Leg Numbness, Tingling Feet and Toes

LEG NUMBNESS OR TINGLING

Numbness is decreased, and tingling unusual sensation in the leg. This article describes causes of numbness and tingling in the legs, feet or toes.

What Does  Numbness and Tingling Mean?
Numbness In the Arms, Hands and Fingers
Head/Face Numbness

EVERYDAY CAUSES OF LEG NUMBNESS

Sitting With Legs Crossed

Sitting with legs crossed, sitting on the foot, prolonged sitting or squatting, or a wallet in a back pocket may be the cause of a pressure on the leg nerves or arteries resulting in leg “falling asleep”:

  • Numbness, tingling or inability to move the leg or foot, resolving within few seconds or minutes after releasing the pressure and stretching the leg
  • In extreme situations, prolonged leg crossing or other forceful leg position could cause prolonged or even permanent damage of the peroneal nerve.

SCIATICA

Sciatica is a common name for lower back and leg pain, caused by any disorder involving sciatic nerve (listed below). Common symptoms are:

  • Pain in the lower back and/or buttocks
  • Pain, numbness, tingling or weakness in the leg or foot, usually on one side, occasionally on both sides

Causes of sciatic pain:

Herniated Lumbar Disc

Bulging or herniated disc in the lumbar spine, mostly between 4th and 5th lumbar, or 5th lumbar and 1st sacral vertebra, can press on the roots of the sciatic nerve. A common cause is degenerative disc disease (DDD). A disc may herniate gradually or suddenly, often after lifting a heavy object from the ground. Symptoms include:

  • Pain, tingling or numbness in the lower back, buttock, thigh, calf or foot, usually only on one side
  • Worsening of symptoms during sitting, standing, sleeping and during certain movements, bending or lifting objects from the ground; symptoms may be relieved by walking or swimming
  • Cauda equina syndrome is typically caused by a large herniated lumbar disc that presses on the lumbar nerves. In the lumbar spine, the nerve roots and nerves are spread out like a ‘horse’s tail’ (in Latin cauda equina). Symptoms frequently appear on both sides: low back pain, bilateral lower extremity weakness, numbness around the anus and on the inner thighs (saddle anesthesia), bladder and bowel incontinence. These symptoms are a surgical emergency.

Lumbar Spinal Stenosis

Spinal stenosis is narrowing of the spinal canal. It can be genetic but is usually due to an age related overgrowth of vertebral bone that narrows the spinal canal. Symptoms are like in herniated lumbar disc (see above).

Spondylolisthesis

Spondylolisthesis (Gk. spondylo = spine, listhesis = to slip or slide) refers to slippage (usually forward) of a vertebra and the spine above it. Disorder may be congenital, or caused by an age related degeneration, trauma or operative injury. Symptoms are like in herniated lumbar disc (see above).

Piriformis Syndrome

The piriformis muscle, which is located in the lower part of the spine, can have spasms and compress the sciatic nerve thus causing low back pain. More about piriformis syndrome.

Spinal Tumors and Infections

Tumors in the spine or spinal cord, and inflammation in infections, like spinal tuberculosis, can compress the sciatic nerve and cause sciatica and back pain.

Pregnancy

During pregnancy, especially when lying down or walking, the womb can press on the sciatic nerve and can cause low back pain and tingling in one or both legs. Bulging or herniated disc is also a common cause. Symptoms usually go away after childbirth.

INJURIES

Leg Numbness After Surgery

Leg pain and numbness may appear after surgical fusion (merging) of the lumbar vertebra.

Broken Leg / Foot

Symptoms of a broken leg may include:

  • Pain, tenderness or cramps, made worse by movement
  • Leg or foot swelling
  • Leg deformity or grating of bone ends
  • Limited range of motion or inability to walk

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is caused by a compression upon the posterior tibial nerve where it runs along the inner ankle. Causes include prolonged walking or wearing new shoes, injuries, swelling of tendons in rheumatoid arthritis, and so on. Symptoms include:

  • Foot pain, numbness, tingling or burning around the inner ankle or the sole of the foot, aggravated by standing or walking, and partially relieved by rest
  • Foot weakness

UNKNOWN CAUSES

Restless Legs Syndrome

Restless legs syndrome (RLS) is a neurological disorder of an uncertain cause, in which you experience an irresistible urge to move your legs. Symptoms include:

  • Creeping, tugging, itching or pulling sensation in legs, worsening at rest and partially or completely resolving by moving legs
  • Symptoms worsen at evening and may disrupt sleep

Transverse Myelitis

Transverse myelitis is an inflammation of the whole width of one segment of the spinal cord. The exact cause is not known. It can occur at any age, but mainly affects people between 2o and 40 years of age. Symptoms may include:

  • Localized lower back pain
  • Burning, numbness, tingling or partial paralysis of both legs
  • Urinary bladder and bowel dysfunction
  • Headache, fever, and loss of appetite
  • Respiratory problems
  • Weakness in the arms

Multiple Sclerosis

Multiple sclerosis can cause numbness or tingling in one or both legs, arms and other body parts. Problems with vision, hearing, urinating, and tiredness are other common symptoms.

HEREDITARY DISEASES

Charcot-Marie-Tooth Disease

Charcot-Marie-Tooth disease is a rare hereditary disease of nerves causing weakness and decreased sensation in the legs (and sometimes in the arms). Symptoms include:

  • Loss of muscles and weakness in your legs and feet
  • High foot arches
  • Curled toes (hammertoes)
  • Numbness and pain in your legs and feet

Marfan Syndrome

Marfan syndrome is an inherited disorder of the connective tissue; symptoms include long thin stature, joint hypermobility, leg pain and numbness around the knees.

DIAGNOSIS OF LEG NUMBNESS AND TINGLING

History. Pain, starting in the back and radiating to the leg, is mostly caused by a pressure on the roots of the sciatic nerve (radiculopathy), occurring in spinal disorders. Check a medical history questionnaire to recall more symptoms and circumstances.

Clinical examination. Special ambulatory tests, including detailed checking of sensitivity in the leg can reveal which nerves are involved.

Investigations. MRI of the spine shows most of spinal disorders. X-ray can show broken bones in the leg.

HOW TO TREAT LEG NUMBNESS AND TINGLING

The cause has to be treated in most cases.

Related Articles:

About Jan Modric (249 Articles)
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  • Sharlene

    Tingling of legs and little sores have started on my legs. Mostly little red spots that some get yellow pus centers like boils but not painful, sometimes itch but not much. What could cause this?

  • Jan Modric

    One common cause of small red bumps with white/yellow pus filled center is folliculitis. This is (usually) a mild staph (Staphylococcus aureus bacterium) infection ocuring when staph bacteria that (you can be its carrier) enters hair follicles when these are irritated – usually due to friction of tight cloth, or after leg depilation…This is usually felt as itching, burning or mild pain.

    Tingling is a “pins and needle sensation”, like ants crawling your legs, and it comes from affected nerves – like you sit with legs crossed and your leg can fall asleep and you feel some tingling. This doesn’t go with rash.

    Mild folliculitis goes away by itself in some days with legs washing and drying them gently, and changing and washing clothes that touch the legs every day. If this dioesn’t help, there are some antibacterial soaps available in pharmacies without prescription. Avoiding sweating and hot baths in this time can help in itching a bit.

    You can check folliculitis pictures
    http://www.healthhype.com/folliculitis-pictures.html

    Another type of folliculitis is hot tub folliculitis.
    http://www.healthhype.com/hot-tub-folliculitis.html

    If you suspect that tingling arises from nerves, then some additional description would be required…

  • Pingback: Arm Numbness, Tingling Hands and Fingers | Current Health Articles 2009()

  • pri

    hi, i get a prolonged feeling of needles and pins followed by numbness. This happens on the left side of my body, it starts from hips down to the toes, where in i get this feeling only for half part of my left leg. This is at times accompanied by similar feeling in my left arm, hand upto my fingers.This tingling feeling grows up from behind the ear area to spread over first the left half of my head to the rest. I have been suffering with this from past 6 months.Doctors gave me sleeping pills, coz i was complaining of loss of sleep due to this uneasiness.No medication has helped so far. I really need some help

  • Jan Modric

    pri,
    you need a check by neurologist. One sided tingling/numbness may arise from the brain, like from transient ischemic attack (TIA) or other causes. It’s likely you’ll need a CT or MRI of the head.

  • pri

    Thank you.i will get that done. any idea what could be the probable cause.

  • Jan Modric

    If I get you right, these feelings come and go? It may be from anxiety, sleeping in certain positions, some drugs (e.g. cymbalta), from circulatory problem in the brain, epilepsy…hard to say.

    Maybe you can get some ideas on this forum from other sufferers:
    http://www.medhelp.org/search/expanded?cat=posts&query=one+side+numbness

  • pri

    These feelings stay for a long time,at times last for as long as entire days.There is no particular pattern in which it occurs, becoz the tingling feeling starts mildly and then starts growing. i havent been taking any drugs for any problems as such. have gone through the site you have mentioned,but cannot relate to it.
    anyways thank you for the pointers. Appreciate 🙂

  • JodyUSMC

    I get numbness down the outter portion of my left thigh from @ my hip to my knee when I I do any prolonged standing…like cooking or at work. I find I have to take weight off my left foot and relieve all pressure from that leg. If I don’t the numbness will turn to burning. At some point I have to make sure that I move around and bend and/or squant it seems to either get circulation going or something. I do have slight lower back “pressure” or soreness but not what I would call pain. This has been going on for about 3 months now and is starting to get on my nerves. In my job I am on my feet for 10-12 hrs a day….so this is really a hindrance. I’m not sure what I did, but I’d like to undo it.

  • Jan Modric

    Jody,
    this sort of pain comes from the pressure on the nerve in your lumbar spine. Common cause is herniated disc. It can be also a bone outgrowth – it happens in spondyloarthritis.

    There’s one test that speaks for pressure on the nerve. If you lye down on the back and lift your streched left leg slowly up, at one point you’ll feel the pain and will be unable to proceed.

    Anyway, it is a neurologist who can make a diagnosis after examination. MRI or CT of the spine would be needed to confirm diagnosis. He will tell you what to do.

    Avoid lifting and carrying any heavy objects.

  • PAUL WRFC

    I have had tingling in the fingers on my left hand, for a number of months. I am on hypertension medication – and have recently had rthe medication changed. Any ideas?

  • Jan Modric

    PAUL,
    tingling from medications is usually on both sides (hands), but you can check label about side effects.

    Do you use your left arm/hand in some special way, carrying heavy objects, repeating moves, elbow pressing on the desk, injury…would you say the forearm is swollen…?

  • theresa092086

    I have tingling and numbness in my left leg..I thought it could be a blood clot in my vein from b.c.pills but after reading these postings I’m thinkin its more like RLS. I have headaches also and when I try to sleep it wakes me up a few hours later.

