Leg Pain and Numbness After Overexertion: A Guide - Neurosurgery

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Excessive exercise can lead to foot pain and numbness?


My father started experiencing foot pain three months ago after moving over twenty bags of cement from the first floor to the fourth floor while renovating our home.
Since he is not very familiar with medical issues, he didn't see a doctor and only took pain relievers.
The pain extends from below the calf muscles to his entire foot, and now he cannot stand for long periods; standing too long causes pain from the calf to the ankle.
It is unclear whether the pain is in the tendons or muscles.
Recently, he has also started experiencing numbness in his hands and feet.
Could you please advise what symptoms my father is experiencing and which specialist he should see? Thank you.

Shui Ye, 10~19 year old female. Ask Date: 2021/10/03

Dr. Lai Zhaokang reply Neurosurgery


Hello: It may be neuropathic pain.
If you are concerned, it is recommended to consult a neurosurgeon for further evaluation.
Wishing you a speedy recovery.
// Dr.
Lai Chao-Kang, Neurosurgery, Changhua Hospital

Reply Date: 2021/10/03

More Info


It sounds like your father is experiencing significant discomfort after overexerting himself while moving heavy materials. The symptoms you've described, including pain in the lower leg and foot, as well as recent numbness in the hands and feet, could be indicative of several underlying issues.
Firstly, the pain in his lower leg, particularly after such strenuous activity, may be due to muscle strain or overuse. When individuals engage in heavy lifting or prolonged physical activity without adequate preparation, they can strain their muscles or even injure tendons. This can lead to localized pain, swelling, and difficulty standing for extended periods. The fact that he feels pain from the calf down to the ankle suggests that the muscles or tendons in that area may be inflamed or injured.

The recent development of numbness in his hands and feet is concerning and could indicate a more serious issue. Numbness can arise from various causes, including nerve compression, poor circulation, or systemic conditions such as diabetes or vitamin deficiencies. Given that he has been experiencing pain and now numbness, it is essential to consider the possibility of nerve involvement, especially if he has been lifting heavy objects that could have led to a herniated disc or other spinal issues that might compress nerves.

In terms of treatment, while over-the-counter pain relievers like NSAIDs (non-steroidal anti-inflammatory drugs) may provide temporary relief, they do not address the underlying cause of the pain. It’s crucial for your father to consult with a healthcare professional to accurately diagnose the issue. A primary care physician would be an appropriate first step, as they can evaluate his symptoms, perform a physical examination, and potentially order imaging studies (like X-rays or MRIs) if necessary. Depending on the findings, they may refer him to a specialist, such as an orthopedic surgeon or a neurologist, for further evaluation and treatment.

In the meantime, here are some general recommendations that may help alleviate his symptoms:
1. Rest: Encourage your father to rest and avoid activities that exacerbate his pain. This is crucial for recovery from any muscle strain or injury.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain. Ice should be applied for 15-20 minutes every few hours.

3. Compression: Using a compression bandage can help reduce swelling and provide support to the injured area.

4. Elevation: Keeping the leg elevated can help reduce swelling, especially if there is any inflammation present.

5. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises may help restore function and prevent future injuries. However, these should be done under the guidance of a healthcare professional.

6. Physical Therapy: If the pain persists, a physical therapist can provide targeted exercises and treatments to help improve strength, flexibility, and function.

7. Monitor Symptoms: Keep an eye on any changes in symptoms, especially the numbness. If it worsens or if he experiences weakness, it’s essential to seek medical attention promptly.

In summary, while your father may initially manage his symptoms with rest and over-the-counter medications, it is vital for him to see a healthcare provider for a thorough evaluation. This will ensure that any serious underlying conditions are identified and treated appropriately, allowing him to recover fully and return to his normal activities.

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