Weakness in Legs: When to Seek Medical Attention - Rehabilitation

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Weak legs


Dear Doctor: I used to play basketball and badminton without any issues, but recently I've been experiencing occasional weakness in my legs, and it's even happening when I walk on flat ground.
Is this serious? Thank you!

Wilkson, 30~39 year old female. Ask Date: 2008/11/29

Dr. Chen Xianchang reply Rehabilitation


Hello, sir: Thank you for your inquiry.
I would like to respond to your questions and provide the following suggestions: 1.
Is the weakness in your legs referring to the knee joint or the ankle joint? 2.
Since your description is not very clear, it is difficult to determine whether it is due to muscle weakness or damage to cartilage or ligaments.
If you are experiencing issues even while walking on flat ground, you should seek medical evaluation and treatment promptly.
Lastly, I wish you safety and happiness!

Reply Date: 2008/11/29

More Info


When experiencing weakness in the legs, especially if it is a new symptom that has not been present before, it is important to take it seriously. The sudden onset of leg weakness can be indicative of various underlying medical conditions, some of which may require immediate attention.
In your case, the fact that you previously engaged in physical activities like basketball and badminton without any issues, but are now experiencing occasional weakness in your legs, raises a few concerns. Here are some potential causes and considerations:
1. Muscle Fatigue or Strain: If you have recently increased your physical activity or changed your exercise routine, it could simply be muscle fatigue. However, if the weakness persists or worsens, it may not just be fatigue.

2. Nerve Compression or Injury: Conditions such as herniated discs in the spine can compress nerves that lead to the legs, causing weakness. If you have any accompanying symptoms like numbness, tingling, or pain radiating down your legs, this could be a sign of nerve involvement.

3. Circulatory Issues: Poor circulation can lead to weakness in the legs. Conditions such as peripheral artery disease (PAD) can cause reduced blood flow to the legs, especially during physical activity.

4. Neurological Conditions: Certain neurological conditions, such as multiple sclerosis or myasthenia gravis, can present with leg weakness. If you experience other neurological symptoms, such as changes in vision, coordination issues, or difficulty speaking, it is crucial to seek medical attention promptly.

5. Systemic Conditions: Conditions like diabetes can lead to peripheral neuropathy, which may cause weakness and numbness in the legs. Additionally, autoimmune diseases can also affect muscle strength.

Given your description of the symptoms, it is advisable to seek medical attention if:
- The weakness is persistent or worsening.

- You experience additional symptoms such as numbness, tingling, or pain.

- You have difficulty walking or maintaining balance.

- You notice any changes in bowel or bladder control, which could indicate a more serious condition like cauda equina syndrome.

When you visit a healthcare provider, they will likely conduct a thorough history and physical examination. They may also recommend diagnostic tests such as blood tests, imaging studies (like MRI or CT scans), or nerve conduction studies to determine the underlying cause of your symptoms.

In summary, while occasional leg weakness may not always indicate a serious problem, the fact that it is a new symptom warrants further investigation. It is always better to err on the side of caution and consult with a healthcare professional to rule out any serious conditions. Early diagnosis and intervention can significantly improve outcomes and help you return to your normal activities safely.

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