Will Numbness in My Foot Heal on Its Own After an Injury? - Neurology

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Will numbness in the feet resolve on its own?


I recently sprained my right ankle and have been taking muscle relaxants and anti-inflammatory injections, which are helping me recover.
However, I am experiencing a tingling sensation on the right side of my right big toe and the left side of my right index finger, while the left side of my big toe and the right side of my index finger still have normal sensation.
Will this improve on its own as my ankle heals, or what treatment options should I consider?

A Jie, 20~29 year old female. Ask Date: 2023/12/14

Dr. Jiang Junyi reply Neurology


Hello, Ah-Jie:
You mentioned experiencing a tingling sensation on the right side of your right big toe and the left side of your right index toe, which may suggest a possible injury to the deep peroneal nerve.
The pathway of the deep peroneal nerve begins at the lateral aspect of the fibula, traverses the anterior intermuscular septum, and enters the anterior compartment.
It then passes through the extensor digitorum longus muscle and follows the artery towards the ankle joint, which is located adjacent to the anterior tibial artery.
At this point, the nerve divides into medial and lateral terminal branches.
Your ankle sprain may have resulted in this nerve injury.
Common causes of peripheral nerve injury include acute direct trauma: nerve traction, tearing, and direct compression, as well as chronic overuse: sustained muscle contraction, hypertrophy, and edema causing nerve compression.
Generally, peripheral nerves have the ability to self-repair.
It is advisable to supplement with B vitamins regularly and remind yourself to stand up and stretch every half hour to avoid exacerbating symptoms due to nerve compression and muscle tightness.
I recommend consulting a neurologist or a rehabilitation physician for further evaluation and treatment.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health, peace, and joy.
Dr.
Jiang Jun-Yi, Taoyuan Medical Center

Reply Date: 2023/12/14

More Info


Numbness in your foot following an injury, such as an ankle sprain, can be concerning and may indicate underlying issues that need to be addressed. In your case, the numbness in the right side of your big toe and the left side of your index finger could be due to nerve irritation or compression resulting from the injury. It’s important to understand that while some cases of numbness may resolve on their own as the injury heals, others may require medical intervention.

When you sustain an injury like an ankle sprain, the surrounding tissues, including muscles, ligaments, and nerves, can be affected. Swelling and inflammation are common responses to injury and can lead to pressure on nearby nerves, causing sensations of numbness or tingling. In your case, the fact that you are experiencing numbness in specific areas of your foot suggests that the nerves supplying those regions may be compromised.

As your ankle heals, the numbness may improve, especially if it is related to temporary swelling or inflammation. However, if the numbness persists or worsens, it could indicate a more serious issue, such as nerve damage or a more significant injury that may require further evaluation. It’s crucial to monitor your symptoms closely. If the numbness does not resolve within a few weeks or if you experience additional symptoms such as weakness, increased pain, or changes in mobility, it is advisable to seek medical attention.

In terms of treatment, there are several approaches that can help alleviate numbness and promote healing:
1. Rest and Elevation: Allowing your foot to rest and elevating it can help reduce swelling, which may relieve pressure on the nerves.

2. Physical Therapy: A physical therapist can provide exercises to improve strength and flexibility in your ankle, which may help alleviate nerve compression and improve overall function.

3. Medication: Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and pain. If your doctor prescribes muscle relaxants or anti-inflammatory injections, continue to follow their guidance.

4. Nerve Gliding Exercises: These exercises can help improve nerve mobility and reduce symptoms of numbness. A physical therapist can guide you through these exercises safely.

5. Monitoring Symptoms: Keep track of any changes in your symptoms, including the duration and intensity of the numbness. This information will be valuable for your healthcare provider if further evaluation is needed.

6. Follow-Up Care: If numbness persists, consider scheduling a follow-up appointment with your healthcare provider. They may recommend imaging studies, such as an MRI or nerve conduction studies, to assess for any underlying nerve issues.

In conclusion, while it is possible that the numbness in your foot may resolve as your ankle heals, it is essential to remain vigilant and seek medical advice if symptoms persist or worsen. Early intervention can help prevent potential complications and ensure a more complete recovery. Remember, your health and well-being are paramount, so do not hesitate to reach out to a healthcare professional for guidance tailored to your specific situation.

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