Left Knee Numbness: Causes and Solutions - Neurology

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Numbness in the left knee?


Hello, I've been experiencing some tingling in my left knee over the past couple of days, especially when standing or walking, but not much when sitting.
I would like to know what kind of issue this might be and how I can improve it.
Thank you.

Kiki, 20~29 year old female. Ask Date: 2022/07/28

Dr. Jiang Junyi reply Neurology


Dear Ms.
KiKi,
You mentioned that your left knee suddenly feels a bit numb.
This symptom may suggest possible compression of the third lumbar vertebra or the femoral nerve.
Symptoms of peripheral nerve compression include:
1.
Pain characterized by burning or tingling sensations.
2.
Symptoms that have a specific dermatomal distribution, which can be triggered by touch or pressure.
3.
Accompanied by muscle soreness and weakness.
I recommend that you increase your intake of B vitamins and remind yourself to stand up and stretch every half hour to avoid exacerbating symptoms due to nerve compression and muscle tightness.
If symptoms persist, I suggest you visit a neurology clinic for further evaluation, including nerve conduction studies to assess the conduction velocity and waveform of large fiber nerves, and electromyography (EMG) to evaluate muscle responses in the affected nerve distribution area.
Thank you for your inquiry, and feel free to discuss any related questions.
Wishing you good health and peace.
Dr.
Jiang Junyi
Taoyuan Medical Center

Reply Date: 2022/07/28

More Info


Hello! Experiencing numbness in the left knee, especially during activities like standing or walking, can be concerning and may indicate several underlying issues. It’s important to understand that numbness can arise from various causes, including nerve compression, circulatory problems, or musculoskeletal issues.


Possible Causes of Left Knee Numbness:
1. Nerve Compression: One of the most common reasons for numbness in the knee area is compression of the nerves that supply sensation to the leg. This can occur due to conditions like a herniated disc in the lumbar spine, which can put pressure on the sciatic nerve, leading to symptoms that radiate down the leg, including the knee.

2. Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can result from diabetes, vitamin deficiencies, or other metabolic disorders. It often presents as numbness, tingling, or pain in the extremities.

3. Circulatory Issues: Poor circulation can lead to numbness and tingling sensations. Conditions such as peripheral artery disease (PAD) can restrict blood flow to the legs, particularly during physical activities.

4. Musculoskeletal Problems: Issues such as patellar tendinitis, bursitis, or arthritis can cause localized pain and discomfort, which may sometimes be perceived as numbness due to inflammation or swelling affecting nearby nerves.

5. Referred Pain: Sometimes, pain or numbness in the knee can be referred from other areas, such as the hip or lower back. Conditions affecting the lumbar spine can lead to symptoms in the knee.


Suggested Solutions:
1. Rest and Activity Modification: If you notice that certain activities exacerbate the numbness, consider modifying your routine. Avoid prolonged standing or walking if possible, and take breaks to rest your leg.

2. Physical Therapy: A physical therapist can provide exercises to strengthen the muscles around the knee and improve flexibility. They can also teach you proper body mechanics to reduce strain on your knee and lower back.

3. Stretching and Strengthening Exercises: Gentle stretching of the hamstrings, quadriceps, and calf muscles can help alleviate tension. Strengthening exercises for the quadriceps and hip muscles can also provide better support for the knee joint.

4. Heat and Cold Therapy: Applying heat can help relax tight muscles, while cold therapy can reduce inflammation. Alternating between the two may provide relief.

5. Consult a Healthcare Professional: If the numbness persists or worsens, it’s crucial to consult a healthcare provider. They may recommend imaging studies, such as X-rays or MRIs, to assess for structural issues or nerve compression.

6. Medication: Over-the-counter pain relievers or anti-inflammatory medications may help manage discomfort. If nerve pain is suspected, your doctor might prescribe medications specifically for nerve-related pain.

7. Lifestyle Changes: Maintaining a healthy weight, staying active, and managing chronic conditions like diabetes can help prevent further complications.


When to Seek Immediate Help:
If you experience sudden numbness accompanied by weakness, difficulty walking, or loss of bladder/bowel control, seek immediate medical attention. These could be signs of a more serious condition requiring urgent care.

In conclusion, while numbness in the knee can stem from various causes, understanding the underlying issue is key to finding effective treatment. A thorough evaluation by a healthcare professional will help determine the best course of action tailored to your specific situation.

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