Numbness in the limbs, numbness in the abdomen and back?
Hello Doctor: Starting from January 1st of this year, I experienced a progressive numbness in both legs, beginning from the soles and extending up to the waist over a span of five days.
The numbness persisted 24 hours a day for about two weeks.
By the time I was scheduled for an MRI, I was also undergoing physical therapy, including back stretching and electrical stimulation, along with medication (the numbness in my lower body has improved by approximately 60%).
Currently, I experience a slight numbness that persists 24 hours a day.
The MRI and nerve conduction studies indicated only very mild compression, and blood tests returned normal results.
In mid to late January, I began to experience symmetrical numbness in both hands, specifically in the little finger, ring finger, and half of the middle finger, which has been present 24 hours a day.
Initially, the numbness was limited to the fingertips but gradually extended to half of the palm.
Additionally, the entire palm feels stimulated when I perform actions such as squeezing my fist, applying heat or cold, or touching sharp objects (gently scraping the numb areas with my fingernails), resulting in sensations of itchiness and pain.
Currently, there has been no relief in the hand symptoms.
During the Lunar New Year period, I started to notice mild numbness below the chest, in the abdomen, and in the back, resembling the sensation of wearing tight clothing, which also persists 24 hours a day.
After the New Year, I plan to undergo MRI and nerve conduction studies for the upper body.
Doctor, have you encountered patients with similar symptoms, or do you have any other insights? Thank you.
Mr. Lai, 20~29 year old female. Ask Date: 2022/02/04
Dr. Jiang Junyi reply Neurology
Dear Mr.
Lai,
You mentioned that "the numbness gradually spread from the soles of both feet to the waist over five days." I wonder if you have been exposed to nitrous oxide? If the numbness is rapidly ascending, we may consider acute demyelinating polyneuropathy.
Lastly, you mentioned "a slight numbness in the abdomen and back, as if wearing a tight garment, which has been continuous for 24 hours." This may warrant consideration of thoracolumbar nerve injury, which requires laboratory diagnostic support to determine the location and severity of the nerve damage, thereby assessing prognosis and guiding management principles.
The diagnostic tools that can confirm nerve injury include nerve conduction studies and electromyography.
I recommend consulting a neurologist specializing in peripheral nerve disorders, as they have more experience with electromyography diagnostics.
Thank you for your inquiry, and feel free to discuss any related questions further!
Wishing you good health and peace,
Dr.
Jiang Junyi
Taoyuan Medical Center
Reply Date: 2022/02/04
More Info
Understanding persistent numbness and associated symptoms can be quite complex, especially when it involves multiple areas of the body, such as the limbs and abdomen. Based on your description, it appears that you have been experiencing a progressive numbness that started in your feet and has now extended to your hands and abdomen. This condition has persisted for several weeks, and despite undergoing various diagnostic tests, the results have shown only mild compression without significant abnormalities.
Numbness and tingling sensations, medically referred to as paresthesia, can arise from a variety of causes. Commonly, these symptoms are associated with nerve compression or irritation, which can occur due to conditions such as herniated discs, spinal stenosis, or peripheral neuropathy. In your case, the fact that the MRI and nerve conduction studies indicated only mild compression suggests that there may be other underlying factors contributing to your symptoms.
One possibility is that your symptoms could be related to systemic conditions that affect nerve function. For instance, diabetes can lead to peripheral neuropathy, which often presents as numbness and tingling in the extremities. Vitamin deficiencies, particularly B vitamins, can also cause similar symptoms. Additionally, autoimmune conditions such as multiple sclerosis or Guillain-Barré syndrome could manifest with numbness and tingling, although these are less common.
Another important aspect to consider is the role of anxiety and stress in exacerbating physical symptoms. Anxiety can lead to hyperventilation and muscle tension, which may contribute to sensations of numbness or tingling. It’s essential to address any psychological factors that may be influencing your physical health.
Given the complexity of your symptoms, it would be prudent to continue working closely with your healthcare providers. Since you mentioned that you will be undergoing further imaging and nerve conduction studies for your upper body, this will help to rule out any cervical spine issues or other neurological conditions that may be contributing to your symptoms. Additionally, consulting with a neurologist who specializes in peripheral nerve disorders may provide further insights and potential treatment options.
In the meantime, there are several strategies you can employ to manage your symptoms. Physical therapy can be beneficial in improving mobility and reducing discomfort. Techniques such as stretching, strengthening exercises, and modalities like electrical stimulation can help alleviate symptoms. Additionally, practicing relaxation techniques such as deep breathing, meditation, or yoga may help reduce anxiety and improve your overall sense of well-being.
If your symptoms persist or worsen, it may be necessary to explore other diagnostic avenues, such as blood tests to check for autoimmune markers or metabolic conditions. Keeping a symptom diary to track the onset, duration, and triggers of your symptoms can also be helpful for your healthcare team in determining the best course of action.
In conclusion, while your symptoms are concerning, they are not uncommon, and with thorough investigation and appropriate management, there is a good chance of finding relief. Continue to advocate for your health, and do not hesitate to seek second opinions if you feel that your concerns are not being adequately addressed. Your health and comfort are paramount, and it’s essential to find a treatment plan that works for you.
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