Numbness: When to See a Doctor for Nerve Issues

Numbness issues?

Hello, doctor.
I have recently noticed numbness extending from my right leg to my buttocks over the past two days.
When I touch it, it feels like there is a layer blocking the sensation, which is different from my left leg.
There is no tingling, just numbness.
Should I see a doctor? If so, which specialty should I consult? Thank you.

Xu, 20~29 year old female. Ask Date: 2021/03/25

Dr. Jiang Junyi reply Neurology

Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, commonly known as sciatica.
A herniated disc can also occur due to sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or experiencing excessive force, for example, falling from a ladder or landing directly on the spine.
If a herniated disc occurs, it may lead to localized inflammatory responses resulting in back pain, and it can also compress nerve roots, causing numbness and pain that radiates down one leg.
It is recommended that you visit a neurology clinic for examination and follow-up.
Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Medical Center, cares about you.

Reply Date: 2021/03/25

More Info

Numbness, particularly when it extends from the foot to the buttock, can be a concerning symptom that warrants medical attention. The sensation of numbness can indicate a variety of underlying issues, particularly related to nerve function. In your case, since you are experiencing numbness in your right leg that feels different from your left leg, it is advisable to consult a healthcare professional.

When to See a Doctor
You should consider seeing a doctor if:
1. Duration: The numbness persists for more than a few days or worsens over time.

2. Associated Symptoms: If you experience additional symptoms such as weakness, loss of coordination, changes in bowel or bladder function, or pain, it is essential to seek medical attention promptly.

3. Impact on Daily Life: If the numbness interferes with your daily activities or quality of life, it is a good idea to consult a physician.

Which Specialist to See
Given your symptoms, the most appropriate specialist to consult would be a neurologist. Neurologists specialize in disorders of the nervous system, including conditions that affect the brain, spinal cord, and peripheral nerves. They can perform a thorough evaluation, which may include a physical examination, a detailed medical history, and possibly diagnostic tests such as:
- Electromyography (EMG): This test measures the electrical activity of muscles and can help identify nerve damage.

- Nerve Conduction Studies (NCS): These tests assess how well electrical signals travel through your nerves.

- MRI or CT Scans: Imaging studies may be necessary to visualize any structural issues, such as herniated discs or spinal stenosis, that could be compressing nerves.

Potential Causes of Numbness
Numbness can arise from various causes, including:
- Nerve Compression: Conditions such as herniated discs or sciatica can compress nerves, leading to numbness in the legs.

- Peripheral Neuropathy: This condition, often caused by diabetes, can lead to numbness and tingling in the extremities.

- Circulatory Issues: Reduced blood flow to the legs can also cause numbness.

- Infections or Inflammatory Conditions: Certain infections or autoimmune diseases can affect nerve function.

- Vitamin Deficiencies: Deficiencies in vitamins such as B12 can lead to neurological symptoms, including numbness.

Conclusion
In summary, the numbness you are experiencing in your right leg is a symptom that should not be ignored, especially since it is unilateral and persistent. Consulting a neurologist will provide you with a comprehensive evaluation to determine the underlying cause of your symptoms and guide you toward appropriate treatment options. Early intervention can often lead to better outcomes, so it is wise to seek medical advice sooner rather than later.

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