Herniated disc with foot vibration?
Recently, I experienced numbness and pain in my left foot, which later progressed to muscle twitching in both legs, prompting me to see a neurosurgeon.
An MRI diagnosis revealed a herniated lumbar disc, centrally located, which is causing the muscle twitching in both legs.
However, the doctor mentioned that it is not severe and that with more rest, it should improve.
Recently, I have started to feel a constant vibration sensation in the sole of my left foot, almost like my phone vibrating, which lasts nearly all day.
I would like to know if this is caused by the herniated disc, as I currently have no pain in my legs, only in my lower back.
Should I consult a neurologist for further examination regarding the muscle vibrations, or should I pursue physical therapy?
Niming, 20~29 year old female. Ask Date: 2018/07/13
Dr. Jiang Junyi reply Neurology
Hello: The symptom of vibration in the feet is generally indicative of peripheral nerve damage, and it may be necessary to consider cervical nerve root compression.
I recommend that you visit a neurology or rehabilitation clinic for an examination to determine the location of the nerve damage (such as nerve conduction studies, electromyography, etc.).
The treating physician will prescribe medication based on your condition, and rehabilitation therapy will be provided.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Medical Center cares about you.
Reply Date: 2018/07/13
More Info
Disc herniation, commonly referred to as a slipped or bulging disc, can lead to a variety of symptoms, including pain, numbness, and muscle twitching in the legs. In your case, the MRI results indicating a herniated disc in the lumbar region suggest that the disc material is pressing on nearby nerves, which can lead to the sensations you are experiencing, such as the vibrating feeling in your left foot.
The symptoms of muscle twitching and vibrations in the foot can be attributed to nerve irritation or compression caused by the herniated disc. When the spinal nerves are compressed, they can send abnormal signals to the muscles, resulting in involuntary contractions or twitching. This is often referred to as fasciculations. The fact that you are experiencing these symptoms in both legs indicates that the nerve root affected may be contributing to a more widespread issue, potentially involving multiple nerve roots or a more generalized response to the irritation.
It's important to note that while the doctor mentioned that your condition is not severe and that rest should help, it is crucial to monitor your symptoms closely. The absence of pain in your legs but the presence of muscle twitching and vibrations could indicate that the nerve irritation is still present, albeit in a different form. The ongoing vibration sensation in your left foot may be a sign that the nerve is still being affected, and it could be related to the underlying disc herniation.
In terms of management, there are several approaches you can consider:
1. Physical Therapy: Engaging in a structured physical therapy program can be beneficial. A physical therapist can help you with exercises that strengthen the muscles supporting your spine, improve flexibility, and promote better posture. This can alleviate some pressure on the affected nerves and potentially reduce symptoms.
2. Rest and Activity Modification: While rest is important, it's also essential to avoid prolonged inactivity. Gentle movements and activities that do not exacerbate your symptoms can help maintain mobility without putting too much strain on your back.
3. Pain Management: If you are experiencing any discomfort in your back, over-the-counter pain relievers such as NSAIDs (non-steroidal anti-inflammatory drugs) can help manage pain and inflammation. However, consult with your healthcare provider before starting any medication.
4. Neurology Consultation: Given the new symptoms of foot vibrations, it may be worthwhile to consult a neurologist. They can perform a thorough evaluation, including nerve conduction studies or electromyography (EMG), to assess the function of the nerves and muscles. This can help determine if there is ongoing nerve damage or if the symptoms are purely related to the herniated disc.
5. Monitoring Symptoms: Keep a close eye on your symptoms. If you notice any changes, such as increased pain, weakness, or changes in bowel or bladder function, seek medical attention promptly, as these could indicate a more serious condition.
In summary, while your current symptoms may be related to the herniated disc, it is essential to take a comprehensive approach to management. Engaging in physical therapy, modifying activities, and consulting with a neurologist can provide you with the best chance of recovery and symptom relief. Always communicate openly with your healthcare providers about your symptoms and any changes you experience, as this will help guide your treatment plan effectively.
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