Sudden Leg Numbness and Pain: Causes and Concerns - Neurology

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Sudden numbness and pain in the foot?


Hello, I often experience collisions during my workouts, but since I'm on tatami mats, they are soft.
Recently, over the past two to three weeks, I've had episodes of numbness and pain in my left foot three times.
This seems to occur after I bump into the outer side of my left leg or the bottom of my foot, and I might have also kicked my thigh.
The sensation is an immediate numbness and pain in my entire left leg, but it usually recovers quickly, about 30 seconds later.
A week ago, I noticed that pressing on the outer side of my thigh was painful, but there were no bruises.
This week, after exercising, I discovered a bruise on the outer side of my left thigh.
I'm not sure if there's a connection.
Although the symptoms resolve quickly, they have recurred three times, so I'm a bit worried if I should pay special attention to this.

Additionally, I had a minor car accident two months ago, and I experience pain in my left knee when squatting or kneeling.
Could this be related? Also, I found information online only about numbness and pain from elbow impacts; are there similar symptoms that can occur in the foot, thigh, or knee?

Christy, 20~29 year old female. Ask Date: 2018/11/01

Dr. Jiang Junyi reply Neurology


Hello: The numbness occurring on the outer side of your left foot may be due to peripheral nerve compression, with the fibular nerve being the primary consideration, especially in individuals who frequently cross their legs or sit with their legs crossed.
Additionally, it is important to consider lumbar disc herniation that may compress the nerves.
Disc herniation can also result from sudden injuries, such as twisting the waist, bending to lift heavy objects, or experiencing sudden excessive force, leading to nerve root compression and pain radiating down one leg.
It is recommended that you visit a neurology or rehabilitation clinic for evaluation (such as nerve conduction studies, electromyography, etc.) and treatment.
The 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: 2018/11/01

More Info


When it comes to sudden leg numbness and pain, particularly in the context of recent physical activity and minor injuries, there are several potential causes and considerations to keep in mind. Based on your description, it seems that you have experienced episodes of numbness and pain in your left leg, particularly after some form of impact or collision during exercise. This has raised concerns for you, especially given the recurrence of these symptoms.


Possible Causes
1. Nerve Compression or Injury: The sudden numbness and pain you experience could be due to nerve compression. This can occur if there is swelling or inflammation in the area surrounding the nerve, which may happen after a collision or impact. The sciatic nerve, for example, can be affected by issues in the lower back or pelvis, leading to pain and numbness in the leg.

2. Muscle Strain or Contusion: Given that you mentioned experiencing pain after impacts, it is possible that you have strained a muscle or sustained a contusion (bruise) in your thigh. The presence of a bruise, especially if it appeared after you felt pain, indicates that there may have been some bleeding under the skin due to a small injury. This can lead to localized pain and swelling, which might also contribute to feelings of numbness.

3. Referred Pain: Sometimes, pain in the leg can be referred from another area, such as the lower back or hip. If you had a minor car accident two months ago, it’s possible that there could be lingering effects from that incident, such as muscle tightness or spinal issues that could be contributing to your symptoms.

4. Circulatory Issues: Although less common, circulatory problems can also lead to numbness and pain. If there is any compromise in blood flow to the leg, it could result in these symptoms. However, this is less likely given your description of the symptoms being related to physical activity.


Recommendations
1. Rest and Ice: After any impact or injury, it’s important to rest the affected area and apply ice to reduce swelling. Avoid activities that exacerbate the pain until you have a clearer understanding of the injury.

2. Monitor Symptoms: Keep track of when the numbness and pain occur, how long they last, and any other symptoms that accompany them. This information can be helpful for healthcare providers.

3. Consult a Healthcare Professional: Given that you have experienced these symptoms multiple times, it would be wise to consult a healthcare professional, such as an orthopedic specialist or a neurologist. They may recommend imaging studies, such as an MRI, to rule out any underlying issues with nerves or muscles.

4. Physical Therapy: If the symptoms are related to muscle strain or nerve compression, physical therapy may be beneficial. A physical therapist can provide exercises to strengthen the muscles around the affected area and improve flexibility, which may help alleviate symptoms.

5. Avoid High-Impact Activities: Until you have a better understanding of your symptoms, consider modifying your exercise routine to avoid high-impact activities that could lead to further injury.


Conclusion
In summary, while the symptoms you are experiencing may resolve quickly, the recurrence of numbness and pain in your left leg warrants further investigation. It is essential to consider both the immediate effects of any impacts you have sustained and the potential for underlying issues that may need to be addressed. Consulting with a healthcare professional will provide you with a clearer diagnosis and appropriate treatment options. Remember to prioritize your health and safety, especially when engaging in physical activities.

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