Mild tingling sensation in the right foot and big toe?
I would like to ask, as I have been experiencing pain and numbness between my left index finger and thumb for an entire day, along with upper arm pain.
I often feel a sensation like an electric shock extending from my upper arm to my fingers, which has lasted for about a month.
I later visited a hospital and underwent a cervical MRI, which confirmed a cervical disc herniation compressing a nerve.
The doctor initially recommended physical therapy for two months, although he mentioned that the results might not be very promising.
However, in the past few days, I have started to feel a slight tingling sensation in my right foot, particularly in the sole and around the ankle or big toe area.
It hasn't progressed to numbness, but it has been present almost all day for the past three to four days.
Could you please clarify if a cervical disc herniation could affect the tingling or numbness sensations in the lower leg or foot?
Didi, 40~49 year old female. Ask Date: 2023/08/04
Dr. Lai Zhaokang reply Neurosurgery
Hello: Generally speaking, cervical nerve compression typically presents with symptoms in the shoulders, neck, and upper limbs, and it is rare to have symptoms in a single leg (though it is still possible).
Wishing you a speedy recovery.
By Dr.
Lai Chao-Kang, Neurosurgery, Changhua Hospital.
Reply Date: 2023/08/04
More Info
Cervical disc issues, particularly cervical disc herniation, can indeed lead to symptoms that extend beyond the neck and upper extremities, potentially affecting the lower limbs, including the feet. This phenomenon is primarily due to the interconnected nature of the nervous system and the way nerve roots exit the spinal column.
When a cervical disc herniates, it can compress adjacent nerve roots that exit the spinal cord. These nerve roots are responsible for transmitting sensory and motor signals to specific areas of the body. For instance, the cervical nerves primarily innervate the upper body, including the arms and hands. However, there is a complex relationship between the cervical spine and the lumbar spine, which innervates the lower body.
In your case, the symptoms you are experiencing in your feet, such as the tingling or "electric" sensations, could be attributed to several factors:
1. Referred Pain: Sometimes, pain or discomfort in one area of the body can be perceived in another area. This is known as referred pain. Although your cervical disc issue is primarily affecting your upper body, the nervous system's wiring can lead to sensations in the lower limbs.
2. Cervical-Lumbar Interaction: The body’s nervous system is interconnected. If there is significant irritation or inflammation in the cervical region, it can potentially affect the lumbar region indirectly. This could manifest as sensations in the feet, even if the primary issue is in the cervical spine.
3. Compensatory Mechanisms: If you are experiencing pain and discomfort in your upper body, you may unconsciously alter your posture or movement patterns to compensate for the pain. This can lead to strain or irritation in other areas, including the lower back and legs, potentially resulting in symptoms in the feet.
4. Nerve Pathways: The nerve pathways that originate from the cervical spine can influence the function of the lower extremities. Although it is less common, certain conditions can lead to a cascade of symptoms that affect multiple areas of the body.
Given your history of cervical disc herniation and the recent onset of symptoms in your feet, it is essential to follow up with your healthcare provider. They may recommend further evaluation, such as imaging studies of the lumbar spine, to rule out any additional issues that could be contributing to your symptoms.
In the meantime, continuing with the recommended rehabilitation exercises can be beneficial. Physical therapy can help strengthen the muscles around the cervical spine, improve posture, and potentially alleviate some of the nerve compression. Additionally, modalities such as traction, heat, or electrical stimulation may provide symptomatic relief.
If your symptoms persist or worsen, it is crucial to communicate this to your healthcare provider. They may consider further interventions, such as medication adjustments, more intensive physical therapy, or even surgical options if conservative measures fail to provide relief.
In summary, while cervical disc issues primarily affect the upper body, they can indeed have repercussions that extend to the lower limbs. It is essential to maintain open communication with your healthcare team to ensure a comprehensive approach to your treatment and symptom management.
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