  • Anna

    I have severe osteoporosis and two years ago had surgery to releive a pinched nerve in my lower back. Before surgery I had severe pain down my right leg to my foot with tingling,numbness and the feeling compared to a stone bruise on the sole of my foot. After surgery this pain ceased. A few months later, I started feeling as though I am sitting on a post or a pressure around my seat area and now the tingling has started again. The pain is not unbareable but is there every day. As I said I have severe osteoporosis. Do you think this is due to a fracture in my lower back?

  • Jan Modric

    Anna,
    in osteoporosis, vertebral bone loses its mass, vertebra come close to each other, and thus openings through which nerves go out from the spinal cord narrow. What exactly happened with vertebra, CT can show, maybe X-ray – neurologist or ortopedist should say. It sounds like another nerve has been pinched.

    It is important to treat osteoporosis (check with endocrinologist).

  • mollyelizabeth

    I have had numbness in my hip/upper thigh when laying down on that side at night. I have had it since I gave birth two years ago. I only feel it at night. Could this be nerve damage? A blood clot??

  • Jan Modric

    Mollyelizabeth,
    probably not exactly nerve damage, but it’s likely something presses upon one of the nerves that innervate hip/thigh.
    This can be due to bulging disc in lumbar spine, or pressure of pelvic organs on the nerve.

    Blood clots develop either in veins in thrombosis, or in arteries in atherosclerosis. Without these disorders, it’s not likely to be a clot.

  • mollyelizabeth

    Thanks Jan. Should I be checked for blood clots to rule that out? Or, should I not worry about it so much and stay off the internet? LOL.

  • Jan Modric

    Mollyelizabeth,
    you’ve probably alraedy read some article about thrombosis and leg arteriosclerosis. They both have quite typical risk factors, like disorder in other family members, smoking, contraceptive pills, being bedriden, etc. So use common sense about this. One way is that you arrange appointment with neurologist, and if nothing shows up (I think it likely will), you can ask about a clot. Experienced neurologist can give you reliable advice.

  • wonderl42

    I have numbness and tingling in my left leg constantly. This is accompanied by numbness in my big toe on the left foot. Previously, I had numbing in my right leg (primarily in the front), now this comes and goes on this side. MRI two months ago showed minimal disc buldging. Any suggestions?

  • Jan Modric

    Wonderl42,
    it’s likely that disc bulge presses on the ischiadic nerve that innervates the leg – in this case your symptoms refer to “ischiatica”.

    In ischiatica this helps:
    – avoiding sitting for long periods of time
    – avoiding lifting or carrying heavy objects
    – walking

    I recommend you to visit a registered physiotherapeutist or registered chiropratcor (real chiropractor (doctor) who deals with spine disorders) who will tell you which exercises to do.

  • wonder4l2

    Thanks. I have never heard of ischiatica, but will research.

  • Jan Modric

    Wonder412,
    it’s actually **sciatica** 🙂

  • Mom_Of_Boys

    I a a 31 year old female. Two days ago my toe (the one next to the big toe) started feeling numb. It is basically like I lost sensation in it. It has continued to feel that way (day and night). I don’t recall any injury or anyhing. What would cause this? Any suggestions on how to ‘fix’ it??

  • Deane

    I have L2,3,4 fused due to a burst fracture of L2 in an accident. This has been called cauda equina syndrome. My legs and especially my feet, are extremely tingly and numb. Does this ever go away?
    What percentage of cases does this go away?
    Thanks.

  • Jan Modric

    Mom_Of_Boys,
    the cause of toe numbness may be suspected from circumstances:
    1. Bulging lumbar disc – lifting heavy loads, sitting work…
    2. Tarsal tunnel syndrome (read in the article above) – may be aggravated by tight shoes
    3. In hypothyroidism (fatige, coolness), or other cause of tisse swelling, accumulated fluid may press on nerves…
    4. Multiple sclerosis may appear with isolated nerve symptoms, one of them is inflammation of optical nerve (vision problems).
    5. Peripheral neuropathy – in prolonged poorly controled diabetes
    6. Frostbite or Raynaud phenomen go with obvious change in toe skin color
    Tumor of the nerve is rare

    Maybe it’s the way you sit, you wear tight shoes, you stand at work, you have swollen legs?

    Pay attention to eventual other symptoms – vision problems, fatigue…

    Without knowing the cause, the only thing you can try is to release any eventual pressure on the foot (shoes, prolonged standing…)

  • Jan Modric

    Deane, when did you have the operation? Symptoms may lasts for several weeks after operation, but if they are worsening, then you should see your surgeon promptly. Knowing any percents won’t realy help here, you should fix your problem completely.

  • josie

    i was dancing and suddenly i got this horrible pain on my knee that disabled me. my knee got very swollen and has been very painful for two months. now it is tingling and numb down to my feet. i have an appointment to see an orthopedic dr. but could not get in any earlier. it will be 3 months by then and i am getting to the point that i can not walk anymore. what is going on?

  • Jan Modric

    Josie,
    sounds serious, go through emergency room, there’s no time to wait.

  • Baseball fan

    Three days ago I started experiencing a feeling in my foot on the outside of my ankle (sometimes in front going down, but usually below from the back to the front) Its something of a cross between pins and needles and a pulsating(almost like a muscle spasm or tremor is the sensation). I’ve also had some very, very mild burning in the right inner thigh and left outer thigh, and my extremities fall asleep a little more quickly than normal. I just lost my job and health insurance this month (poor timing), so am wondering how long I can put off treatment and what I can do short of the panoply of tests to better diagnose this? Can anxiety be responsible?

  • Jan Modric

    Baseball fan,
    are you also actively involved in baseball?

    Did you have a sitting/standing work, were you lifting heavy objects from the ground..?

    Symptoms appearing elswhere along the leg often arise from bulging disc in the lumbar spine. Avoiding prolonged sitting (including driving), and lifting heavy objects, having regular walks…would likely help in this case. Search for lumbar hernia to see, if this is your case.

    To say more, I’d need to know how old are you, do you smoke, have you had any problems with blood (thrombosis), vessels (arteriosclerosis), what are your physical activities…

  • baseball fan

    I’m almost 49. Don’t smoke. Drank regularly, then way too much after losing job end of last year. Was couch potato until 8 weeks ago, when I started exercising vigorously twice a week walk-running trails. Felt great!

    Lots of sitting, very little standing. Haven’t lifted anything heavy except one microwave 4 weeks ago, but did not bend over. Which is why it seems strange the sudden onset, as detailed below.

    Symptoms that started with ankle pulsating lst Friday have changed in last 24 hours. Now have skin numbness on left leg entire calf; realize now its been a little soggy/asleep when I’ve woken over last week or so.

    At same time as calf numbness, lower back/hop pain started and became severe (slept with pillow btwn legs), but lessened when I rotated to the left and inadvertantly cracked it (like the mid-back can do, but louder). But still sore. Ankle pulsating has receded dramatically since cracking my back, but not completely since then.
    this morning, when I rotated my neck to the left quite a bit, and I guess put weird torque on lower spine, it shot a pain into my left upper leg.

    Thanks for your help.

  • Jan Modric

    This all sounds like comming from the spine.

    Search for “bulging disc”, “sciatica”, “lumbar hernia”, slipped disc”, “tight back”, “lower back pain”.

    Not sure what “craks” speak for, so hard to tell what exactly happens with your spine or back muscles.

    Diagnosis is made by neurologist, or orthopedist, after examination and with the CT/MRI of spine…

    One test that speaks for bulging/herniated disc is: you lie on the back, and you lift one *fully extended* leg slowly up. If at one point you feel the pain, this speaks for the spinal origin of the pain. Repeat with the other leg.

    To avoid some expenses, you may try with a physiotherapist that can give opinion of your situation, and can suggest some exercises.

    In meantime:
    – lying, sitting and standing aggravates the pain. If night pain wakes you up have a short walk maybe.
    – walking helps. Maybe try to walk before the sleep.
    – avoid ANY heavy exercise, including running. You may try with swimming.
    – avoid lifting or carrying anything heavy
    – if you’re taking ibuprofen, naproxen, aspirin.. other “NSAIDs”, be aware they can easily cause gastritis or stomach ulcer.

    Try to get someone you know – doctor of any specialty, health worker..they should be able to check your back.

    Again, don’t know what happened..these things may resolve with proper rest/exercise schedule…but if there is herniated disc…well, there’s a lot about it online.

    Don’t do any forced exercises before you know what’s wrong.

  • Katie

    hello

    This information is so interesting. I have had morning foot pain when I first get up, so that when I step on my right foot is hurts like crazy but when it gets warmed up in a few minutes it is OK.

    However I’m also getting foot tingling during the day which has now spread up my leg to my knee. Yesterday I had tingling for a brief time in my left hand and then tingling all down my left leg.

    Notice no back pain at all.

    Would appreciate it if you could give me any ideas as to what could be causing this.

  • Jan Modric

    Katie,
    1. For how long your symptoms last; do you remember the day when they started…?
    2. Any article swelling?
    3. Water retention, edema?
    4. Related with the cycle?
    5. Any problems with eyes (one or both) now or at any time before?
    6. How old are you, what’s your job?
    7. Any diagnosed chronic disease, or injury in the past?
    8. Any positive tests of hormone disorders or anything?
    9. Any forced or repeated moves of neck, or lower back (lifting heavy object, prolonged sitting..)?

    One cause not mentioned in this article is multiple sclerosis.
    From this article you can access all our articles about tingling:
    http://www.healthhype.com/causes-of-tingling-and-numbness-paresthesia.html

  • Katie

    I am 37 excellent health, weight. My cycle is irregular.
    At work I stand 8 hours on cement floor, some repetitive motion but no heavy lifting. I work just 3 days a week.

    The symptoms last for 4-5 hours for leg pain yesterday and several hours already today for tingling in left arm and wrist.
    If I’m super busy I don’t notice as much as when I’m not.

    I’d say these tingling/ pins and needle like pain began 3 – 4 days ago.

    Thanks so much for your time

  • Jan Modric

    To Katie.

    1. PRESSURE ON THE NERVE(S)
    1.a
    Repetitive motion of wrist(s) can cause carpal tunnel syndrome that could explain hand/arm symptoms. Computer workers/typists often have it for example, so there’s no hard work needed to get it.

    1.b Repetitive motion of the neck can cause cervical disc bulging (or hernia), that presses on nerves that innervate the arm ; that’s another possible cause for arm/hand symptoms.

    1.c Standing and repetitive turning of your upper body (hips/waist level) can put pressure on lumbar spine and can cause lumbar disc bulging, or disc hernia that presses on nerves that innervate the leg. If this is the case, leg symptoms you describe would be called sciatica (search..).

    1.d. Hormone imbalance. Low thyroxine (thyroid disorder), or estrogen/progesteron imbalance may cause water retention and swelling of wrists (would again cause carpal tunnel syndrome), and swelling of your legs, maybe in hip area (pants don’t fit).

