Numbness in Legs and Lips: Possible Causes and Relief Strategies

Numbness in the calves and around the lips?

My grandfather (77) has been experiencing numbness in his calves over the past few days, and today he also has numbness around his face (specifically around the lips).
He has a history of having undergone half of his lung removed and heart stent surgeries, and he has previously experienced myocardial infarction and aortic dissection.
I would like to ask the doctor: (1) Are the symptoms of leg and facial numbness related to his heart condition? (2) Could weather factors (such as rainy days) have an impact? (3) How can we alleviate these symptoms? Thank you, doctor.

Chen, 20~29 year old female. Ask Date: 2024/07/25

Dr. Jiang Junyi reply Neurology

Dear Ms.
Chen,
You mentioned that "your grandfather is experiencing numbness in his calves, and today, in addition to the leg numbness, he has facial numbness (around the lips)..." The facial numbness (around the lips) may indicate that the brainstem structures could be affected.
Your grandfather has a history of cardiovascular diseases such as myocardial infarction and aortic dissection, which places him in a high-risk group for stroke.
It is important to rule out cerebrovascular diseases, such as cerebral infarction or vertebral artery dissection, among other potential causes.
Additionally, consider the possibility of vasoconstriction due to hyperventilation.

I recommend measuring your grandfather's blood pressure, ensuring he is adequately hydrated, and monitoring his medication regimen.
It would be advisable for you and your grandfather to visit a neurology clinic for further evaluation and follow-up.

Thank you for your inquiry, and feel free to discuss any related questions.
Wishing you good health and peace.
Dr.
Jiang Junyi, Hua Medical/Tao Medical

Reply Date: 2024/07/25

More Info

Numbness in the legs and lips can be concerning, especially in an elderly individual with a history of significant cardiovascular issues. Let's break down the potential causes and relief strategies for your grandfather's symptoms.

1. Possible Cardiac Connection: Given your grandfather's medical history, including heart surgery, myocardial infarction, and aortic dissection, it is essential to consider that numbness in the legs and face could be related to cardiovascular issues. Numbness can occur due to reduced blood flow, which may be a result of heart problems or vascular issues. Conditions such as peripheral artery disease (PAD) could lead to reduced circulation in the legs, causing numbness. Additionally, transient ischemic attacks (TIAs) or strokes can present with facial numbness, particularly if there is a disruption in blood flow to the brain. Given these risks, it is crucial to seek immediate medical attention if the numbness is sudden or accompanied by other symptoms such as weakness, confusion, or difficulty speaking.

2. Weather Influence: Weather changes, particularly cold and damp conditions, can exacerbate symptoms of numbness and tingling in some individuals. Cold weather can lead to vasoconstriction, which reduces blood flow to extremities, potentially worsening numbness. Additionally, changes in atmospheric pressure can affect individuals with pre-existing vascular conditions. While weather may not be the primary cause of your grandfather's symptoms, it could contribute to the overall discomfort he is experiencing.

3. Relief Strategies: To alleviate numbness, it is essential to address the underlying causes. Here are some strategies that may help:
- Medical Evaluation: The first step should be to consult a healthcare provider. A thorough evaluation, including a physical examination and possibly imaging studies or blood tests, can help identify any underlying issues that need to be addressed.

- Physical Activity: Encouraging gentle movement can improve circulation. Simple exercises, such as ankle pumps or leg lifts, can help stimulate blood flow. However, any exercise should be approved by a healthcare provider, especially given your grandfather's medical history.

- Warmth: Keeping the legs warm can help improve circulation. Using warm compresses or wearing warm socks may provide some relief from numbness.

- Hydration and Nutrition: Ensuring that your grandfather is well-hydrated and consuming a balanced diet rich in vitamins and minerals can support overall health and potentially improve nerve function.

- Medication: If the numbness is due to nerve compression or neuropathy, medications such as gabapentin or pregabalin may be prescribed by a healthcare provider to help manage symptoms.

4. Monitoring Symptoms: It is essential to monitor the symptoms closely. If the numbness persists, worsens, or is accompanied by other concerning symptoms (such as weakness, confusion, or severe headaches), immediate medical attention is warranted.

In conclusion, while there could be a connection between your grandfather's symptoms and his cardiac history, it is crucial to seek a professional evaluation to determine the exact cause and appropriate treatment. Weather may play a role in exacerbating symptoms, but addressing underlying health issues is paramount for effective relief.

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