptoms.

3. Electromyography (EMG) and Nerve Conduction Studies: These tests can evaluate the electrical activity of your muscles and the speed of nerve conduction, helping to identify any nerve damage.

4. Blood Tests: Checking for vitamin deficiencies, diabetes, thyroid function, and other metabolic conditions can provide insight into potential causes of your symptoms.

5. Lifestyle Assessment: Discussing your daily activities, posture, and any repetitive motions can help identify contributing factors to your symptoms.

In the meantime, consider implementing some self-care strategies to alleviate your symptoms. Regular stretching and strengthening exercises for your neck and back can help reduce stiffness. Additionally, maintaining good posture, especially if you spend long periods sitting, can prevent further nerve compression. If you find that certain positions exacerbate your symptoms, try to adjust your posture or take breaks to move around.

Finally, if you notice any worsening of symptoms, such as increased numbness, weakness, or changes in bowel or bladder function, seek immediate medical attention. These could be signs of a more serious condition that requires prompt intervention.

In conclusion, while your symptoms may be manageable at the moment, it is crucial to seek a thorough evaluation to determine the underlying cause and appropriate treatment. Early intervention can often lead to better outcomes and improved quality of life.

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