Suddenly feeling numbness in the left leg upon waking up and then falling?
Hello, doctor.
I am a 16-year-old high school student.
This morning when I got up, I suddenly fell to the floor and was unable to stand up immediately; it took me a few seconds to slowly get back on my feet.
After that, I was able to walk normally.
During those few seconds, it felt as if my left leg had suddenly gone weak, and I couldn't exert any strength or move it.
I couldn't feel my left leg at all; it wasn't painful, nor was it numb, and my right leg was completely normal.
I have never experienced anything like this before, so I would like to ask if this could be due to pressure while sleeping or if it might be related to another condition.
Here are some details about my health: 1.
Today is the seventh day of my menstrual period (the last day based on my cycle).
2.
Recently, I have been attending online classes at home, so I have been sitting all day and do not have a habit of exercising.
3.
I haven't been trying to lose weight, but since starting online classes three weeks ago, I noticed I have lost weight, going from 54 kg to 52 kg.
4.
I didn't sleep well the night before; I woke up in the middle of the night and took some time to fall back asleep, whereas I usually sleep soundly until morning.
Thank you, doctor, for taking the time to respond.
I appreciate your help.
Emily, 10~19 year old female. Ask Date: 2022/06/12
Dr. Hong Weibin reply Neurology
Hello: If this has only happened once, you can observe and rest well; usually, the symptoms can improve.
However, if it occurs frequently within the next 1-2 weeks, it is recommended that you go directly to the hospital to seek assistance from a neurologist, who will arrange for neurological examinations.
Reply Date: 2022/06/12
More Info
Sudden loss of feeling or weakness in a limb, especially upon waking, can be concerning and may indicate several underlying issues. In your case, the sudden inability to move your left leg, which resolved after a few seconds, could be attributed to a few potential causes.
1. Positional Nerve Compression: One of the most common reasons for transient weakness or loss of sensation in a limb is positional nerve compression. This occurs when a nerve is compressed due to your sleeping position. If you slept in a way that put pressure on the nerves supplying your left leg, it could lead to temporary weakness or numbness. This is often not serious and resolves quickly once the pressure is relieved.
2. Circulatory Issues: Another possibility is that your blood flow to the leg was temporarily restricted, either due to your sleeping position or perhaps due to a sudden change in posture when you woke up. This can lead to a brief period of weakness or numbness until normal circulation is restored.
3. Muscle Fatigue or Deconditioning: Given that you mentioned a lack of physical activity due to online classes, your muscles may not be as conditioned as they could be. This can lead to temporary weakness, especially if you suddenly try to stand up after being sedentary for a long period.
4. Hormonal Changes: Since you mentioned that you were on your menstrual cycle, hormonal fluctuations can sometimes affect muscle function and overall energy levels. While this is less likely to cause sudden weakness, it can contribute to feelings of fatigue or weakness in some individuals.
5. Neurological Concerns: Although less common, sudden weakness or loss of sensation can sometimes indicate a neurological issue, such as a transient ischemic attack (TIA) or other neurological conditions. However, these are usually accompanied by other symptoms, such as facial drooping, difficulty speaking, or severe headache.
Given your age and the transient nature of your symptoms, it is likely that this was a benign incident related to your sleeping position or temporary muscle fatigue. However, it is essential to monitor your symptoms closely. If you experience any recurrence of this weakness, prolonged numbness, or any additional symptoms such as headaches, visual changes, or difficulty speaking, you should seek medical attention promptly.
In the meantime, consider incorporating some light physical activity into your daily routine to improve circulation and muscle strength. Simple exercises, stretching, or even short walks can help prevent similar occurrences in the future. Additionally, maintaining a good sleep posture and ensuring you have a comfortable sleeping environment can also be beneficial.
If you have any further concerns or if the symptoms persist, it would be advisable to consult a healthcare professional for a thorough evaluation. They may recommend further tests or assessments to rule out any underlying conditions. Remember, it’s always better to err on the side of caution when it comes to sudden changes in your health.
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