There is a slight numbness in the left leg?
Hello, Doctor.
On the night of March 14th, I had an accident while riding my motorcycle home after class.
I was startled by a motorcycle that made an illegal left turn, which caused me to fall.
My estimated speed at the time was around 20 km/h.
After being examined at the hospital, I only had abrasions on my left knee and left abdomen.
Both ultrasound and X-ray examinations showed no significant injuries.
However, I later developed a bruise on my left abdomen, measuring less than 3x3 cm, which is currently yellowish-purple in color.
All my wounds are healing well and steadily.
However, on the 17th, I noticed a tingling sensation in my left leg.
The sensation is not strong or very noticeable, but it hasn't disappeared.
I would like to ask the doctor what might be causing this.
Is there a need for further medical evaluation? Thank you!
Seth, 20~29 year old female. Ask Date: 2019/03/19
Dr. Lai Zhaokang reply Neurosurgery
Hello: I suspect a possible sprain in the left calf.
Let's observe it for 1-2 weeks.
If there is no improvement, please seek further evaluation.
Best wishes, Dr.
Lai Chao-Kang, Neurosurgeon.
Reply Date: 2019/03/19
More Info
After a motorcycle accident, experiencing mild numbness in the left leg can be concerning, and it’s important to understand the potential causes and necessary steps to take. Given your description of the incident, where you fell off your motorcycle after being startled by another vehicle, it’s possible that the numbness could be related to several factors, including soft tissue injury, nerve compression, or even referred pain from other areas of the body.
Potential Causes of Numbness
1. Soft Tissue Injury: The impact from the fall could have caused soft tissue injuries in the leg, including strains or sprains. Even if X-rays and ultrasounds did not reveal any fractures or significant injuries, the surrounding muscles, ligaments, or tendons could still be affected, leading to symptoms like numbness or tingling.
2. Nerve Compression or Injury: The position of your leg during the fall or the way you landed could have resulted in temporary nerve compression. This can happen if a nerve is pinched by swelling or muscle spasms in the area. The sciatic nerve, for example, runs down the back of the leg and can be affected by injuries in the lower back or buttocks.
3. Referred Pain: Sometimes, pain or numbness in one area can be a result of issues in another area. For example, if there was any impact to your lower back during the accident, it could lead to sensations in the leg due to nerve pathways.
4. Circulation Issues: Although less common, it’s also possible that circulation could be affected due to swelling or positioning after the accident, leading to numbness.
When to Seek Medical Attention
Given that the numbness has persisted for a few days and is not improving, it would be prudent to seek medical attention. Here are some signs that indicate you should see a healthcare provider:
- Persistent Symptoms: If the numbness does not resolve or worsens over time.
- Weakness: If you experience weakness in the leg or difficulty moving it.
- Pain: If you develop significant pain, especially if it radiates down the leg.
- Changes in Sensation: If you notice changes in sensation, such as increased numbness or tingling.
- Bowel or Bladder Issues: If you experience any changes in bowel or bladder control, which could indicate a more serious condition.
Recommended Actions
1. Rest and Ice: Initially, it’s important to rest the affected leg and apply ice to reduce any swelling. Avoid activities that exacerbate the numbness.
2. Physical Therapy: If symptoms persist, a referral to a physical therapist may be beneficial. They can provide exercises to strengthen the muscles around the affected area and improve mobility.
3. Follow-Up Imaging: If the numbness continues, your doctor may recommend further imaging studies, such as an MRI, to assess for any underlying issues that may not have been visible on initial X-rays.
4. Monitor Symptoms: Keep track of any changes in your symptoms, including the intensity and duration of the numbness, and report these to your healthcare provider.
Conclusion
In summary, while mild numbness in the left leg following a motorcycle accident can be attributed to various factors, it is essential to monitor your symptoms closely. Given that the numbness has not resolved, seeking medical advice is advisable to rule out any serious underlying conditions and to receive appropriate treatment. Early intervention can help prevent long-term complications and facilitate a quicker recovery, allowing you to return to your normal activities, including sports and exercise, safely.
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