Leg Numbness and Pain: When to Seek Further Medical Help - Orthopedics

More Info

---

It sounds like you are experiencing significant discomfort and pain in your left leg, which has been exacerbated by prolonged sitting and standing, as well as heavy lifting. The symptoms you describe—numbness and pain radiating from the knee to the thigh—are concerning and warrant further evaluation.
Firstly, it's important to understand that numbness and pain in the legs can arise from various underlying issues, particularly those related to the spine, such as herniated discs, spinal stenosis, or nerve compression. Given that your doctor has already identified some misalignment in your spine (specifically in the lumbar region), this could be contributing to your symptoms. The lumbar spine houses the nerves that innervate the lower extremities, and any issues in this area can lead to pain and numbness in the legs.

The medications you mentioned, such as Ketorolac (克他服寧) and Mefenamic Acid (美飛舒肌), are non-steroidal anti-inflammatory drugs (NSAIDs) that can help alleviate pain and inflammation. However, if you are not experiencing significant relief from these medications, it may indicate that the underlying issue is more complex and requires additional intervention.

Here are some steps you can take to address your symptoms:
1. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide targeted exercises to strengthen the muscles around your spine and improve flexibility, which may help alleviate pressure on the nerves. They can also teach you proper lifting techniques to prevent further injury.

2. Diagnostic Imaging: If your symptoms persist or worsen, it may be necessary to undergo further diagnostic imaging, such as an MRI. An MRI can provide a detailed view of the soft tissues, including discs and nerves, and help identify any herniations or other abnormalities that may be causing your symptoms.

3. Pain Management: If over-the-counter medications are not effective, you might want to discuss other pain management options with your healthcare provider. This could include prescription medications, nerve blocks, or even corticosteroid injections to reduce inflammation.

4. Lifestyle Modifications: Consider making lifestyle changes to reduce strain on your back. This includes maintaining a healthy weight, practicing good posture, and taking regular breaks to stretch and move around if you have a sedentary job.

5. When to Seek Further Help: If you experience worsening symptoms, such as increased pain, weakness in the leg, or loss of bladder or bowel control, you should seek immediate medical attention. These could be signs of a more serious condition that requires urgent intervention.

In conclusion, while some numbness and pain may be a normal response to prolonged sitting or standing, the persistence and severity of your symptoms suggest that further evaluation is warranted. It would be advisable to consult with a specialist, such as a neurologist or an orthopedic spine surgeon, who can provide a comprehensive assessment and recommend appropriate treatment options tailored to your specific condition. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek further medical advice if needed.