    So, you may try to figure out if the cause is from workload (1 a, b, c), I mean from spinal vertebra/discs pressing on your nerves. What speaks for this:

    — walking relieves leg pain, sitting or lying down aggravate it, you can somewhat influence the pain with body position…

    (You can try this test: lye down on the back on the firm base (floor..) and slowly lift your fully extended leg, with other extended leg resting on the floor. If at some point you feel the pain in the leg, this speaks for pressure on the nerve in the spine. Repeat with the other leg.)

    — exercises for carpal tunnel help http://www.expertvillage.com/video-series/425_carpal-tunnel.htm

    In 1.d (water retention), you’d gain some weight, and you’d probably notice arm/leg swelling.

    —————
    2. But your symptoms may arise from within the spinal cord or brainstem or brain due to some NEUROLOGICAL DISEASE.

    In this case moving any body part, or exercising, walking… would probably not relieve any symptoms during exercise itself…

    ———————
    What you can do before visiting a doctor (neurologist)? Having some walk (also during work time if possible). For the arm/hand, try above mentioned exercises, othervise, rest the wrist as much as possible.

    If this doesn’t help, you may first visit physiotherapist, anyway, for reliable diagnosis, you’d need to be examined by neurologist.

  • Ouchies

    I hurt my leg yesterday during tae kwon do. I got a “dead leg,” and the area that was hit is completely numb and still swelling. I’ve been compressing it with ice since last night, and the swelling is down, but should I still see a doctor because of the numbness?

  • Jan Modric

    To Ouchies.

    Go to the urgency. Fluid (blood?) presses on the nerve(s) and causes numbness. Constant pressure on the nerve damages it; doctor can give you something to reduce swelling to prevent nerve damage.

    If you wait with this, you may experience prolonged symptoms (months…)

  • sek5614

    My right leg has felt “numb” in certain areas on and off for months now. I really notice it when I am sitting for longer periods, because it gets so uncomfortable that I have to constantly change sitting positions. It really starts to hurt after awhile and I am worried it could be something bad, like a blood clot. I am a healthy young adult…is this possible? What could it be?

  • Jan Modric

    To sek5614

    Pain appearing during prolonged pain commonly appears in “sciatica”; a cartilagineus disc in the spine presses upon sciatic nerve where it leaves the spinal cord, thus causing pain at various parts of the leg, from the back to toes. When you change the position, pressure in the spine changes, so does the pain. Having regular breaks, short walks help. Search about “lumbar disc hernia” or “sciatica”.

    In blood clot due to thrombosis, the leg becomes swollen and reddish/bluish. In embolic clot there’s a severe pain and leg becomes pale…

  • baileyb8

    I am 33 female. I have had left arm numbness and tingling..sometimes both my feet to. I also noticed..sitting by a cap fire or anything hot heats up my legs to where my veins are red from the heat..it looks creepy to everyone that my legs are all veiny(red blotchy)I get the acational heartburn..what the heck. I had them check my heart by runniing on a treadmill and just sitting on the bed and listening to it..and they say it beats regular. My big question is I have a huge digestion problem..could this relate?

  • Jan Modric

    To baileyb8.

    What are symptoms of your digestive problem, do you have any exact diagnosis?

    Nerve problems (tingling) may be related with digestion, if absorption of vit B12, folate, and minerals is impaired.

  • custodian

    I was Diagnosed with L3-4 and L4-5 bulging disc.With moderate narrowing of the spinal canal.I have severe low back pain most of the time and my legs have gone numb and I fall.
    getting comfortable to sleep is very difficult due to the pain in my back and legs.I normally have to prop 2 or 3 pillows under my knees to sleep. The surgeon says surgery wont help and I need PT and injections.No clear diagnosis has been given yet.HELP!

  • Jan Modric

    To custodian.

    On the basis of which investigation was said that you have bulging discs and narrowed spinal canal?

    I’m surprised how someone says surgery won’t help. A reliable neurologist should tell you, should you try some physiotherapy first, but I can tell you that surgery is safe and effective treatment of lumbar bulging disc. Both bulging discs AND spinal narrowing might be needed to correct during surgery, otherwise you might experience only partial improvement.

  • infinity

    I had a full bone CT scan in January due to abdominal pain resulting from the flu.

    The CT of the lumbar spine showed severe degenerative changes which deform the spinal cord and suggested coorelation with an MRI. I’ve had no back pain in the past few years due to maintaining an exercise progam.

    However, I am now experiencing numbness, severe pain and weakness bilaterlly in my feet. This is NOT asociated with back pain.

    What are your feelings regarding the causal relationship of my foot pain with the findings on CT?

    Thank you for your help!

  • Jan Modric

    To infinity.

    Degenerative changes in lumbar spine can cause feet pain without back pain.

    The pain is caused by pressure of either bony or cartilagenous parts of the lumbar spine upon nerves that innervate the legs. Nerve fibers that innervate feet, legs, bottom and the back are distributed among several nerves, so you feel pain only in body parts that are innervated by affected nerves.

  • baileyb8

    Jan M…Hi, thanks for replying.:)
    Anyway, whe I eat certain foods..aspecially berries or a large dinner I get huge abnomanal pains…gassy, cramps and then I either get diaraeha or constipation, but after I DO go to the bathroom I feel GREAT again. But sometimes the pains make me sick ..its like my plumbing is backed up and poisoning me….

  • Jan Modric

    To baileyb8.

    Beside berries (strawberries or all berries?), can you identify any other particular food that irritates you?

    There is xylitol in some berries, it’s like sorbitol in apples, pears…you might want to read about fructose malabsorption:

    http://www.healthhype.com/fructose-malabsorption-cause-symptoms-and-diagnosis.html

    (also check links to diet proposals from there)

    Read about Foods to avoid in IBS:

    http://www.healthhype.com/fodmap-diet-foods-to-avoid-in-ibs-bowel-disorders-with-bloating-and-gas.html

    If you have tingling lips/itchy skin or itchy mouth/throat some minutes after certain food (berries?)…it may be food allergy:

    http://www.healthhype.com/common-food-allergies-in-children-and-adults-causes-symptoms-testing-cure.html

    ……………………………….

    Red blotchy (?) veins? How blotchy? Obvious rash on the skin surface (bumpy hives?), or just red lines along the veins? Goes with itching?

    ……………………………….

    Heartburn – do you belch, experience early satiety?

  • baileyb8

    Jan,
    no I dont belch, that I have noticed anyway. the berries do not give me a tingling..I LOVE them and I still eat them..just not a high amount. Eggs and bananas really bug as well. As for my veins they only go red when I am near exesive heat. I truly hope this is not relating to my heart..that is too scary for me… But My left arm tingles alot now…and my foot.

  • grayson’s mom

    hello,

    i began experiencing tingling in both my big toes about 5 days agom i noticed it at night when i was going to bed. its gotten worse now and its not just at night but all day long. i went to a podiatrist and he ran some PPG test and also listened to my pulse from my ankles and feet and asked me if i have clogged arteries. i am 32 and in good health, i just had a baby 6 months ago. he told me to go to a vascular guy/cardiologist. im kind of worried now…

    the tingling is constant and isnt alleviated by raising my legs or laying down. im wondering if it could be 1)nerve damage from the epidural i had for childbirth (although i havent experienced any other long term side effects from it to date 2) some other type of nerve damage 3) somehow related to a mass i have in my breast which is being checked out as well but so far isnt malignant or basically some other early sign of something like heart disease or diabetes although i dont have any other symptoms, other than the fact that i am still 20 lbs over my normal, prepregnancy weight.

    any advice you have is much appreciated. also i should note my feet have always been “cold” but recently i have noticed they are increasingly uncomfortably cold to the point where walking on a tiled floor is unbearable.

    i think if the cardiologist finds nothing i will try a neurologist, but was hoping you might have some light to shed.

    thank you!

  • Jan Modric

    To grayson’s mom.

    Tingling is only in big toes, not in other toes? Any symptoms in fingers?

    Do the toes turn white or blue when they are cold, like when you put the feet into a cold water? If yes, this could be a Raynaud phenomenon…click this link and scroll down:

    http://www.healthhype.com/arm-numbness-tingling-hands-and-fingers.html

    Epidural anestesy doesn’t seem to be the cause now after 6 months…

    Do you have occasional facial flushes, or diarrhea? If yes, the mass in the breast could be a “carcinoid” that excretes serotonin. TEST: Elevated amount of 5-HIAA (break-down product of serotonin), and/or histamine may be found in the blood and urine.

    So, the cause can arise from
    – vessels in feet
    – blood (thrombosis)
    – nerves (sciatica, restless leg syndrome)
    – serotonin secreted by neuroendocrine tumor…

  • murphymama

    I was rear ended 2 monts ago. Went to my chiroprctor a week after the accident (had been seeing him for some neck/nerve issues with hand tinglng before this). I had an MRI done @ a month ago in which they found three bulging discs in my neck. I am still having the hand tingling, mainly in my right hand and going to chiro for adjustments 2x week with physical therapy 3x week. The thing that started around three weeks ago is tingling in both my feet. I told the chiro and havn’t had x-ray or MRI for my lower back(oh about 2 weeks before the tingling in my feet I had pain in my lower back that went into my butt on the R side) so I am worried that I don’t know what’s going on with this foot tingling-it seems to be stronger when I move my feet which is really weird! I am going to a neurologist in a week. My chiro doesn’t seem to have much to say about this foot thing and my lower back (maybe for insurance reasons?) I’m only 31 and afraid this will effect me the rest of my life because I had an issue before and now with the rear ending compounding it! Any input at all? Thanks!

  • Jan Modric

    To murphymama.

    It’s possible you have a bulging disc in lumbar spine. This disc likely presses upon nerves that innervate your legs and feet. When you move the feet the pressure on the nerve (somewhere along its course) changes, so you feel change in tingling. If you cross your legs when sitting – this can press on arteries that supply the feet and can aggravate tingling.

    You will probably want to have MRI of the lower back. You also maybe want to contact a neurosurgeon or neurologist to explain the MRI then, and evaluate the extent of injury.

  • BigcheeriO

    In the 1990’s, I noticed the onset of toe numbness in the left foot. Over time, the numbness progressed to the right foot, one toe at a time. Currently, both feet are numb to the extent that I cannot feel a needle prick. There is also constant tingling in both feet. I have noticed that the numbness is progressing up the leg. Both legs now feel very “heavy”.

  • Jan Modric

    To BigcheeriO.

    Have you had MRI of the spinal cord, were there any abnormalities found?

    Do you have any chronic disaese, or have you smoked or consumed alcohol for several years?

  • Nicole

    I have 2 herniated discs – L4-L5-S1. and have frequent attacks.
    Two weeks ago I had another attack and since then my right leg has been numb from my groin to my toes. How long will this numbness last? Will it ever go away? I was told by a doctor that it may never go away and that surgery will not change the numbness. Please help.

  • Jan Modric

    To Nicole.

