Left-Sided Numbness: When to See a Doctor? - Neurology

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Numbness on the left side of the body?


Initially, I felt numbness on the left side of my buttocks, which then spread to my left hand and foot, followed by numbness in my left face.
These sensations of numbness are accompanied by slight soreness and weakness, and they are persistent.
Should I see a doctor? If so, which specialty should I consult? Thank you, doctor.

Wang, 20~29 year old female. Ask Date: 2017/08/18

Dr. Jiang Junyi reply Neurology


Hello, your abnormal neurological sensations from the lower limbs to the face may warrant consideration of lesions above the cervical spine, including the brain.
I recommend that you consult a neurologist to discuss examination and treatment options.
Wishing you good health, peace, and joy.
Best regards, Taoyuan Medical Center, Neurology Department.

Reply Date: 2017/08/18

More Info


Experiencing numbness and weakness on one side of the body, particularly the left side, can be concerning and warrants prompt medical attention. The symptoms you've described—numbness in the left buttock, hand, foot, and face, accompanied by a sensation of pain and weakness—could indicate several underlying conditions, some of which may require immediate evaluation.

One of the most critical considerations in your case is the possibility of a neurological issue. Symptoms like unilateral numbness and weakness can be indicative of a stroke, transient ischemic attack (TIA), or other neurological disorders. A stroke occurs when blood flow to a part of the brain is interrupted, leading to brain cell death. TIAs, often referred to as "mini-strokes," present similar symptoms but typically resolve within a short period. Both conditions require immediate medical evaluation, as timely intervention can significantly affect outcomes.

Given the nature of your symptoms, it is advisable to seek care from a neurologist. Neurologists specialize in diagnosing and treating conditions related to the nervous system, including the brain, spinal cord, and peripheral nerves. They can perform a thorough evaluation, which may include a physical examination, neurological assessments, and imaging studies such as a CT scan or MRI to rule out serious conditions like stroke or tumors.

In addition to neurological conditions, other potential causes of your symptoms could include:
1. Cervical Radiculopathy: This occurs when a nerve in the neck is compressed or irritated, leading to pain, numbness, or weakness that can radiate down the arm and affect the hand.

2. Herniated Disc: A herniated disc in the cervical or lumbar spine can compress nearby nerves, causing similar symptoms in the limbs.

3. Multiple Sclerosis (MS): MS is a chronic disease that affects the central nervous system and can cause a variety of neurological symptoms, including numbness and weakness.

4. Peripheral Neuropathy: This condition affects the peripheral nerves and can result from various factors, including diabetes, vitamin deficiencies, or exposure to toxins.

5. Musculoskeletal Issues: Poor posture or repetitive strain injuries can lead to nerve compression, resulting in numbness and weakness.

While waiting for your appointment, it is essential to monitor your symptoms closely. If you experience sudden changes, such as severe headache, difficulty speaking, loss of coordination, or facial drooping, seek emergency medical care immediately, as these could be signs of a stroke.

In summary, your symptoms of left-sided numbness and weakness are concerning and should be evaluated by a neurologist as soon as possible. Early diagnosis and treatment are crucial in managing potential neurological conditions effectively. Additionally, maintaining good posture, taking regular breaks from prolonged sitting, and engaging in physical activity can help prevent musculoskeletal issues that may contribute to your symptoms.

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