Neurological Symptoms: When to Seek Medical Advice - Neurology

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Hello: I previously inquired about a tight sensation from my left cheek to my temple (the area near my nose does not feel this way).
This condition has persisted for quite some time, approximately 8 to 9 months now.
Recently, in the last three or four days, I have been experiencing some numbness in my left foot, specifically on the dorsum and extending towards the calf.
It feels like an electric shock sensation, and it occurs whenever I move my foot.
Sometimes, the calf area also experiences this sensation, but it is more pronounced on the dorsum of the foot, and it is all on the left side.
I would like to know which specialty I should consult regarding this issue.
A few days ago, I visited a small clinic for an examination, and my cholesterol levels were normal.
Since it was a basic check-up, not many tests were conducted.
I am not knowledgeable in this area, so I would like to ask if normal cholesterol and blood pressure levels rule out the possibility of vascular obstruction or hardening.
Additionally, I have this electric shock or numb feeling in the entire area from the dorsum of my left foot to the bend of my calf, so I want to understand more about this.
I apologize for my limited ability to express myself verbally.
Thank you.
(If I had a basic health check-up and cholesterol test just ten days ago) I recently visited another clinic regarding my foot, and the doctor prescribed medication for three days.
If there is no improvement, I will return for blood tests (with more extensive testing).
Should I inform the doctor that I have already undergone basic tests? Thank you.

Xiao uu, 20~29 year old female. Ask Date: 2009/05/10

Dr. Ye Boshou reply Neurology


Hello: 1.
There will be no signs of vascular obstruction.
2.
Numbness in the legs is more likely related to peripheral nerve issues, such as compression, but it can improve.
If there is no improvement or if it worsens, a consultation with a neurologist for examination is necessary.

Reply Date: 2009/05/10

More Info


Based on your description of symptoms, it sounds like you are experiencing a combination of neurological issues that warrant further investigation. The tightness in your left cheek and temple, along with the sensations of tingling and electric-like feelings in your left foot and calf, could indicate a few different underlying conditions that may involve nerve compression or irritation.

Firstly, the tightness in your facial area could be related to tension-type headaches or even a form of neuralgia, such as trigeminal neuralgia, which affects the facial nerves. This condition can cause sharp, shooting pain in the face, often triggered by touch or movement. The duration of your symptoms—lasting for about 8 to 9 months—suggests that this is not a transient issue and should be evaluated by a healthcare professional.

The tingling and electric sensations in your left foot and calf are concerning as they may indicate peripheral neuropathy or nerve compression, possibly due to conditions such as a herniated disc in the lumbar spine, which can affect the nerves that innervate the lower extremities. Other potential causes could include vascular issues, although you mentioned that your cholesterol and blood pressure are normal, which reduces the likelihood of significant vascular obstruction. However, it is still possible to have vascular issues that do not present with elevated cholesterol or blood pressure, particularly if there are other risk factors involved.

Given these symptoms, I recommend that you seek an evaluation from a neurologist. A neurologist specializes in disorders of the nervous system and can perform a thorough examination, including a detailed history and neurological assessment. They may also recommend imaging studies, such as an MRI of the brain and cervical spine, to rule out any structural abnormalities that could be causing your symptoms. Additionally, nerve conduction studies and electromyography (EMG) can help assess the function of your nerves and muscles.

Regarding your question about informing the doctor about your previous tests, it is crucial to provide them with all relevant medical history, including any recent blood tests and their results. This information can help them make a more informed diagnosis and avoid unnecessary repeat tests.

In summary, your symptoms of facial tightness and tingling in the left foot and calf are concerning and should be evaluated by a neurologist. They can provide a comprehensive assessment and determine the appropriate diagnostic tests and treatment options. Early intervention is key in managing neurological symptoms, so do not hesitate to seek medical advice.

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