Numbness on the Outer Left Calf: Possible Causes and When to Seek Help - Neurology

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Numbness is felt when touching the outer side of the left calf?


Recently, I have noticed a tingling sensation when I touch the area on the outer side of my left calf, near the middle point.
There are no issues when I'm not touching it, but I feel a slight tingling sensation upon contact.
What could this problem be? Should I seek help from a neurologist or a surgeon? Thank you.

Ms. Tsai, 60~69 year old female. Ask Date: 2021/08/20

Dr. Jiang Junyi reply Neurology


Dear Ms.
Tsai,
You mentioned that there is a tingling sensation in the area on the outer side of your left calf, near the midpoint.
This is indicative of a sensory nerve abnormality, and it is important to consider potential compression of the peripheral nerves.
This could be due to positions such as crossing your legs or sitting in a way that compresses the fibular nerve.
Alternatively, poor posture may lead to compression of the nerve roots at the fifth lumbar vertebra.

I recommend that you visit a neurology clinic for further evaluation.
Nerve conduction studies can assist in the diagnosis.
Please ensure to practice self-protection, maintain cleanliness and disinfection, and adhere to new preventive health measures before and after your medical visit.
Thank you for your inquiry.
If you have any further questions, feel free to discuss them!
Wishing you good health and peace,
Dr.
Jiang Junyi
Department of Neurology, Taoyuan Hospital

Reply Date: 2021/08/20

More Info


Numbness in the outer left calf, particularly when it occurs upon touch, can be indicative of several underlying issues, primarily related to nerve function or circulation. Given your description, it is essential to consider the potential causes and when to seek medical help.


Possible Causes of Numbness in the Outer Left Calf
1. Nerve Compression or Injury: One of the most common causes of numbness is nerve compression. This can occur due to conditions such as a herniated disc in the lumbar spine, which can compress the nerves that innervate the lower extremities. If you have a history of lumbar disc issues, such as L4-L5 or L5-S1 herniation, this could be a contributing factor. The numbness may be due to irritation or compression of the peroneal nerve, which runs along the outer side of the calf.

2. Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can result from various factors, including diabetes, vitamin deficiencies (especially B12), or exposure to toxins. Peripheral neuropathy often presents with symptoms such as tingling, numbness, or a "pins and needles" sensation.

3. Circulatory Issues: Reduced blood flow to the leg can also cause numbness. Conditions such as peripheral artery disease (PAD) can lead to symptoms of numbness, particularly during physical activity. If you notice that the numbness worsens with activity or improves with rest, this could be a sign of vascular issues.

4. Muscle Strain or Injury: Sometimes, muscle strain or injury can lead to localized numbness due to inflammation or swelling pressing on nearby nerves. If you have recently engaged in activities that may have strained your calf muscles, this could be a potential cause.

5. Other Neurological Conditions: Conditions such as multiple sclerosis or other neurological disorders can also present with numbness and should be considered, especially if accompanied by other symptoms like weakness, coordination issues, or changes in vision.


When to Seek Help
You should consider seeking medical attention if:
- The numbness persists or worsens over time.

- You experience additional symptoms such as weakness, pain, or changes in bowel or bladder function.

- There is a sudden onset of numbness, especially if it follows an injury or trauma.

- You have a history of diabetes, vascular disease, or other chronic conditions that could complicate your symptoms.


Which Specialist to Consult
Given the nature of your symptoms, it would be advisable to consult a neurologist first. A neurologist can conduct a thorough evaluation, including a physical examination and possibly imaging studies (like MRI or CT scans) to assess for nerve compression or other neurological issues. If vascular issues are suspected, they may refer you to a vascular surgeon or specialist for further evaluation.


Conclusion
In summary, numbness in the outer left calf can arise from various causes, primarily related to nerve function or circulation. It is crucial to monitor your symptoms and seek medical advice if they persist or worsen. Early intervention can lead to better outcomes, especially if the underlying cause is treatable. Remember, your health is paramount, and addressing these symptoms promptly can help prevent further complications.

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