    It’s important that you speak with neurologist or neurosurgeon who can evaluate how serious the herniation is, and if surgery is needed. It’s important that you do this quickly, since constant pressure on nerve(s) can cause permanent damage.

    Surgery in most cases solve the herniated disc problem and all symptoms for good.

  • Nicole

    The process where I live is for a GP (who is trained by the neurosurgeons to evaluate people) to evaluate me. If he/she thinks that it is surgical, your case will be consulted with a neurosurgeon. One of my problems is that the GP told me that all the damage that is done to a nerve is done at the time of the incident. That the numbness I have in my leg and foot will not cause more damage – I am not sure I believe this. It can’t be a good sign when your leg is still numb 2 weeks later. She also mentioned that the numbness may never go away even with surgery. The surgery that you mentioned, is it a total removal of the disc and then fusion or a partial. With me, they are talking about a partial removal.

    Thanks for the help.

  • Centura

    For the past months, I have had some very diffuse but worrying symptoms…

    I had a baby 8 months ago, and the first thing that “happened” was that my period did not go back to normal, it is regular but extremely heavy.

    After a couple of periods I started having severe back pain -after- my period. It felt just like when I was pregnant and I had pains related to my pelvis and the loosening of the pelvic joints.

    My blood pressure started dropping and was at times 85/55. I went to the doctor who checked my blood count and said I was not anemic.

    The periods finally decreaced in bleeding this last month but other things are worrying me instead…

    I get intense shooting pains on the left side of my head, just above/around the ear, and I also have a very sore and stiff neck.
    It sometimes feels like my heart beats irregularly and very hard.
    I have dizzy spells and sometimes feel very foggy.
    My legs and arms feel “weak”, not all the time, but frequently. My legs all the way up the thigh and down to my feet feels like they are tingling, the feeling you get just when your feet or legs fall asleep and then start to wake up, kind of an aching tingly feeling and it also feels like it hurts “inside the bones” in my legs.

    The backpain went away with the heavy period but the leg/feet symptoms have become worse.

    I am 37 years old, 3 children (8 months old, 3 years old and 4 years old) normal weight, very light smoker, maybe 2 cigarettes a day, but I do use “snuff” or “dipping” tobacco in pouches. I do not drink alcohol. No prescription medications. Last week I started taking my allergy meds for grass allergies. (Claritin or Zyrtec)
    Any ideas what this all adds up to? Or if the numb/tingeling is even connected to the rest?

  • Jan Modric

    To Centura.

    Low blood pressure, irregular heart beat, dizzy spells and tingling/weakness events may be all connected: it looks that either a heart arrhythmia or something other is causing a temporary fall of your blood pressure that causes all of your symptoms.

    I suggest you to make an appointment with cardiologist who will listen your heart and maybe give you a Holter monitor that checks heart rhythm for 24 hours continously.

    Shooting pain around the ear, and neck stifness may arise from pressure to one of nerves that arise from the neck spine. This should be checked by a neurologist that may order a MRI of the head/neck.

  • M.L. Sharma

    In 1986 I was operated at L5S1 due to slip disc but numness& burning sencession developed on my lower lims including my buttock and urinary portion.Although I can walk smoothly but no cure on both above problems sofar.now I am 62 years old . In 2001 I also become a patient of Sposmedi dysphonia.So I feel problem insolving and take my food. Can some body help me to reduce my problems.I Wating.

  • shallwee

    hello

    i dislocated my big toe two weeks ago, it was put back into place and strapped with buddy tape, the toe is still numb and i get a tingly feeling is this normal and is it just a matter of time before this goes….

  • Jan Modric

    To shalwee.

    I’d suggest you to visit neurologist who can evaluate the extent of the nerve damage, since eventual prolonged pressure on the nerve can furtherly damage it.

  • Jan Modric

    To M.L. Sharma.

    About leg pains. It is possible that new bulging discs have appeared in your lumbar/sacral spine and are causing your pains now. Neurologist will probably order a CT or MRI of the spine to evaluate this.

    About spasmodic dysphonia. This would require a detailed discussion with a neurologist who will probably ask you several questions about what do you think about the possible causes.

  • Kathy B

    I have numbness and burning from my mid thigh to my mid calf all the way around my leg. This is on both legs but more on the left leg. No problems in my feet. It became worse after my sclerotherapy treatments which I finished 6 months ago. It’s not getting any better but got worse. I have also been sitting more at work. My GP says that it could be that my legs need more time to revasculate. I have no pain at night but it gets progressively worse in the day. Feels best when I exersise. Could this be the case or should I get a second opinion. Any thoughts?

  • Jan Modric

    To Kathy B.

    Explanation by your doctor seems reasonable, but sitting with bent knees all the time can furtherly reduce circulation in your legs. Having a short walk every once in a while during work may help.

  • Scott

    Hi, I have recently (past few weeks) had tingling and numbness in my feet and legs when I sit for periods of time. I did injure a disc several years ago (healed in a week or two without surgery), but hesitate to think that my symptoms are simply nerve issues because it feels more like circulation (warmth) when I stand back up than the sleeping from nerve pressure.

    I used to run almost every day when I was late 30s to early 40s, but now only walk a couple of times a week (I am now 44 years old). I also have has mild pain on the back of my hamstring on my left leg, but the tingling is in both feet and legs.

    I have noticed the discomfort is gone after a minute of standing, and there is no pain when I exercise.

  • Crystal B.

    Hi. I’m a 33 year old female who has been dx with B-12 dificiency. I have had a varicose vein removed from my right leg and need another removed now. I have tingling periodically down the front of my left leg. It doesn’t last long and there is no pain. I can touch the hair on my theigh and it causes my shin to tingle…pretty weird. I sit for the biggest part of the day, but do get up frequently. I also have slight tingling on my left shoulder. My ankles swell sometimes but not always. I wondered if it is something related to the B-12 or the circulation issues I seem to have on the right side. By the way, I do receive B-12 shots every month and shouldn’t have a shortage to cause the symptoms. I have noticed this happening a lot lately and need to know if there is a need for alarm.

  • Jan Modric

    To Scott.

    Can you recall of any recent event that has put strain on your left hamstring? Also, did you lift some heavy thing from the ground or so? I mean, if the bulging disc was in the lumbar spine it has maybe appeared again and it can now press on nerves that innervate both legs. This is called “sciatica”. In this case pain would also likely appear in the butt or thigh. Sitting typically agravetes sciatica; it does not usually cause the “sleeping leg” feeling but numbness, tingling, pins and needles feeling or pain.

    Another (or additional) cause could be a prolonged walk or anything other that could cause swelling behind the knee(s), pressing on the tibial or common peroneal nerve (see pictures):

    http://home.comcast.net/~wnor/postthigh.htm

    In this case pain or numbness would be mainly downward from the knee. Sitting with bent knees put additional pressure on the nerve(s) that run behind the knee.

    If you lye on the back and slowly lift one extended leg up and if you feel the pain anywhere from the back to the feet, this speaks from spinal (disc) origin of the pain.

    Few weeks of symptoms is enough to see a neurologist since prolonged pressure on the nerve can extend the time of its healing.

  • Jan Modric

    To Crystal B.

    If your B12 is in normal range in last months this should not be a cause of tingling. But why was B12 low in the first place? Also were any other vitamins lowered?

    If veins were removed on the right leg and there was no tingling before and after the procedure than it’s hard to say if veins have something with tingling in the left leg or not.

    Tingling in the left shoulder and in the left leg, so only on the left side (right?) can be caused by:
    – bulging or herniated disc in the neck
    and another one in the lumbar spine. If this is the cause, tingling would change with body position, like after several minutes of walking or so…
    – a disorder in the right part of the brain or in certain part of the brainstem or spinal cord.

    I strongly suggest you to visit a neurologist since a disorder like multiple sclerosis is possible. You can expect that neurologist will suggest you MRI.

  • strikeruk

    hi, i hurt my back at work, i have three ruptured discs and lumber strain, i have now developed a severe numbness in my foot and lower leg, i can not bend my toes back nor my foot but i can bend them downwards, my whole leg from the knee down feels mostly numb and i do get some tingling sometimes in my left arm and hand, would this be related to my spine injury?

  • Jan Modric

    To strikeruk.

    Content of the ruptured discs may press on the leg nerves on the site where they come out from the spinal cord.

    Having problems even with leg muscles is a symptom of a serious disorder. I suggest you to arrange appointment with neurologist as soon as possible to prevent prolonged or permenent damage of your nerves. You can expect CT or MRI of the spine.

  • strikeruk

    thank you, i am as we speak awaiting to hear about an appointment with the back specialist dealing with my case

  • crystal

    Hi, I have numbness, tinglin, from waist down to my toes. Cant walk any distance or stant in one place for any length of time. Also cramping in left hand. Have been like this for 4 mths. Also had back ache.

    Seen a neurologist and had a am MRI. He told me that there were white patches on my brain and spine and was caused by a virus of the nervous system. Was told it is a long slow healing process, but has given me steroid that i am taking at min and he said it “may” help.

    Could you tell me anything about this condition and what could have caused it and if it could lead to anything else or if there is even a proper name for it as he wasnt very forth coming.

  • Jan Modric

    To crystal.

    White patches in the brain appear in multiple sclerosis. Some viruses (like Epstein Barr virus) may contribute to multiple sclerosis.

    Ask your doctor:
    – does he suspect multiple sclerosis, and if yes, would he make a lumbar punction (a sample of cerebro spinal fluid taken with the needle from the space near your spinal cord (lower back).
    – what exact virus he had in mind and what proves this?

  • Lori Rutsky

    Can someone help? I started have sharp electrical-like feeling shooting pain in my upper leg that radiated only from my like. I have no back pain or problems. The pain was intermittent. It has gotten significantly worse, now associated with numbness and recently the shooting pains have minimized, but now my leg feels tender to the touch like it is severely bruised under my skin. (My leg looks normal.) I just have numbness and a severe bruised feeling on the top of my upper leg when I barely touch my leg. It is that sensitive. I am having an MRI of the brain, but I have no possible diagnoses in advance of this. Any possible ideas? I really don’t think my back has anything to do with this. Who knows…… IDEAS?????

  • Jan Modric

    To Lori Rutsky.

    Having no back pains does not exclude spinal disorders like bulging disc.

    You’ll need to wait for MRI results, I don’t see any point in listing possible causes in advance.

  • JFG

    I have had a feeling of numbness/slight tingling on the front of my right shin and in and around my right big toe for several days. it isnt painful but was causing me to drag my leg a bit. it does seem to have improved somewhat. No actual pain in the leg, or in my back or in the other leg. I’m male,33, a smoker, active

  • Kate S

    Hi,

    I am 6 months pregnant and have been getting a numb right hip and thigh when I sleep on my left side. I’ve been told not to sleep on my back because it can reduce blood flow to the baby. Last night I woke up on my back with a totally numb right leg. I am worried that I was cutting off blood supply to my leg and the baby. What do you think is causeing the numbness, do I need to keep worrying?

