Leg Swelling: Possible Causes and Connections to Nerve Issues - Neurology

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Leg swelling sensation?


Hello Doctor, for the past two weeks, I have been experiencing a feeling of heaviness and discomfort in both my thighs and calves.
I feel uncomfortable whether sitting or standing, and I don't notice any particular time of day when the symptoms are worse or better.
I have a history of cervical disc herniation, which occasionally causes numbness in my arms, but the swelling sensation in my legs feels different from the numbness in my hands.
I am wondering if there could be a connection.
Could you please advise on what might be causing these symptoms? Thank you.

yin, 40~49 year old female. Ask Date: 2020/11/20

Dr. Hong Weibin reply Neurology


Hello: The sensation of pain and swelling in the calves and thighs usually raises concerns about potential vascular obstruction or nerve compression issues.
It is advisable to seek assistance from a neurologist directly.

Reply Date: 2020/11/20

More Info


Leg swelling, or edema, can be caused by a variety of factors, and understanding the underlying causes is essential for effective management. Given your symptoms of discomfort in both the thigh and calf, along with a history of cervical disc herniation, it is important to consider several potential connections and causes.

Firstly, edema in the legs can result from venous insufficiency, where the veins struggle to return blood to the heart. This condition can lead to pooling of blood in the lower extremities, causing swelling and discomfort. Factors such as prolonged sitting or standing, obesity, and a sedentary lifestyle can exacerbate this condition. If you find that your symptoms worsen after long periods of inactivity, this could be a contributing factor.

Another possible cause of leg swelling is lymphatic obstruction, which can occur due to various reasons, including previous surgeries, infections, or trauma that may have affected the lymphatic system. If you have had any prior injuries or surgeries in the lower extremities, this could potentially lead to lymphatic drainage issues, resulting in swelling.

Additionally, your cervical disc herniation may play a role in your symptoms. While the cervical spine primarily affects the upper body, nerve root compression can lead to referred sensations or discomfort in other areas, including the legs. However, it is crucial to differentiate between symptoms caused by nerve compression and those caused by vascular or lymphatic issues. The tingling or numbness in your arms may suggest that nerve involvement is present, but it does not directly correlate with leg swelling.

Other systemic conditions, such as heart failure, kidney disease, or liver dysfunction, can also lead to generalized edema, including in the legs. If you have any accompanying symptoms such as shortness of breath, fatigue, or changes in urination, it would be prudent to discuss these with your healthcare provider.

In your case, since you have been experiencing discomfort for about half a month, it is advisable to seek a thorough evaluation from a healthcare professional. They may recommend diagnostic tests such as Doppler ultrasound to assess blood flow in the veins, blood tests to evaluate kidney and liver function, or imaging studies to rule out any structural issues in the spine that could be contributing to your symptoms.

In summary, while your cervical spine issues may be related to your arm symptoms, the leg swelling could stem from a variety of causes, including venous insufficiency, lymphatic obstruction, or systemic conditions. A comprehensive evaluation by a healthcare provider is essential to determine the exact cause of your symptoms and to develop an appropriate treatment plan. In the meantime, elevating your legs, wearing compression stockings, and engaging in regular physical activity may help alleviate some of the discomfort associated with leg swelling.

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