Leg Numbness and Pain After a Knee Injury - Neurology

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Leg problems


Recently, I fell and hit my right knee, and since then, I have been experiencing persistent numbness in my right leg.
There is pain when I press on my calf, and it feels like there is a sensation even when I'm not directly touching it.
After walking or standing for a long time, I have a feeling like my foot is not making contact with the ground.
If I walk quickly, my foot feels weak.
I would like to know what this could be.

L, 20~29 year old female. Ask Date: 2021/04/23

Dr. Jiang Junyi reply Neurology


Hello: Your symptoms may suggest the possibility of peripheral nerve injury, particularly involving dysfunction of the common peroneal nerve.
It is recommended that you visit a neurology or rehabilitation clinic for evaluation (such as nerve conduction studies and electromyography) and treatment.
The physician will prescribe medication based on your condition and provide follow-up rehabilitation therapy.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Medical Center cares about you.

Reply Date: 2021/04/23

More Info


Experiencing leg numbness and pain after a knee injury can be concerning and may indicate several underlying issues. Based on your description, it seems that you have sustained a knee injury that has led to persistent numbness and discomfort in your right leg, particularly in the calf area. This situation can arise from various causes, and understanding these can help in managing your symptoms effectively.

Firstly, the numbness and pain you are experiencing could be related to nerve compression or irritation. The knee joint is surrounded by various structures, including ligaments, tendons, and nerves. An injury can lead to swelling or inflammation, which may compress nearby nerves, resulting in sensations of numbness or tingling. For instance, the common peroneal nerve, which runs near the knee, can be affected by swelling or direct trauma, leading to symptoms in the lower leg and foot.

Additionally, muscle strain or injury can contribute to your symptoms. If the muscles around the knee or in the calf have been strained due to the fall, this could lead to pain and a feeling of weakness or instability when walking. Muscle tightness or spasms can also create a sensation of numbness or a "pins and needles" feeling, especially if they are pressing on nerves.

Another possibility is that the injury has caused changes in your gait or walking pattern. When you experience pain or discomfort in one leg, you may unconsciously alter the way you walk to avoid pain, which can lead to overuse of other muscles and joints. This compensatory mechanism can result in muscle fatigue and discomfort, contributing to the feelings of weakness and instability you describe.

It's also important to consider the possibility of a more serious injury, such as a ligament tear or meniscus injury, which could lead to joint instability and subsequent nerve involvement. If the knee is not functioning properly, it can lead to altered biomechanics, which may exacerbate your symptoms.

To address these issues, it is crucial to seek a thorough evaluation from a healthcare professional, such as an orthopedic specialist or a physical therapist. They can perform a detailed assessment, including physical examinations and possibly imaging studies, to determine the exact cause of your symptoms.
In the meantime, here are some general recommendations that may help alleviate your symptoms:
1. Rest and Ice: Allow your knee to rest and apply ice to reduce any swelling or inflammation. Avoid activities that exacerbate your symptoms.

2. Gentle Stretching and Strengthening: Engage in gentle stretching exercises for your calf and thigh muscles. Strengthening exercises for the quadriceps and hamstrings can also help stabilize the knee joint.

3. Physical Therapy: A physical therapist can design a rehabilitation program tailored to your needs, focusing on restoring strength, flexibility, and proper movement patterns.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help manage pain and inflammation.

5. Gradual Return to Activity: As your symptoms improve, gradually return to your normal activities, ensuring to listen to your body and avoid pushing through pain.

In summary, the numbness and pain in your leg following a knee injury may stem from nerve compression, muscle strain, altered gait mechanics, or even more serious joint issues. A comprehensive evaluation by a healthcare professional is essential to determine the underlying cause and develop an appropriate treatment plan.

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