    Thanks ,

    Kate S

  • brandiwine0910

    I recently had surgery on my arm and since have had numbness and a burning sensation in both thighs. What do you think it could be?

  • Angela

    Hello,
    Thank you for having this post.
    I had a baby 15 months ago. During my second trimester I developed sever back pains and was admitted in the hospital for kidney stones, I had blood in my urine but never saw a stone. The rest of the pregnancy I had to sleep on the couch because my back hurt and my legs were restless. During labor, I had to get an epidural because all the contractions were in my lower back and hips, it was horrible. After I had the baby, my left foot kept going numb and tingling, that finally went away after a few months. I still have the restlessness in both legs, tingling in my left foot, and pain in my lower back. I can’t sleep and I feel anxious during the day. It has now developed into my left arm where I feel tingling in my left hand. I have tried massages that only provide temporary relief.
    I did have xrays done just last week and the dr’s office said they came back normal. They prescribed flexeral and ibuprofen. Both do not help at night. I do not drink sodas or coffee, I cut it out of my diet completely. I work out about 4 – 5 times a week for an hour. I have had issues with bowel movements where I am unable to pass a bowel for several days. I did gain 44lbs during my pregnancy but I have burned off almost all the weight except for 3lbs. I always been a small framed person and now my hips have widened with the pregnancy. The final symptom is the week before and the week during my period, I have extreme back pain and all the symptoms tend to be enhanced. I usually have to sleep on the floor with my legs elevated to get comfort. I currently take midol or excedrin to help with relief of pain and restlessness. I need to figure this out because I am getting cranky, irritable, and short patience with everyday events. , Please help me. (oh, one more note, when I was receiving the epidural, the guy told me I should have my back looked at because I had a bad case of skoleosus (sp), however, my xrays just came back and everything was “ok”.)

  • Jan Modric

    To JFG.

    Numbness/tingling in the lower leg in absence of any known disease is commonly due to:
    – bulging disc in the lumbar spine (it doesn’t necessary cause back pain). In this case tingling would be relieved by walking and aggravated by sitting or carrying or lifting heavy things.
    – inflamed tendon pressing upon the nerve on the back side of the knee (after long walking, running, weight lifting etc). In this case tingling would be aggravated by walking.
    – both above mentioned reasons could be the cause in prolonged sitting (including driving).

  • Jan Modric

    To Kate S.

    Baby is getting blood through the vessels in the umbilical cord flowing from the placenta – so it’s not likely that these vessels would be compressed in any position you sleep.

    When sleeping on the left side your right leg is above the level of the heart so the blood must be pumped against gravitation and this may cause low leg perfussion and hence numbness. It’s like you sleep with arms on the pillow or when you raise your arms above the head. In this case numbness should go away in about a minute when you change the position.

    But if numbness appears also when sleeping on the back, then uterus can actually press on the vessels that supply your right leg. Or, nerves that supply the right leg may be compressed or a bulging disc developed in your lumbar spine. In this case you’d probably also feel numbness during prolonged sitting or driving.

    Here are some advices from one pregnancy forum:
    http://parents.berkeley.edu/advice/pregnancy/hip.html

    If this doesn’t help ask your gynecologist since it seems to be a common problem in pregnancy.

  • Jan Modric

    Brandiwine0910

    What kind of arm surgery you’ve had and was it done in local or in general anesthesia?

    Is thigh numbness affected by body position or walking?

  • Jan Modric

    To Angela.

    Bloody urine may be from kidney stones but also from several other disorders of the kidneys (or the bladder).

    Plain X-ray of the spine is not enough to see if there is any bone or disc pressing on some nerve that innervates the leg. CT or MRI would be needed.

    Neurologist (or orthopedist or a “back doctor”) can say if it is scoliosis, bulging disc, spondylitis or some neurological disease.

  • brandiwine0910

    I had the axillary skin removed under general anesthesia. Originally my legs seemed to “go to sleep” because I had to lay on my back to sleep and slept alot during the first week after surgery. Now my legs have the numbness and needle like tingling constantly. It seems to be worse if I am active. I can’t stand to be touched and wearing pants has become almost unbearable.

  • strikeruk

    I have broke my left leg bone completely in the area below the knee and above the toe, no any joint injury. I had a plaster on it for 5 days.

    After 5 days the doctor replaced the plaster. But it was too tight and just after 3 hours I lost the sensation in toe and I could not move my leg fingures upwards and toe was also moving in only one direction. Doctor replaced the plaster with less tight one, but the movement of fingures and toe was gone.
    Doctor said that one of the nerves on knee got pressed thats why I lost the sensation.
    Now it 4 weeks to that incidence but I am still not feeling any sensation in toe. Doctor is saying that the fracture should be treated first and then will treat for the numbness as there is still the plaster on whole leg for next 1 month.

    Can you please tell me what should I do in this case? If I wait for another month, will it cause some problems in recovery from numbness. Can the treatment be started now? What kind of treatment should I take on this?

    Please advice.

  • Jan Modric

    To strikeruk.

    Go to the neurologist SOON. Do not wait that the bone will heal, but ask for appointment with neurologist who can say what needs to be done. Waiting can result in neurve damage causing prolonged or even permanent symptoms.

  • CY

    My first encounter came in 1989 I believe when one side of my head couldn’t bare to be touched with anything. It kinda coursed from my shoulder area on my left side all the up to the top of my head on my left side. I quit the job I was working at thinking I had gotten a chemical response to something. The next time was a few years later when I couldn’t run down the court. To me, I felt like I was a 22 month old trying to get it right. I could jump… I couldn’t touch the bottom of the net. The day before I had almost put my elbow on the rim… still got a small mark from it. I saw a doctor after that one and found out I had two vertabrae, c5 and c6 that were really close. Close enough for the university doctor to believe he had found my problem. From there I went to a chiropractor. All in the same year with no results. Fast forward a few years. At the urging of my boss I did go see a Doctor again, I had left the situation open without any real knowledge of what was wrong with me. The Dr. did an MRI to begin with and came back with devastating news. “I got good news and bad news, the good news is that you don’t have a pinched nerve(c5 and c6 were very, very close), the bad news is you do show signs of MS. That same diagnosis came from a Neurologist a few weeks later due to wanting a second op and because the spinal tap he tried to do was unsuccessful. I let him try it twice as I told him “THIS will never happen again.” Man that hurt.

    Today as I type this, I’m feeling something occuring on my left side, starting just below the illiotic crest area and extending to my toes.

    I did a lot of sitting yesterday, like about 2.5 hours or more. Could that be cause of my symptoms now or should I just chalk this up to MS also?

    I don’t take meds for it since I’m still uncertain about the diagnosis. I do work out in my home gym… just turn 40 and I look better than I did when I was 18. More muscle.

  • Jan Modric

    To CY.

    When did you have lumbar puncture?

    Having disc problem in the neck raise possibility of having disc problem in lumbal/sacral area, what could cause pain in the left leg from pinched nerve. Sitting typically worsen leg pain from pinched nerve and walking typically (usually) relieves it. If you lie on the back and lift your extended left leg slowly up and if you at certain (always the same) level feel the pain in the back, buttock or left leg, it’s likely that the problem is pinched nerve.

    MS can also cause leg pain but in this case body movements usually do not affect the pain.

  • cgn5266

    About 5 months ago I started experiencing a “tightness”/numbness in my left leg upon waking … sometimes under my toes – ball of foot – behind knee – front of calf. It used to resolve after a couple of hours now it stays longer and I have spots of it in my right lower leg. MRI/EMG – DDD, Bulge at 4-5, mild radiculopathy at L4-5, slight at 3-4, 5-S1. I had a benign intradural tumor removed from L2 15 years ago that also showed some intradural extramedullary scarring. No problems until now at 45. Active, not overweight. Will an epidural relieve the numbness even though I do not have pain? Scheduled for Thursday and a bit concerned …
    Thanks in advance …

  • Jan Modric

    To cgn5266.

    Numbness is an absence of feeling. Intradural analgetic would help in pain not in numbness. Ask neutrologist if physiotherapy would be appropriate.

  • Post-Op R Foot

    Hi, I was searching the web to try to find answers about things that have been disturbing me after my surgery earlier today. Here is my situation.
    I just had a double tendon transfer combined with a calcaneal osteotomy on my right foot. The procedure went well according to my doctor.
    Now I am at home taking percocet to easy me along, but it’s been approximately 10 hours since the surgery and my right leg, from knee to toes is still numb. Is this normal? Also, is there a way for me to stop the cramps my foot is having? I am worried it might be doing my foot harm since it’s in a cast and they told me to keep it still.

    1) Numbness, how long is it supposed to last.

    2) Is there a way to stop the cramping?

    Thank you!

  • Post-Op R Foot

    In exactly 2 hours, it will have been a day since the numbing medication was used… is this normal for a anesthesia? Really worried T_T Same area still numb, same cramps still occurring.

  • Jan Modric

    To Post-Op R Foot.

    I suggest you to call surgeon (or his staff) – they will tell you what to do. Numbness may need some time to go away, for cramps you can get instruction of some specific exercise.

    If symptoms are lessening, just give it some time. If not, as said, call the doctor.

  • swati_437

    hi
    im 34/f. i had c section 3.5 yrs back , since then my left big toe is kind of asleep,very little sensation. and since past 7-8 days,im having burning sensation,pain,numbness and tingling in both feet. this is specially more when i am sitting or lying down at night. i do smoke 2/3 cigs a day.
    the pain is pointed and not overall like a muscular pain. i have tried massage,OTC painkillers and soothing lotions but im not getting relief. i need to know what could this be. there is no swelling or color change at all.i do not excercise and am in a full time office job .

  • Jan Modric

    To swati_437.

    Sounds like bulging or herniated disc in your lumbar spine pressing on nerves that innervate legs/feet. Symptoms are typically aggravated during prolonged sitting and relieved by walking.

    Maybe a physiotherapy can help you. Neurologist, after physical examination can tell you diagnosis that is confirmed by MRI of the spine.

    Having breaks with short walking during prolonged sitting and walking before sleeping may also help.

  • DannyB

    Hi, my dad is a 67 yr old male been smoking all his life. He has a sore buttock and calf, it kind of aches. It started 3 months ago. He doesn’t have any pain in the back, also gets tingling in the hands but doctor says thats because of the smoking, also has emphysema and bronchitis for years. what is it? Please help thanks

  • Jan Modric

    To DannyB.

    Pain in (both) calfs may be from smoking – nicotin can cause atherosclerosis in leg arteries. In this case pain would appear mainly during walking and disappear during rest.

    It’s likely that both pain in the buttock and calf are due to bulging or herniated disc in his lumbar spine. Back pain does not necessary appear in this case. Pain is worse during sitting and lying and lessens during walking. He should see neurologist or orthopedist to exemine him and tell him if some exercises would help.

