Numbness and pain in the left thigh?
Hello, I occasionally experience an involuntary twitching sensation in the skin on the outer side of my left thigh, and it feels somewhat numb.
This has been happening for a while.
After doing leg exercises at the gym last week, I felt fine, but the next morning I woke up due to continuous sharp pain and soreness on the side of my left thigh, and when I touch the skin, it feels dull.
I also have muscle soreness in my glutes, which has persisted for three days.
I have completed my fourth dose of the COVID-19 vaccine on June 23 (AstraZeneca/Moderna).
What should I do? Thank you.
Yingzi, 60~69 year old female. Ask Date: 2022/08/01
Dr. Jiang Junyi reply Neurology
Dear Miss Yingzi,
You mentioned that "the sensation is somewhat numb.
It has been this way for a while.
After doing leg exercises at the gym last week, I felt fine, but the next morning I woke up due to continuous sharp pain and numbness on the side of my left thigh.
When I touch the skin, it feels dull, and my buttocks are sore from exercise." Your symptoms may suggest a peripheral neuropathy.
The area of abnormal sensation could be due to nerve root compression at the second and third lumbar vertebrae or an issue with the lateral femoral cutaneous nerve.
Peripheral nerve damage caused by nerve compression may exhibit the following characteristics:
1.
Pain that is burning or tingling in nature.
2.
Symptoms that have a specific band-like distribution, which can be triggered by touch or pressure.
3.
Accompanied by muscle soreness and weakness.
I recommend supplementing with B vitamins and staying hydrated, ensuring adequate rest to enhance your body's healing capacity.
Peripheral nerve examinations can typically be assisted by electrophysiological studies.
Nerve conduction studies assess the conduction velocity and waveform of large fiber nerves, while electromyography evaluates the muscle response in the affected nerve distribution area.
I suggest you visit a neurology clinic for further examination and follow-up.
Thank you for your inquiry, and feel free to discuss any related questions!
Wishing you good health and peace,
Dr.
Jiang Junyi
Department of Neurology, Taoyuan Hospital
Reply Date: 2022/08/01
More Info
Hello! Thank you for reaching out with your concerns regarding the numbness and pain in your left thigh. Based on your description, it seems you are experiencing a combination of symptoms that could be related to several underlying issues, including nerve compression, muscle strain, or even potential vascular concerns.
Possible Causes
1. Nerve Compression: The symptoms you describe, such as numbness and a tingling sensation, could indicate that a nerve in your lower back or hip area is being compressed. This is often seen in conditions like sciatica, where the sciatic nerve is affected, leading to pain that radiates down the leg. Herniated discs in the lumbar spine can also lead to similar symptoms if they press on nearby nerves.
2. Muscle Strain: Given that you mentioned doing leg exercises at the gym, it’s possible that you may have strained a muscle in your thigh or hip area. Muscle strains can lead to localized pain and discomfort, and if the muscle is inflamed, it can also affect the surrounding nerves, causing numbness or tingling sensations.
3. Circulatory Issues: Although less common, issues with blood flow can also cause numbness and pain. If there is any vascular compromise, it could lead to symptoms in the thigh. This is something that would need to be evaluated by a healthcare professional.
4. Post-Vaccination Effects: While it’s less likely that the COVID-19 vaccine is directly causing your symptoms, some individuals report localized pain or discomfort following vaccination. However, these symptoms usually resolve within a few days.
Recommended Actions
1. Rest and Ice: If you suspect a muscle strain, resting the affected area and applying ice can help reduce inflammation and alleviate pain. Avoid activities that exacerbate the pain.
2. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises for the hip and thigh muscles can help restore function and prevent future injuries. Focus on exercises that enhance flexibility and strength without causing pain.
3. Physical Therapy: If symptoms persist, consider consulting a physical therapist. They can provide a tailored rehabilitation program that addresses your specific needs and helps improve strength and flexibility in the affected area.
4. Medical Evaluation: If the numbness and pain continue or worsen, it’s crucial to seek a medical evaluation. A healthcare provider may recommend imaging studies, such as an MRI or X-ray, to assess for any structural issues in the spine or hip that could be contributing to your symptoms.
5. Medication: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, consult with a healthcare provider before starting any new medication, especially if you have other health conditions or are taking other medications.
6. Monitor Symptoms: Keep track of your symptoms, noting any changes in intensity or frequency. If you experience severe pain, weakness in the leg, or loss of bowel or bladder control, seek immediate medical attention.
Conclusion
In summary, your symptoms of numbness and pain in the left thigh could stem from various causes, including nerve compression or muscle strain. It’s essential to rest, apply ice, and consider gentle stretching. If symptoms persist, a medical evaluation is warranted to rule out any serious underlying conditions. Remember to listen to your body and avoid activities that exacerbate your symptoms. I hope this information helps you find relief and understand your condition better. Please take care!
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