Loss of Sensation in Left Calf After Injury: Causes and Solutions - Surgery

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There is no sensation in the skin of the left calf?


After my car accident, I had stitches on my left calf, and my entire calf is swollen.
After resting for two weeks, I noticed that the skin on both sides near the knee has no sensation and the area seems to be increasing in size.
What could be the issue and how should I address it?

Li, 20~29 year old female. Ask Date: 2023/01/11

Dr. Li Zhonghuai reply Surgery


Hello! The saphenous nerve is located on the inner side of the knee, while the sural nerve is on the outer side.
There is one main trunk on the inner front of the thigh and another on the posterior side of the thigh.
Therefore, you may have a thigh contusion.
Generally speaking, if the motor nerves are intact, it should resolve easily.
Taking vitamin B12 for about a month will help you gradually recover.
Take care! Changhua Hospital cares about you!

Reply Date: 2023/01/11

More Info


Loss of sensation in the left calf after an injury can be concerning and may indicate several underlying issues. Based on your description, it seems that you have experienced a significant injury to your left calf, which has resulted in swelling and a loss of sensation in the skin around the area. This could be due to a variety of factors, including nerve damage, soft tissue injury, or complications from the injury itself.


Possible Causes of Loss of Sensation
1. Nerve Injury: One of the most common reasons for loss of sensation in an injured area is nerve damage. When the calf is injured, especially if there was significant trauma or if stitches were involved, the nerves that run through the area can be compressed, stretched, or cut. This can lead to numbness or a tingling sensation.

2. Swelling and Inflammation: After an injury, it is common for the affected area to swell due to inflammation. This swelling can put pressure on nearby nerves, leading to temporary or even permanent loss of sensation if not addressed promptly.

3. Soft Tissue Damage: Injuries can also cause damage to the muscles, tendons, and ligaments in the area. This can lead to scarring or fibrosis, which may affect the surrounding nerves and contribute to sensory changes.

4. Circulatory Issues: In some cases, swelling can impede blood flow to the area, which can also result in numbness or a loss of sensation.

Recommended Solutions
1. Medical Evaluation: It is crucial to seek medical attention if you are experiencing a loss of sensation that is increasing in size or severity. A healthcare professional can perform a thorough examination, which may include imaging studies such as an MRI or ultrasound to assess the extent of the injury and any nerve involvement.

2. Physical Therapy: If nerve damage is confirmed, physical therapy may be recommended to help restore function and sensation. A physical therapist can provide exercises to improve strength and flexibility, as well as techniques to stimulate the nerves and improve circulation.

3. Pain Management: Depending on the severity of your symptoms, your doctor may prescribe medications to manage pain and inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids may be used to reduce swelling and discomfort.

4. Monitoring and Follow-Up: It is essential to monitor the area for any changes. If the numbness spreads or if you experience additional symptoms such as weakness or severe pain, you should return to your healthcare provider for further evaluation.

5. Surgery: In cases where there is significant nerve damage or if conservative treatments do not yield improvement, surgical intervention may be necessary to repair the damaged nerves or relieve pressure on them.


Prognosis and Recovery
The prognosis for recovery from a loss of sensation depends on the extent of the injury and the underlying cause. If the nerve damage is mild and addressed promptly, there is a good chance of recovery. However, if the nerves have been severely damaged, it may take longer to regain sensation, and in some cases, full recovery may not be possible.

In conclusion, the loss of sensation in your left calf after an injury is a significant symptom that warrants further investigation. It is essential to consult with a healthcare professional to determine the exact cause and appropriate treatment plan. Early intervention can often lead to better outcomes and a quicker return to normal function.

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