Loss of Sensation in Skin: When to See a Neurosurgeon?

Partial loss of sensation on the skin surface?

Hello, about a week ago, I started experiencing a patch of skin on the right side of my body near the pelvis that has no sensation (similar to hand numbness, but only very superficial).
In the days leading up to the onset of symptoms, there wasn't anything particularly unusual—just regular activities like jogging and social gatherings.
I initially thought it was due to fatigue and that resting more would help, but there hasn't been any change.
The area of numbness varies in size, sometimes larger and sometimes smaller, approximately 10 to 15 centimeters in diameter.
Should I see a neurosurgeon for this symptom?

Yang ms, 30~39 year old female. Ask Date: 2017/04/10

Dr. Lai Zhaokang reply Neurosurgery

Hello, are you referring to the area around the waistband? If so, it is possible to experience numbness in that region.
I recommend consulting a neurosurgeon or a neurologist.
Best wishes, Dr.
Lai Chao-Kang.

Reply Date: 2017/04/10

More Info

Loss of sensation in the skin, particularly when localized to a specific area, can be indicative of a variety of underlying neurological issues. Given your description of a loss of sensation in the skin on the right side of your body near the pelvis, it is essential to consider several factors before determining the appropriate course of action, including whether to see a neurosurgeon.

Firstly, the loss of sensation you are experiencing could be attributed to peripheral nerve damage or dysfunction. This can occur due to various reasons, including compression of nerves, trauma, or systemic conditions such as diabetes or multiple sclerosis. The fact that the area of numbness fluctuates in size suggests that it may be related to a transient issue, such as nerve compression, which could be caused by muscle tension or inflammation.

In cases where the loss of sensation is accompanied by other symptoms such as weakness, pain, or changes in reflexes, it is crucial to seek medical attention promptly. These additional symptoms could indicate a more serious condition that may require surgical intervention. For instance, if there is a herniated disc or spinal stenosis compressing the nerves, a neurosurgeon may be needed to evaluate the situation and determine if surgery is warranted.

You mentioned that the numbness began about a week ago and has not improved with rest. This duration is significant, as acute changes in sensation that persist warrant further investigation. A thorough neurological examination is essential to assess the extent of the sensory loss and to identify any accompanying neurological deficits. Tests such as nerve conduction studies or electromyography (EMG) may be recommended to evaluate the function of the nerves and muscles in the affected area.

If your primary care physician or neurologist suspects that the issue may be related to a structural problem in the spine or a more complex neurological condition, they may refer you to a neurosurgeon for further evaluation. Neurosurgeons specialize in conditions affecting the nervous system, including the brain and spinal cord, and can provide insights into whether surgical intervention is necessary.

In summary, if you are experiencing a loss of sensation in the skin that has persisted for over a week without improvement, it is advisable to consult a healthcare professional. A neurologist can perform a comprehensive evaluation and determine if a referral to a neurosurgeon is appropriate based on your symptoms and examination findings. Early intervention can be crucial in preventing further complications and ensuring the best possible outcome for your condition.

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