Emergency! Numbness on the left side of the body?
Hello, Dr.
Yeh: Yesterday afternoon while I was working, I misjudged the position of a chair and sat down hard, causing my buttocks to collide forcefully with the corner of the chair near my thigh.
At the time, I didn't feel much, but later that night, I distinctly felt a loss of sensation on the left side of my body! I thought I was overthinking it, or that my body had fallen asleep while my mind was still awake.
However, this morning, the numbness persisted.
Could you recommend a good neurologist? Which department should I consult for these symptoms? This morning, a classmate accompanied me to the emergency department at Linkou Chang Gung Memorial Hospital, where I had two X-rays taken, but the doctor couldn't determine the cause.
He scheduled an appointment for me with Dr.
Yang Shun-Tai at Linkou Chang Gung for Saturday morning, but I am really scared because I still have no sensation (it feels like the anesthesia hasn't worn off, and it feels like my left side is wrapped in something).
Please give me some advice! Thank you!
screwdriver, 20~29 year old female. Ask Date: 2005/05/25
Dr. Ye Boshou reply Neurology
1.
The left side refers to either the upper and lower limbs or just the lower limbs.
2.
If it is only the lower limbs, could there be weakness (possibly due to sciatic nerve compression)? 3.
If it is hemiplegia, seek a neurologist as soon as possible.
Reply Date: 2005/05/25
More Info
Experiencing numbness on one side of the body, especially after an injury, can be concerning and warrants careful evaluation. In your case, the incident of sitting down forcefully and subsequently feeling numbness on the left side of your body could be indicative of several underlying issues, particularly related to nerve injury or compression.
When you sustained the injury by hitting the corner of the chair, it is possible that you may have compressed or injured a nerve in the lower back or pelvis. The numbness you are experiencing could be due to nerve compression, which can occur if there is swelling or inflammation in the area surrounding the nerve. This can lead to symptoms such as tingling, numbness, or weakness in the affected area.
Given that you have already undergone X-rays, which did not reveal any fractures or significant structural damage, it is essential to consider other diagnostic avenues. X-rays primarily show bone injuries, and they may not adequately assess soft tissue injuries, nerve damage, or conditions such as herniated discs that could be pressing on nerves.
In your case, it would be advisable to follow up with a neurologist or an orthopedic specialist who focuses on spine and nerve issues. They may recommend further imaging studies, such as an MRI, which can provide a more detailed view of the soft tissues, including nerves, muscles, and discs in the spine. This can help identify any potential nerve compression or other issues that may be causing your symptoms.
In the meantime, here are some general recommendations to manage your symptoms:
1. Rest and Avoid Aggravating Activities: It’s crucial to avoid activities that may exacerbate your symptoms. Resting the affected area can help reduce inflammation and allow any potential swelling to subside.
2. Ice Therapy: Applying ice to the affected area for 15-20 minutes several times a day can help reduce swelling and numbness. Be sure to use a cloth or towel to protect your skin from direct contact with ice.
3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, consult with a healthcare provider before starting any medication, especially if you have underlying health conditions or are taking other medications.
4. Physical Therapy: Once you have a clearer diagnosis, physical therapy may be beneficial. A physical therapist can provide exercises to strengthen the surrounding muscles, improve flexibility, and promote nerve healing.
5. Monitor Symptoms: Keep track of any changes in your symptoms, including the progression of numbness, weakness, or any new symptoms that may arise. This information will be valuable for your healthcare provider.
6. Follow-Up Appointments: Attend your scheduled appointments with the neurologist or orthopedic specialist. They will be able to provide a more comprehensive evaluation and recommend appropriate treatment based on their findings.
It’s understandable to feel anxious about your symptoms, especially when they involve numbness and loss of sensation. However, with proper evaluation and management, many conditions related to nerve injuries can improve significantly over time. Remember to communicate openly with your healthcare providers about your concerns and symptoms, as this will help them tailor the best treatment plan for you.
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