Nerve Issues: Overcoming Weakness and Numbness in Legs

Q: Nerve Issues: Overcoming Weakness and Numbness in Legs

Hello： In cases of multifocal demyelinating neuropathy, if there are no severe complications, approximately 80% of patients can regain normal function. <br>Most patients reach the lowest point of their condition within two to four weeks, after which symptoms may persist for sever

Numbness and weakness in the legs?

Hello, doctor.
At the beginning of January, I noticed weakness in my body, discomfort in my stomach, bloating, and a decreased appetite.
I thought it was just due to fatigue, so I rested for a few days.
Later, I discovered that my lower legs were numb, and by January 10th, the numbness had progressed to the point where I couldn't move my toes or lift my feet, and my muscles felt tight.
I thought resting for a few more days would help, but eventually, I couldn't stand it anymore and went to Li Hsin Hospital for an examination on January 18th.
Due to work commitments, I didn't see the doctor until January 26th, when I was told I likely had multiple neuritis.
I was hospitalized on February 6th for a lumbar puncture, blood tests, and other necessary examinations, all of which came back normal.
However, the nerve conduction studies for my lower limbs were not very promising, so the doctor decided to start a plasmapheresis treatment.
As of today, February 17th, I have undergone plasmapheresis four times.
My feet have regained a little strength compared to before, but I still cannot lift my toes or move them, and I experience an electric shock sensation in my lower limbs after walking a short distance.
I feel very weak.
I would like to ask the doctor if there is still a chance for me to return to my previous normal state...

W, 20~29 year old female. Ask Date: 2021/02/18

Dr. Jiang Junyi reply Neurology

Hello: In cases of multifocal demyelinating neuropathy, if there are no severe complications, approximately 80% of patients can regain normal function.
Most patients reach the lowest point of their condition within two to four weeks, after which symptoms may persist for several weeks or even months before gradually entering the recovery phase.
About two-thirds of patients may progress to the point of being unable to walk, and one-quarter of patients may require respiratory support due to respiratory muscle weakness.
Even with appropriate treatment, 80% of patients regain the ability to walk six months after treatment.
It is recommended that you discuss examinations and treatment options, as well as rehabilitation plans, with your attending physician.
Wishing you good health, peace, and joy.
Dr.
Jiang Junyi, Neurology, Taoyuan Hospital, cares for you.

Reply Date: 2021/02/18

More Info

It sounds like you're experiencing a complex set of symptoms that can be quite distressing. Based on your description, it appears that you may be dealing with a condition related to nerve function, possibly multifocal neuropathy or another type of peripheral nerve disorder. The symptoms of weakness, numbness, and the inability to move your toes or lift your foot can be indicative of nerve damage or dysfunction.

In your case, the diagnosis of multifocal neuropathy suggests that there may be multiple areas of nerve involvement, which can lead to the symptoms you are experiencing. The fact that you have undergone various tests, including a lumbar puncture and blood tests, is important as these help rule out other potential causes of your symptoms, such as infections, autoimmune disorders, or metabolic issues.

The treatment you are receiving, which includes plasmapheresis (blood exchange therapy), is often used in cases of autoimmune neuropathies. This treatment can help reduce the levels of harmful antibodies that may be attacking your nerves. While you mentioned that there has been some improvement in your strength, it is understandable to feel concerned about the persistence of your symptoms, such as the inability to lift your foot or move your toes.

Recovery from nerve-related issues can vary significantly from person to person. Some individuals may experience a full recovery, while others may have lingering symptoms. Factors that can influence recovery include the underlying cause of the nerve damage, the extent of the damage, the speed of diagnosis and treatment, and individual health factors.

Here are some additional points to consider:
1. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can work with you to develop a tailored exercise program that focuses on strengthening your muscles, improving your range of motion, and enhancing your overall mobility. This can be particularly important for regaining function in your legs and feet.

2. Occupational Therapy: If your daily activities are affected, occupational therapy may help you learn new strategies to manage tasks and improve your quality of life.

3. Pain Management: If you are experiencing pain or discomfort, discussing pain management options with your healthcare provider can be helpful. This may include medications, physical modalities, or alternative therapies.

4. Nutritional Support: Ensuring that you have a well-balanced diet rich in vitamins and minerals can support nerve health. Some studies suggest that certain vitamins, such as B vitamins, may play a role in nerve repair.

5. Regular Follow-Up: It is crucial to maintain regular follow-up appointments with your healthcare provider to monitor your progress and make any necessary adjustments to your treatment plan.

6. Support Groups: Connecting with others who have similar experiences can provide emotional support and practical advice on coping with your condition.

In conclusion, while it is difficult to predict the exact outcome of your condition, there is hope for improvement. Many individuals with nerve-related issues can regain function over time, especially with appropriate treatment and rehabilitation. It is essential to stay proactive in your care, communicate openly with your healthcare team, and remain hopeful about your recovery journey.

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