Managing Calf Numbness After Knee Electrical Therapy: What You Need to Know - Orthopedics

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After electrical stimulation therapy on the knee, there has been numbness on the inner sides of both calves for almost a week?


On January 13, I went to an orthopedic clinic for an X-ray, and the doctor said I have mild patellar valgus and advised me to undergo rehabilitation.
Typically, I do heat therapy followed by 20 minutes of electrical stimulation.
On the evening of January 19, while taking a shower, I felt a tingling sensation in my calves.
The next day, I returned to the clinic, and the doctor told me not to worry too much, suggesting that I could just reduce the intensity of the electrical stimulation.
After my session on January 20, I rested until today, January 24, but I still feel tingling in the inner sides of both calves.
It has been almost a week.
Doctor, should I continue with heat therapy to improve blood circulation, or how much longer should I rest? Will the tingling sensation in my calves go away on its own? I am very concerned.
Thank you.

Mi Lan, 20~29 year old female. Ask Date: 2017/01/24

Dr. Shi Guozheng reply Orthopedics


Resting is important; if your feet feel numb, it could be due to poor circulation, but it may also be caused by localized nerve compression.
If the symptoms do not improve, you should consult a physician.

Reply Date: 2017/01/24

More Info


Managing calf numbness after undergoing electrical therapy, especially following a diagnosis of mild patellar malalignment, can be a concerning experience. It’s important to understand the potential causes of numbness, the role of electrical therapy, and the appropriate management strategies to alleviate your symptoms.

Firstly, the numbness you are experiencing in your calves could be attributed to several factors. Electrical therapy, while beneficial for muscle relaxation and pain relief, can sometimes lead to temporary nerve irritation or muscle fatigue, especially if the settings are too high or if the treatment is applied for an extended duration. This can result in sensations of numbness or tingling in the treated areas. Additionally, if the therapy is applied near the knee, it might affect the nerves that run down to the calf, leading to the symptoms you are experiencing.

Given that your doctor has suggested reducing the intensity of the electrical therapy, this is a prudent step. Lowering the intensity can help minimize any potential irritation to the nerves and muscles. It’s also essential to ensure that the therapy is being administered correctly, as improper placement of electrodes can lead to unintended effects.

As for the management of your symptoms, here are some recommendations:
1. Rest and Recovery: Allow your body some time to recover. If you are experiencing numbness, it may be beneficial to take a break from any strenuous activities or exercises that could exacerbate the symptoms. Resting the affected area can help reduce inflammation and promote healing.

2. Heat Therapy: Applying heat can be beneficial for improving blood circulation and relaxing tight muscles. You can use a warm compress or heating pad on your calves for 15-20 minutes several times a day. However, be cautious not to apply heat if there is swelling or if the area feels hot to the touch, as this could indicate inflammation.

3. Gentle Stretching and Movement: While rest is important, gentle stretching of the calf muscles can help alleviate tightness and improve circulation. Simple calf stretches can be performed by standing on a step and letting your heels drop down gently. This can help relieve any tension in the muscles and may reduce numbness.

4. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet rich in vitamins and minerals, particularly B vitamins, which are essential for nerve health. Foods like leafy greens, nuts, seeds, and whole grains can support your recovery.

5. Monitoring Symptoms: Keep track of your symptoms. If the numbness persists beyond a week or worsens, it is crucial to follow up with your healthcare provider. They may recommend further evaluation, such as nerve conduction studies or imaging, to rule out any underlying issues.

6. Follow-Up with Your Doctor: If you continue to experience numbness or if it is accompanied by other symptoms such as weakness, pain, or changes in mobility, it is essential to consult your doctor. They may refer you to a specialist, such as a neurologist or a physical therapist, for further assessment and tailored treatment.

In conclusion, while calf numbness after electrical therapy can be concerning, it is often manageable with appropriate care and monitoring. By following the recommendations above and maintaining open communication with your healthcare provider, you can work towards alleviating your symptoms and promoting recovery. Remember, your health and comfort should always be a priority, so don’t hesitate to seek further medical advice if needed.

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