Foot Symptoms After Prolonged Hospitalization: What to Do? - Neurology

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After a prolonged hospitalization, especially following a serious medical condition such as lung issues requiring ECMO (extracorporeal membrane oxygenation), it is not uncommon to experience various symptoms in the extremities, including the feet. The symptoms you describe—numbness, tingling, and difficulty lifting your left foot—could be indicative of several underlying issues.

Firstly, the numbness and tingling sensations in both feet may suggest peripheral neuropathy, which can occur due to a variety of reasons, including prolonged immobility, nutritional deficiencies (such as vitamin B12 deficiency), or even nerve compression. The fact that you are experiencing "foot drop" (the inability to lift the front part of the foot) on the left side is particularly concerning, as it may indicate a more significant issue with the peroneal nerve, which runs down the outside of the leg and controls the muscles that lift the foot.

Given your history of prolonged hospitalization and the invasive procedures you underwent, it is also possible that you may have developed a condition known as "post-intensive care syndrome" (PICS). This syndrome can manifest as physical, cognitive, and psychological impairments following critical illness and can lead to muscle weakness and neuropathic symptoms due to prolonged bed rest and immobility.

To address your symptoms, it is advisable to consult a neurologist, as they specialize in conditions affecting the nervous system. A thorough neurological examination will help determine the extent of nerve involvement and whether there is any underlying neuropathy or nerve compression. Diagnostic tests such as nerve conduction studies or electromyography (EMG) may be recommended to assess the function of the nerves and muscles in your legs and feet.

In addition to seeing a neurologist, it may also be beneficial to consult a physical therapist. A physical therapist can help you with rehabilitation exercises aimed at improving strength, balance, and coordination, which are crucial for recovery, especially after a period of immobility. They can also provide strategies to manage foot drop, such as using ankle-foot orthoses (AFOs) to support the foot and prevent falls.

Furthermore, it is essential to monitor your nutritional intake, as deficiencies in certain vitamins and minerals can exacerbate neuropathic symptoms. A consultation with a nutritionist may be helpful to ensure you are receiving adequate nutrition to support nerve health and overall recovery.

In summary, your symptoms warrant a comprehensive evaluation by a neurologist to rule out peripheral neuropathy or other nerve-related issues. Engaging in physical therapy will also be crucial for regaining strength and mobility. With appropriate medical intervention and rehabilitation, many patients experience significant improvements in their symptoms and overall quality of life after such challenging medical experiences.