Foot Pain: Neurological Causes and Symptoms Explained - Neurology

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Foot pain issues?


Hello Dr.
Jiang, I would like to ask if lumbar nerve compression can cause swelling or inflammation in the soles of the feet, along with foot pain after prolonged standing, and symptoms such as tightness and stiffness in the calf muscles.
Does slow nerve conduction indicate that there is nerve compression?

Xiao Shen, 40~49 year old female. Ask Date: 2022/11/07

Dr. Jiang Junyi reply Neurology


Dear Mr.
Hsiao:
You mentioned that "lumbar nerve compression...
slow nerve conduction equals nerve compression." Symptoms of peripheral nerve compression are commonly observed as follows: 1.
Pain characterized by burning sensations and tingling.
2.
Symptoms have a specific dermatomal distribution, and can be provoked by touch or pressure.
3.
Accompanied by muscle soreness and weakness.
Examinations for peripheral nerve issues typically utilize electrophysiological tests to assist in diagnosis.
Nerve conduction studies assess the conduction velocity and waveform of large fiber nerves.
Electromyography (EMG) evaluates the muscle response in the affected nerve distribution area.
Clinically, EMG can be used in conjunction with nerve conduction studies for differentiation.
I recommend that 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, peace, and joy.
Dr.
Chih-Yi Jiang, Taoyuan Hospital

Reply Date: 2022/11/07

More Info


Hello! Thank you for your question regarding the relationship between lumbar nerve compression and foot pain, swelling, inflammation, and muscle tightness in the calves.
Lumbar nerve compression can indeed lead to a variety of symptoms in the lower extremities, including the feet. When the nerves that exit the lumbar spine are compressed, it can result in a condition known as radiculopathy, which often manifests as pain, tingling, numbness, or weakness in the areas served by the affected nerves. This can include the feet and legs, leading to symptoms such as pain in the soles of the feet, swelling, and even muscle tightness in the calves.

1. Foot Pain and Swelling: When there is nerve compression, the normal functioning of the nerves can be disrupted. This disruption can lead to pain that may feel like a burning or stabbing sensation in the feet. Additionally, if the nerves that control blood flow are affected, it can lead to swelling in the feet. Inflammation can also occur as a response to nerve irritation or injury, which may further contribute to swelling and discomfort.

2. Standing for Long Periods: Prolonged standing can exacerbate symptoms of nerve compression. When you stand for extended periods, the pressure on the lumbar spine increases, which can further irritate the compressed nerves. This can lead to increased pain in the feet and legs, as well as muscle tightness in the calves due to overcompensation or guarding against pain.

3. Muscle Tightness and Stiffness: The tightness and stiffness in the calf muscles can be a result of several factors. When the nerves are compressed, the body may respond by tightening the surrounding muscles as a protective mechanism. This can lead to a cycle of pain and tightness, where the tight muscles further irritate the nerves, leading to more pain.

4. Nerve Conduction Studies: Regarding your question about nerve conduction studies, these tests measure how well electrical signals travel through the nerves. If the conduction is slow, it can indicate that there is some form of nerve damage or compression. However, it is important to note that slow nerve conduction does not always equate to significant compression; it can also be influenced by other factors such as inflammation or metabolic conditions.

In summary, lumbar nerve compression can indeed lead to a variety of symptoms in the feet, including pain, swelling, and muscle tightness. If you are experiencing these symptoms, it is crucial to consult with a healthcare professional, such as a neurologist or orthopedic specialist, who can perform a thorough evaluation, including physical examinations and imaging studies, to determine the underlying cause of your symptoms. Treatment options may include physical therapy, medications for pain management, and in some cases, surgical intervention if conservative measures do not provide relief.

Maintaining a healthy lifestyle, including regular exercise, proper footwear, and ergonomic practices, can also help alleviate some of the symptoms associated with nerve compression. If you have any further questions or concerns, please feel free to ask!

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