Seeking Advice on Persistent Leg Symptoms: Should I Worry?

Hello, doctor. I have some more questions to ask you?

Doctor, I apologize for bothering you again.
I am the patient who previously inquired about the tingling and soreness in my right foot.
A few days ago, I visited a clinic, and the doctor told me that it was caused by poor posture leading to a strain.
He advised me to change my sitting posture and prescribed the following medications: Solaxin, Mefenamic Acid, and Strocain.
I have been following his advice, but I still experience the symptoms.
Although they do not affect my daily life and I do not feel any pain, this condition has persisted for five to six days.
I am concerned that it might be a herniated disc, but my family believes it is a minor issue and insists that I do not need to worry, thus refusing to let me go to a major hospital for a detailed examination.
Doctor, what should I do? Should I continue taking the medication, or should I see a rehabilitation specialist?

Xiao Cheng, 20~29 year old female. Ask Date: 2015/08/02

Dr. Lan Shengxing reply Neurology

Dear Xiao Cheng, injuries like this are unlikely to improve in a short period of time.
A herniated disc is indeed a possibility, but given your condition, further intervention may not be necessary.
It is advisable to maintain proper posture, rest, and engage in moderate exercise.
Let's reassess the situation after some time.

Reply Date: 2015/08/02

More Info

It sounds like you are experiencing persistent symptoms in your right leg, which have been ongoing for several days. You mentioned that a doctor diagnosed you with a muscle strain due to poor posture and prescribed medications such as Solaxin, Mefenamic Acid, and Strocain. While you are following the recommended changes in posture and taking the medications, you are still feeling some discomfort, albeit without pain, and you are concerned about the possibility of a more serious condition like a herniated disc.

First, it’s important to understand that while muscle strains can cause sensations of tingling, numbness, or weakness in the legs, these symptoms can also be indicative of nerve involvement, especially if they persist. A herniated disc can indeed lead to similar symptoms if the disc presses on a nerve root. However, it’s also possible that your symptoms are related to muscle tension or other benign conditions.

Given that your symptoms have lasted for five to six days and are causing you concern, it would be prudent to take a few steps:
1. Continue with Conservative Treatment: Since you have already started medication and are making adjustments to your posture, it’s essential to continue with these measures for a little longer. Sometimes, muscle strains can take time to heal, and the medications you are taking may help alleviate any inflammation or discomfort.

2. Monitor Your Symptoms: Keep a close eye on your symptoms. If they worsen, or if you start to experience additional symptoms such as severe pain, weakness in the leg, or changes in bowel or bladder function, it would be critical to seek medical attention immediately. These could be signs of a more serious condition that requires prompt evaluation.

3. Consider Physical Therapy: If your symptoms do not improve with conservative measures, it may be beneficial to consult a physical therapist. They can provide targeted exercises and treatments that can help strengthen the muscles around your spine and improve your posture, which may alleviate your symptoms.

4. Seek Further Evaluation: If your family is hesitant to pursue further medical evaluation, it might be helpful to have an open discussion with them about your concerns. Explain why you feel it’s important to rule out conditions like a herniated disc, especially since you are experiencing persistent symptoms. If necessary, you can also seek a second opinion from another healthcare provider who may better understand your concerns.

5. Stay Informed: Educate yourself about the symptoms of conditions like herniated discs and other potential causes of leg symptoms. Understanding what to look for can help you make informed decisions about your health.

In summary, while it’s possible that your symptoms are due to a muscle strain, it’s essential to remain vigilant and proactive about your health. If your symptoms persist or worsen, don’t hesitate to seek further evaluation. Your health is important, and it’s always better to err on the side of caution when it comes to potential neurological or musculoskeletal issues.

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