    Tingling in the hands may be from several reasons; neurologist can tell the cause.

  • NanciLea

    I’ve had numb fingers on my right hand for several years, coming and going. Recently, my left fingers are now numb with the right continually. My toes on my left foot are also numb (recently), and my legs feel heavy when I walk and exercise has become difficult. I don’t have any pain. I have just acquired a puppy, so I am standing a lot, getting up and down, chasing the dog, etc. The problems with the legs and toes started when I brought home the puppy and was wondering if this could be contributing to my problems.

  • Jan Modric

    To NanciLea.

    Any color change (red-white-blue) in fingers?

    It’s possible you have some arthritic changes or bulging discs in the neck spine (would affect fingers) or lumbar spine (legs/toes). CT or MRI of the spine would reveal this.

    It’s possible that your problemes emerged because you are moving around more than you did before…If you can arrange someone else going out with the dog for few days – then you might see, if this is the cause or not.

  • NanciLea

    No changes in color in fingers or toes. Thank you for responding, I will try and do less…I have a doctors appointment next week so maybe there will be some kind of answer. I do lean over a lot to clean the floor, so this might have something to do with my stiff, heavy legs.

  • Jan Modric

    NanciLea,

    one type of pain is sciatica – it’s aggravate by bending down, lifting heavy objects, sitting, standing and even lying on the back. Pain usually starts in the lower back and goes down through the buttock, back of the tighm calf toward th foot and toes.

    If your feet are bent during cleaning the floor, you’ve might developed a tarsal tunnel syndrome (read in the article). This pain is relieved by rest (but may take days…) and aggravated by walking so just the opposite as sciatica. You may have trouble lifting the foot (droping foot).

    Heaviness in both legs may be due to leg sweeling.
    http://www.healthhype.com/swollen-leg-swelling-of-the-feet-ankle-toes.html

    Stifness in hips or kness may be due to arthritis (joint inflammation) – it is worse in the morning and improves through the day or byarthrosis – degeneration of joints because of daily wear and tear through the years.

    So, just write down which exact areas of youv legs are affected, is it pain (also in joints?), numbness, heaviness, swelling…what triggers the pain and what relieves it.. when did it all start…and any other symptoms you have.

  • Gary

    Do you know of any association with herniated discs and lower abdominal pain?

    I was doing heavy lifting about 4 months ago and felt a sharp pain in my right inguinal area. The pain subsided then returned in 2 weeks, and is very sensitive to touch. I have been checked several times for hernia and nothing found. I have been treating this as possible muscle injury, and after 6 weeks of physical therapy, no real improvent. I would describe the pain as sharp, and seems that after this long, a muscle injury shouldn’t be so hypersensitive. An MRI and CT scans of abdomen and pelvis reveal nothing abnormal.

    On most days, I experience bilateral pain in lower abdomen, that seems aggravated by standing and sitting. I might call it soreness or tightness. I have also noticed that the entire lower abdominal area is hypersensitive to touch as first noticed while in the shower. I have researched abdominal wall nerve entrapment and will see both a pain management doctor as well as a neurologist. My concern is that there may some additional relation to my back. I do have lower back pain that varies, and have experienced it most of my adult life.

    Recently, in the last 2 weeks I have noticed some tingling in my toes, but have no other pains in legs. I have attributed this to prolonged sitting as I am very limited due to pain in abdomen, especially the right inguinal area, and on occasion the left inguinal area is sore, but mild compared to the right. Do you know of any relationship for lower abdominal pain to herniated discs in back?

  • dbrady

    It started suddenly when I discovered I have numbness and tingling in my feet and legs. The next day, my anal and vaginal area were also numb. My feet, although not cold to the touch feel cold to the point of pain. I have an MRI scheduled but can’t get in to see a Neurologist until Sept. I am very worried, please help. This is not effecting my ability to walk but with every step, I feel tingling go all through my lower body. I am a teacher and school starts in 1 1/2 weeks, I need to be ready to stand all day!

  • Jan Modric

    To Gary.

    Skin and muscles in lower abdominal area are innervated by spinal nerves arising from lower thoracic spine and could be from a pinched nerve due to bulging disc.

    Tingling in toes could be from bulging disc in the lumbar spine and can be aggravated by sitting.

    MRI of the spine would show bulging discs.

    Here you can check picture that shows which part of thebody is innervated by which nerve:
    http://www.healthhype.com/causes-of-tingling-and-numbness-paresthesia.html

  • Jan Modric

    To dbrady.

    Symptoms you are describing may arise from a disorder (often bulging or herniated discs) in the lumbar and sacral part of the spine. Here you can check a picture of body skin innervation:
    http://www.healthhype.com/causes-of-tingling-and-numbness-paresthesia.html

    Bulging discs should be seen on MRI.

  • Tumbleweed

    Hi. First let me say that I am happy I found this website and secondly I feel for everyone on here with their pain. Now on to my question. I first started with leg numbness many years ago. I would be walking or standing and it would feel like a hot towel was being wrapped around my right leg. That was about 12 years ago. I was young and dumb and did not seek medical attention. Then I fell at work and for insurance purposes found myself in a weekly ritual of cortisone shots in my right buttocks area (just above the top curve) and at the base of my neck. Both right side. After months if those I stopped it all on my own and continued on with life. I have always been a hard worker player mother etc. Now fast forward 12 years, weight gain, bed ridden a lot, sleep a lot, lie around too much, BECAUSE of right leg going completely numb, can not stand for more than a few minutes before this happens, can’t cook or shower or put on makeup without complete numbness. My feet burn at night to where I gave to sleep with a fan on them, they also feel like bruises on the bottom if them and my ties feel like someone us wacking them with a hammer!!! I went to my PC Dr who ordered a MRI which came back normal ish. Normal wear and tear, no pinched nerve, which is what I/we expected. Now on to PT. First PT Dr told me basically I needed to lose weight. I almost gave up on ever being able to stand, much less walk without limping or pain and numbness ever again. PC Dr said go back to another PT Dr who now has me stretching before I wake and 5 times a day with a journal of pain. Journal is simple. I hurt all the time, every day, pain only leaves me under vicoden or alcohol. Other than that I am a walking sitting standing no sleep constant pain ESP in toes and numb right leg. I have also been getting pain at the base if my head same side. On same note, my husband has noticed little eraser head like bruises across the pain area (top of curve portion) of my buttocks. So, pain when I sit stand walk lie sleep etc. Only thing to take it away is drugs which I hate. I am currently on gabapentin 900mg a day, piroxicam once a day and vicoden as needed. Help me break free if pain and horrible medicines with their side effects. Sorry if this letter does not make a lot of sense as I am lying in bed on my iPhone looking for answers to my pain that my doctors can only said stretch and lose weight. And all I am doing now is crying yet again asking begging for some kind of rational answer. Ohvyea I am now 46 don’t smoke and was a casual drinker. Fan on high on burning painfull feet and right side leg has a constant pain no matter what my activity.I can’t walk to shop or sweep or vacuum. It is effecting my daily life and mental health. Any ideas or am I crazy and just need to lose weight as first Dr mentioned and is hauntingly repeated over and over in my head? Thank you for what you do and for your time in reading my request.

  • Deb

    Numbness,tingling,and burning in right foot.Sharp pain shoots on outside of knee when walking or sitting in car.
    I fell on July 31,2009. Had a EMG which came back ok on the leg area.Numbness gets worse with daily activity. I am not driving. My lower back hurts.

  • Jan Modric

    To Tumbleweed.

    Leg pain you’re describing is called sciatica. There are several cause, most of them arise from:
    – spine: bulging disc, spondylitis (spinal arthritis) or spinal stenosis (narrowing of the spinal canal)in the lumbar or sacral spine (feet and toes pain: L5-S1 segments) .
    – muscles (piriformis syndrome)
    – tumor in the spinal cord…etc
    http://www.healthhype.com/sciatic-nerve-pain-causes-and-symptoms.html

    Pain on the base of the head probably arises from the cervical spine (C3 segment).
    Check the picture here:
    http://www.healthhype.com/causes-of-tingling-and-numbness-paresthesia.html

    Eraser head like bruises are only on the right side? They appear to be under the skin or on the skin like a rash? Dermatologist could say if those are bruises or something other.

    To me it seems that both your leg and head pain arise from pinched nerves, because (at least your leg pain) changes with body position. Again, they are not only “bulging discs” but it may be the bony part of the spine, narrowed spinal canal or back muscles that may press on the mentioned nerves. Walking sometimes helps, depending on the cause. You would need a reliable neurologist.

  • Jan Modric

    To Deb.

    MRI of the spine was done? It may be a pinched (sciatic) nerve.

  • Pkesters

    Hello, thank you so much for helping! I’m certainly wondering what is going on. I’m a healthy 51 year old woman. Although I have had chronic lower back pain for over 20 years, I’m very active. I have a small frame, 5’4″ and 110 lbs (sometimes 105) at most, 145 lbs many years ago.

    All was fine, except my chronic back pain, until recently. Before that, 8 months ago I began Yoga. I loved the stretching and exercise. This was an attempt to get rid of my lower back pain. I noticed every time I would do the spinal (supine) twist, I would get dizzy. This only happened when laying down my left knew would cross over to the floor – all while looking over to the right and keeping both shoulders on the ground. The dizziness was only for a second and then would subside. Interesting.

    Around this time, off and on I would have tingling in my right arm. When I’d massage my arm, usually the dumbness would go away.

    More recently, about a month ago I started another exercise routine (total body workout) involving 2,3 & 4 pound weights on the arms and legs. You work up to larger weight trios as you gain more strength – I’m now up to 5 pound weights. However, now a couple of days ago three of my toes on my right leg were numb (they are not dumb right now) but it comes and goes. My right arm has also been acting up in dumbness too. Sometimes I can also feel some tingling in my left leg – what is happening to me. My toes freaked me out. After massaging them they seemed to go away today anyway.

    Long explanation, sorry for that, but if you have any ideas it would sure be helpful. I also am constantly at the computer working. I try to give myself lots of breaks.

    I appreciate your input.

    Best,

    ~Pam

  • ange55

    Hello,can you help? My mother suffers from rheumatoid arthritis and chrohns disease.My Father died suddenly in February this year.My mother is 75 years old.She lost peripheral vision in one eye last year.She has now developed numbness and pins and needles in both feet (past two months) she now feels unable to drive as she cannot feel the car pedals.All blood tests have come back negative,there is a ? regarding the renal function but inconclusive.Any ideas what this could be and what would help alleviate the symptoms.thank you

  • Jan Modric

    Pam,

    certain positions in Yoga can put pressure on nerves (or arteries) that supply legs and arms. This can lead in numbness like when you cross legs and one leg falls asleep.

    Using a computer a lot and working with weights can cause inflammation in your wrists what may result in numbnes in hands/fingers. This is a well known carpal tunnel syndrome.

    Prolonged sitting can result in bulging disc(s) and pinched nerves in the lumbar and neck spine.

