Knee Numbness: Causes and When to Seek Help - Orthopedics

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Numbness in the knee?


Hello, Doctor Shi: Recently, I have been experiencing a tingling sensation in both of my knees, occasionally accompanied by mild sharp pain and cramping, but it does not affect my daily activities.
What could be the cause?

Pamelabear, 40~49 year old female. Ask Date: 2017/06/14

Dr. Shi Guozheng reply Orthopedics


It is possible that the peripheral nerves are being compressed, so it is advisable to avoid sitting cross-legged or in a position where one leg is resting on the other for extended periods.

Reply Date: 2017/06/14

More Info


Knee numbness, accompanied by occasional tingling, mild pain, and cramps, can be concerning, especially when it occurs frequently. While you mentioned that these symptoms do not significantly impact your daily activities, it is essential to understand the potential causes and when to seek medical attention.


Possible Causes of Knee Numbness
1. Nerve Compression or Irritation: One of the most common reasons for numbness in the knees is nerve compression. This can occur due to various factors, including herniated discs in the spine, which can press on nerves that travel down to the legs. Conditions like sciatica can also lead to numbness and tingling sensations in the lower extremities.

2. Circulatory Issues: Poor circulation can lead to numbness and tingling in the legs. Conditions such as peripheral artery disease (PAD) can restrict blood flow to the legs, causing these symptoms. If you notice that your legs feel cold or change color, it may indicate a circulatory issue.

3. Muscle Strain or Overuse: Engaging in activities that require repetitive knee movement or prolonged sitting can lead to muscle strain. This strain can sometimes irritate nearby nerves, resulting in numbness or tingling sensations.

4. Joint Issues: Conditions like osteoarthritis or rheumatoid arthritis can lead to inflammation in the knee joint, which may cause numbness or tingling due to swelling and pressure on surrounding nerves.

5. Vitamin Deficiencies: Deficiencies in vitamins, particularly B vitamins (like B12), can lead to nerve damage and result in numbness and tingling in the extremities.

6. Diabetes: Diabetic neuropathy is a common complication of diabetes that can cause numbness and tingling in the legs and feet. If you have a history of diabetes, this could be a potential cause.

7. Injuries: Previous injuries to the knee or surrounding areas can lead to nerve damage or irritation, resulting in numbness or tingling sensations.


When to Seek Help
While occasional numbness and tingling may not be a cause for alarm, certain symptoms warrant immediate medical attention. You should consider seeking help if:
- The numbness persists or worsens over time.

- You experience significant weakness in your legs or difficulty walking.

- You notice changes in bowel or bladder control.

- There is swelling, redness, or warmth in the knee area.

- You experience severe pain that does not improve with rest or over-the-counter medications.

- You have a history of diabetes, vascular disease, or other chronic conditions that could complicate your symptoms.


Conclusion
In summary, knee numbness can arise from various causes, including nerve compression, circulatory issues, muscle strain, joint problems, vitamin deficiencies, diabetes, or previous injuries. While your symptoms may not currently interfere with your daily activities, it is essential to monitor them closely. If you notice any concerning changes or if the symptoms persist, it would be prudent to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, nerve conduction tests, or blood tests to determine the underlying cause and appropriate treatment options. Early intervention can help prevent further complications and improve your overall quality of life.

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