Persistent Numbness in Foot and Leg: Seeking Medical Guidance - Neurology

More Info

---

It sounds like you are experiencing persistent numbness in your right foot and leg, which has been concerning for you, especially since it has progressed to include your calf. Given your recent activities, including exercise, and the results from your nerve conduction studies indicating slower conduction in your right thigh, it is understandable that you are seeking further medical guidance.

From a medical perspective, the symptoms you are describing could be indicative of several underlying conditions. The numbness and tingling in your foot and leg may be related to nerve compression or irritation, possibly due to repetitive strain from your activities or other factors such as posture or anatomical variations. The fact that your symptoms have progressed to include your calf suggests that the issue may be more systemic or related to a specific nerve pathway.


Recommendations for Further Evaluation:
1. Consult a Neurologist: Since you have already seen both a neurologist and a neurosurgeon, it may be beneficial to return to a neurologist for a more comprehensive evaluation. They can perform a thorough neurological examination and may recommend additional tests such as MRI or CT scans to assess for any structural issues that could be compressing the nerves.

2. Physical Therapy: Engaging in physical therapy could be beneficial. A physical therapist can provide exercises to strengthen the muscles around the affected area and improve your posture and biomechanics, which may alleviate some of the pressure on the nerves.

3. Electromyography (EMG): If not already done, an EMG can provide further insight into the function of your muscles and the integrity of the nerves. This test can help differentiate between nerve damage and muscle-related issues.

4. Vitamin B12 Levels: Since B12 deficiency can lead to neurological symptoms, it may be worthwhile to have your B12 levels checked. If they are low, supplementation may be necessary, but it seems you are already on B12 supplements.

5. Lifestyle Modifications: Consider modifying your exercise routine. If you are engaging in high-impact activities, you might want to switch to low-impact exercises like swimming or cycling, which can reduce strain on your legs while still allowing you to stay active.

6. Monitor Symptoms: Keep a detailed log of your symptoms, including when they occur, their intensity, and any activities that seem to exacerbate them. This information can be invaluable for your healthcare provider in determining the best course of action.


Potential Causes to Consider:
- Nerve Compression: Conditions such as sciatica or herniated discs can cause nerve compression, leading to symptoms in the legs.

- Peripheral Neuropathy: This can be caused by various factors, including diabetes, vitamin deficiencies, or autoimmune conditions.

- Circulatory Issues: Although less common, vascular issues can also lead to numbness and tingling in the extremities.


Conclusion:
It is crucial to continue seeking medical advice until you find a resolution to your symptoms. Given the complexity of neurological issues, it may take time to pinpoint the exact cause of your numbness and develop an effective treatment plan. In the meantime, focus on maintaining a healthy lifestyle, including a balanced diet, regular exercise, and adequate rest. If your symptoms worsen or new symptoms arise, do not hesitate to seek immediate medical attention. Your health and well-being are paramount, and persistent symptoms should not be ignored.