    Dizzines may be from temporary deterioration of blood flow through the basilar artery during certain neck moves. If dizziness and other symptoms like facial numbness or vision disturbance were appearing this would suggest “vertebro-basilar insufficiency”.

    I believe most of your symptoms will disappear after some days/weeks of rest of wrists and certain exercises you are practising.

  • Jan Modric

    To ange55.

    Did your mother have an MRI of the brain or spinal cord to check for multiple sclerosis? Impaired vision in one eye is commonly one of the first symptoms.

  • Sasha

    Husband without injury is experiencing leg or thigh
    Weakness. Not really painful, hard to walk straight, he’s a little bull legged now. It’s started in one leg , now it’s in both. He has a slight numb sensation. He says it’s mainly very uncomfortable. He feels they could buckle anytime. He doesn’t dare drive, because he feels he isn’t in control of his legs. Any insight is greatly apprieciated. Thank you 🙂

  • Jan Modric

    To Sasha.

    Symptoms from pinched sciatic nerve change with body position or moving: sitting aggravates them, walking often relieve them. There’s no swelling but legs may feel heavy.

    An MRI of the spine can reveal bulging or herniated disc(s) or spinal arthritis (spondylitis) – the main causes of pinched nerve.

  • RGP

    I need some help. I have had x-rays done of my spine as I have had back problems for many years. I am male, 61. They showed disc problems at L4-L5 and L5-S1. I tried physio but it made my back worse. A chiropractor was recommended and I have been seeing her for 6-7 years and my back feels much better. I go once a month for an adjustment. My back problems, she says, create a constant muscle spasm in my lower back.

    My problem is that a year ago after my chiro adjustment i came home and took a nap but when I woke up I had a tingling in my left foot. This tingling persisted on and off so that I saw my family doctor. He said that it was most likely related to my back problems but referred me to a neurologist who wants to do an EMG test. I’ve been waiting to get to see the neurologist for this test since last October.

    Sometimes I don’t notice this tingling at all but at other times it is really prominent, like today. I am going to call this neurologist again tomorrow but the wait for this test is crazy (that’s our Canadian medical system).

    From reading all of these posts and articles, I tend to think (like my family doctor) that it is related to my back (maybe sciatica).

    The tingling is not like pins and needles, but rather more like a firing of nerves in my foot (mainly at the bottom of my foot). There is no numbness, but it feels like a washing machine rumbling through my left foot.

    Is this what it could be. I am worried and can’t seem to get to see this neurologist. I need some advice.

  • Jan Modric

    RGP,

    yes, it may be sciatica.

    Nerves for the foot arise from L5 and S1 spinal segments and may be pinched by bulging or herniated disc(s).

    Scroll down this article a bit to check for body sensory innervation:
    http://www.healthhype.com/causes-of-tingling-and-numbness-paresthesia.html

    In general, sitting and standing aggravates sciatic pain but walking often helps. Night (morning) pain may depend on sleeping position.

    As you see, disc problems may be controlled with exercises to some extent. When this doesn’t help any more, an operation of affected discs usually results in permanent solution of the problem.

  • johanna

    I’m a 46yr old woman. Over the past year I have experienced intermittent tingling on both sides of my body: initially in areas of my back and tips of fingers and noticed that upon touching these areas they now feel quite numb. 2 weeks ago the tip of my right toe became totally numb and I now am experiencing intermittent tingling sensations in calves, thighs and next to my right nostril. I’ve recently had to have glasses prescribed as my vision has become quite blurry recently (I put this down to computer use at work). No other medical problems other than being an asthmatic but fatigue has always been an issue. Any advice please?

  • Jan Modric

    Johanna,

    neurological symptoms affecting various parts of entire body, including the face, speak for brain involvement.

    Problems with eyes are often one of the first symptoms in multiple sclerosis.

    I recommend you to visit a neurologist soon. After neurologicla examination, he/she will probably suggest you to have MRI of the brain.

  • Kathy

    I’m so glad I’ve found this website. Here’s my problem. I’ve been experiencing numbness in leg area(s) for months now. This numbness feels like you’ve just come in from the cold. It doesn’t hurt, I don’t feel tingling, I can still feel cold and hot … it just feels a bit numb. I believe it first started in the spring. I woke up one morning and both my feet felt a bit numb. I assumed it would go away in a few hours, but it never did. About two days later I felt some lower back pain on my left side. The only thing I could think of was that the night before I had moved a small bookcase (not very heavy at all). I didn’t worry about it too much because I assumed I had put my back out and the swelling was putting pressure on my nerves. This eventually went away, but if I remember correctly it took weeks.

    I’m not sure if this is related, but I will mention it. Then about a month or so later (I’m going from memory, so my timing may be off), I had been cleaning and when I woke up the next morning my right knee was very sore and swolen. I didn’t recall twisting it and nothing made me think at any point while I was cleaning that I had done something to my knee. This also took months to eventually go away and while it was healing, when I would walk I could nearly feel what felt like a tendon (?) snaping right below my knee. I just assumed it was because it was still swolen.

    Then a while after that, I noticed my left groin area (only the left) and down the front of my thigh were numb (once again, no pain, tingling, still have feeling just feels “numb”). This has slowly gotten better, but I am still feeling the numbness in that area.

    Then about a week ago, my feet felt numb again … from feet up to about my knees. Same thing as the first time. I think it’s slowly getting better, but it’s still numb. And then this might be totally unrelated, but a few days back the back of my left eye felt a bit sore (if I looked too far left, right or up). It’s nearly gone away now.

    I am quite heavy and have lost 25 lbs so far because I thought maybe this was all because of my weight and it had just caught up to me (I’m 40). I DO have a doctor’s appointment this Friday, but I wanted to go into the appointment being more informed about what it MIGHT be. My Aunt had MS, so of course that has been on my mind. The numbness and maybe even the sore eye seem to point possibly towards that.

    What are your thoughts? Is there anything specific I should mention to my doctor to look for?

    Thanks in advance!

  • Jan Modric

    Kathy,

    yes, MS is possible. Painful eye movements (vision is also often affected)in *one* eye and numbness (or tingling) in legs are commonly first symptoms of MS. Diagnosis is by MRI of the brain and spinal cord, sometimes examination of the spinal fluid (lumbal puncture) is also done. Arrange an appointment with a neurologist, who will make a complete neurological examination and ordered necessary tests.

    Before MRI, basic blood tests: red and white blood cells, minerals (potassium, calcium..), sedimentation rate, etc. are done.

    Additionally to MS, you might have bulging disc(s) in your lower spine – this can be seen by MRI (probably the same MRI as for MS).

    Swollen knee may be from knee arthrosis (degeneration of knee joint), which may be a separate problem and would probably require X-ray of the knee.

    Explain your symptoms to your doctor exactly just like you did here. Also think if you can recall any other symptoms from last years, actually write down your complete medical history and then history of close family members.

    Check if you have any rashes or scaly skin anywhere…

    Doctor might recommend you test for Lyme disease or tests for rheumatic diseases..anyway, try to have tests one after one, because when one disease is comfirmed other tests probably aren’t necessary.

  • Rhonda

    I had surgery on my left foot in May 2008 to remove what was diagnose as two dead nerve endings where my toes meet the ball of my foot. This was done based on a MIR. I have since seen 2 orthepedic doctors and 1 podiatrist and one anethesialigist who did a nerve block. The symptoms I have started in my left foot after surgey where the ball of my foot and pain that periodically shoots through my second toe along with numbness and swelling in the ball of my foot. I now have numbness and and swelling in my right ball of that foot. I started pysical therepy and this just expanded the pain in my left foot. The last Podiatrist I saw diagnosed me with Cronic regional pain syndrome. Nothing I do seems to relieve the pain and numbness and I am limited on how long I can stand or walk. Any suggestions?

  • Jan Modric

    To Rhonda.

    Search ONLINE for “COMPLEX regional pain syndrome” to see if your symptoms fit with those mentioned in related articles.

    There are several treatment options mentioned there. Anyway, the first person to ask is your surgeon. If don’t know yet, ask, what was caused “dead nerve endings”, ask him about reliable physiotherapeutists, raed articles and write down the list of suggested therapies and ask surgeon about them.

  • muskoka_mum

    When I cross my legs, sit cross-legged or bend forward from my waist for a prolonged time, numbness travels upwards from my feet to my thighs. It is quickly relieved when I uncross my legs or stand straight up. Any thoughts? Thank-you.

  • Jan Modric

    Muskoka-mum,

    do you think this numbness has worsened lately?

    I’m asking since practically anyone probably feels some tingling or numbness after crossing legs.

  • muskoka_mum

    yes, it’s definitely worsened. I’m taking yoga teacher training and was hoping that would improve things, but it hasn’t. It’s almost instant as soon as I cross one foot over my knee, the bent leg goes numb (happens on both sides). And the other day, I was sitting down (legs uncrossed) and my 2nd toe on my right foot went numb and then about a minute later, the same toe on my left foot went numb???
    I saw a chiropractor who couldn’t really figure it out. Thought it might be my piriformis – but would that affect both sides, because I get the numbness on both sides?

  • muskoka_mum

    also, like I said, it happens even without crossing my legs. When I bend forward to touch my toes, my feet and legs also go numb.

  • Jan Modric

    Muskoka_mum,

    piriformis syndrome may affect one or both legs. Youga exercises could be the cause.
    http://www.eorthopod.com/public/patient_education/6623/piriformis_syndrome.html

    Bulging or herniated disc in lumbar spine is also possible.

    Symptoms you’re describing are called sciatica.
    http://www.healthhype.com/sciatic-nerve-pain-causes-and-symptoms.html

    Stooping yoga exercises and avoiding prolonged sitting are first two things you can do. Walking or smimming often helps but other exercises, except those recommended from a doctor or physiotherapist are not recommended.

    This may help. If not, visit a neurologist who will make neurological examination.

  • I recently suffered a very painful back strain that put me in bed for three days. At the end of the third day I noticed some very irritating numbness in my left hip. As the back strain resolved the numbness increased and now lying down causes tingling in addition to the numbmess. There’s a general feeling of instability in my lower back as well.
    My doctor has diagnosed simple back strain, and since I’ve had problems in the past with sciatica he says that may be the cause of the numbness in my hip. My concern is that I had no such symptom prior to my back injury and I wonder if I did more damage than a simple strain.
    Any thoughts?

  • Jan Modric

    Sheryl,

    yes it’s possible that the injury has caused more damage to your sciatic nerve. Beside strained muscle you may have bulging or herniated disc in the lumbar spine. MRI would show this. Certain execrises, as instructed by physiotherapist, may help you. Sitting usually aggravates and walking relieves the pain.

  • johanna

    Hello this is Johanna again (25th Aug)…thanks for your reply. I spoke to a friend recently who had been reading up about menopausal symptoms on the net – for her own benefit – and she said that she’d read that ‘tingling and numbness in the extremities’ could be due to menopause. Although in my case the symptoms are all over my body (not just the extremities), and some numbness remains, do you think this is a possibility, and the eye symptoms due as I suggested previously to just PC use? I just wondered what your thoughts were on this.
    Thanks again

  • johanna

    …also, I wasn’t actually aware that I was in or entering menopause, but i guess I’m the right age…unfortunately.

  • Jan Modric

    Johanna,

    if eyeglasses help you (?), it means the problem is in the lens and not in the optical nerve, which is often affected in multiple sclerosis.

    Tingling and also numbness is mentioned in some lists of menopase symptoms but there’s no clear explanation. Estrogen level change is mentioned and correlation with hot flashes is given. Low vitamins from B complex and altered levels of minerals like potassium, calcium, magnesium may cause tingling. As I understand, tingling in your case is in patchy pattern… If you suspect menopause, I believe you will want to visit gynecologist who can tell more about tingling.

  • albeniz

    I often sit with my legs crossed so the reason may be as simple as that but often when I stand up afterwards my foot has gone so far to sleep that I collapse and cannot use it at all for support without wiggling it for a while.
    the other day it was my whole leg went to sleep after sitting on a barstool for half an hour and I stood up and went straight down.

    Is this just bad sitting? is being a smoker making it worse? My dad had his lungs shredded by multiple pulmonary embellii that apparently originated in his thighs too so do I take my paranoia seriously as an early warning of this sort of thing?

    thanks

  • Jan Modric

    Albeniz,

    having a father with multiple lung emboli is a good reason to take your paranoia seriously. If your father has venous thrombosis you are at increased risk to have it and smoking is additional risk factor.

    Certain substances in cigarette smoke may severely affect the inner layer of the arteries and contribute in development of atherosclerosis in coronary, brain, kidney, leg, abdominal and other arteries.

    Smoking itself may cause tingling in limbs even before causing any organic damage in vessels, so it is hard to say how much tingling is from smoking, how much from sitting with crossed legs and how much from eventual bulging disc in your spine.

  • Active

    I have started to experience tingling in both of my feet this past weekend and throughout this week. It is not painful but more annoying and concerning. The tingling comes and goes throughout the day and subtle gets stronger and for a 10 minutes or so but then comes down. The tingling is also accompanied by some numbness. I have no problems walking or doing other activities, such as exercise classes, although I had alittle less balance. Now this morning, I found that there was some numbness in both my legs up to my knees. Both legs had mild tingling but mainly constant part numbness. I can walk fine. Again, there is no pain. What should be my course of action?

  • Jan Modric

    Active,

    first you can try to find out what might be the cause:

    1. During heavy exercise or lifting something heavy from the ground may result in bulging or herniated disc, which in turn may result in pinched sciatic nerve and cause sciatica. Sciatica usually appears only in one leg (and often in the back) and usually some pain is present. Sitting typically aggravates sciatica and walking helps. MRI of the lumbar spine can reveal deformed disc(s).

    2. Several diseases may symetrically affect legs and/or arms:
    http://www.healthhype.com/numbness-and-tingling-in-both-arms-hands-and-legs-feet.html

    I would recommend you to visit a neurologist who will, after examining you, decide if MRI or other investigation is required.

  • RGP

    Hi, it’s RGP again (from Aug 23/09). I called my neurologist’s office and I am finally getting an EMG and a nerve conduction test on Oct 7th (about 4 weeks), Since I last posted it seems as though this tingling in my left foot is more constant and now I have some sporadic pain in that foot. I mentioned that I have had long-standing back problems (L4-L5 and L5-S1). I looked at some charts and saw where the location on my back problems can directly affect this foot area.

    The nurse at the neurologist’s office said that the tests will take about 2 hours and that the dr. will be there throughout and explain the results to me before I leave.

    A couple of questions for you please. I don’t know if my family doctor forwarded the results of my back xrays to the neurologist. Should I call on this to make sure the neurologist knows that I have back problems prior to him doing the test? And also, if the EMG/nerve conduction shows positive, do you think he will follow up with a better view of my back, perhaps an MRI or CT, instead of just xrays? If he doesn’t, should I bring this up to him?

    I just can’t seem to get my mind off this tingly foot, worrying about it. However, it’s gone on this long, another 4 weeks shouldn’t matter, or should I tell him I am now getting a pain in my foot as well?

    Thanks for your web site and the answers to my questions.

  • Jan Modric

    RGP,

    it may help your neurologist a lot if he can see all your medical documentation. So, yes, you can arrange this in the meantime.

    I don’t know what can be seen from X-rays of your back. The point of further imaging is to see what is the nature of the condition (bulging or herniated disc from DDD, spondylitis, osteoporosis, tumor..). Another reason is to get an exact picture needed for eventual surgery.

    If your neurologist will be able to assume the nature of your condition from existing X-rays and he will think that physiotherapy might help you, then you don’t necessary need further imaging.

    If at one point you will decide to have a surgery, fresh imaging (probably MRI) will need to be done before that. Surgery in isciatic pain is generally a safe and in most cases successful.

    If pain worsens a lot, you will want to arrange an earlier date for appointment to avoid eventual further damage of affected roots of spinal nerves. From what you’ve described so far, 4 weeks seems to be a reasonable time to wait.

  • idruss

    Hi

    I am hoping you can help. I have recently found I have pins and needles in my feet – this has since become a numb feeling and has spread to my legs – it mainly feels to be the inner parts of my legs and the very bottom of my back. It has not spread any further. I first noticed the symptoms about 4 weeks ago and it has not got any worse. I have not experienced any pain. I am a 38yr old male, non smoker. The incident happened a couple of days after a long 600 mile drive, but I have had never had issues before and not sure if this is related. I have been to my GP and had a blood test where everthing was okay, as the feelings have not gone away my GP has referred me to the hospital in 10 days to be checked out further – do you have any ideas of what the cause could be?
    Many thanks in advance

    Idruss

  • Jan Modric

    Idruss,

    prolonged sitting during a travel is a common cause of bulging or herniated disc. It happens in truck drivers…

    If a disc has pinched your schiatic nerve the pain you have is called sciatica. To confirm this you will first need a neurological examination done by neurologist, who will then decide if you need any imaging investigation like X-ray or MRI of the spine.

    Sitting usually aggravates sciatica and walking may help. Sleeping on a hard matress may prevent some pain at night.
    http://www.healthhype.com/sciatic-nerve-pain-causes-and-symptoms.html

  • jamthis

    I was going to have vein surgery done monday . hon left leg for superfical veins. Have been hurting in right leg for two days pryer to having surgery. decided to wait it out let them check me out. Got there they did doppler on right leg saqid yes I have a large blood clot in my superfical vein . but not to worry they can do surgery on left leg for me that day. we’ll now I have had pain bad in right and left leg . go to hospital they say yes I have clot now in left leg where I had surgery. My question with knowing I had clot already in one leg would itt not have been smarter to treat it and not do surgery in my other leg???

  • RamboRat

    Hello everyone,

    I am 23 and in good health. I have a tingling sensation(mostly in my 2nd and 3rd toe) when I rotate my right foot. It’s mostly noticable when I am sitting, though it happens sometimes while standing. It only lasts for a split second, but if I keep rotating my foot, it will tingle each time at the same spot. It does NOT happen while walking. I do work a job where I am on my feet and moving for 9+ hours per day, but I have just recently started having this problem. Does anyone have an idea of what this might be?

  • idruss

    Jan
    Thanks for the reply. I do not really have any pain more a numbness and tingling in BOTH legs – is this still likely to be Sciatica?
    Thanks
    idruss

  • Jan Modric

    Jamthis,

    yes, it sounds reasonable to treat thrombosis first and then varicose veins.

  • Jan Modric

    Idruss,

    yes, sciatica can affect both sciatic nerves at the same time and can include only tingling and numbness without pain. This could occur in a large lumbar disc bulge or hernia that would affect roots of both sciatic nerves. If this is the case, sitting would likely aggravate your symptoms and walking would result in temporary relief.

    But there are other possible reasons:

    1. Pain in the back may arise from strained back muscles and pain in the lower legs from swelling of the tissues behind your knees, pressing on sciatic nerves and causing symptoms only from kness down.

    2. Tarsal tunnel syndrome. Swollen tisues around the inner ankles could press on the branch of the sciatic nerve supplying the inner part of the foot and lower leg.
    In this case, standing and walking would aggravate symptoms and rest (sitting) would help.
    http://www.footphysicians.com/footankleinfo/tarsal-tunnel-syndrome.htm

    There are some chronic diseases, like poorly controled diabetes, atherosclerosis, malnutrition, etc. which could affect distal parts of sciatic nerves…but you will know how likely this is in your case. Multiple sclerosis is another possibility but regarding your long drive, I guess the doctor will likely suspect this first.

  • Jan Modric

    RamboRat,

    it could be tarsal tunnel syndrome where swollen tissues around your ankles press on the nerve supplying the inner part of the foot.

    It could be also a pinched root of the sciatic nerve from bulging or herniated disc in your lumbar spine (walking helps, sitting or standing may aggravate symptoms).

  • mmm

    Jan
    Started taking blood pressure medicane in Feb,after a couple of months started having fluid build up in my lower torso also both sets of toes are numb. I have shooting pains in both legs and recently it has begun in my hands. Presently on Avapro,Mentax and Lyrica. Also take Rantadine twice daily for acid reflux. I have no energy and trouble getting up from a knee. Read in the paper (Dr Gotts column) that taking acid reflux medicane can reduce iron absorbstion and cause these symptons. I hurt all the time, any advice.

  • Jan Modric

    Hi, mmm,

    are you male or female and how old are you? With fluid in lower torso (abdomen?) you mean ascites – was this confirmed by a doctor? Do you have swollen legs? Your arms are also swollen?

    Do you have physically demanding work or do you sit a lot at work?

    What is your diet in general, do you consume alcohol, smoke?

    Have you had any liver or other chronic disease?

  • mmm

    Jan,
    I’m male, 55 years old. For eight years, until Feb, I was a restaurant manager working 65 hours weekly mainly standing. I now sit allday behind a monitor. The last two months my legs and especially my ankles stay swollen. I’ve begun to notice some fluid around my elbows. I drink wine (3-4 glasses nightly). My liver count was high during my previous job but has been cut in half as per blood work six weeks ago. No chronic diseases although my father has a fatty liver. I don’t smoke. I’ve been unable to excersise and can barley mow my small yard. Thanks for your response.

  • Pam

    Jan,

    My 17 year-old daughter has had numbness in both of her big toes for about a month now. No other toes or areas are numb. It started when she returned from camp, where she had been wearing shoes every day for a week. I suggested she go shoe-less, which she did for at least 2 weeks- but no change.

    The only other health issues she has are migraine headaches and period cramps – which are both quite severe, and for which she uses Ibuprofen and Midol. With her migraines, she has had blurred vision 2-3 times in the past 3 years. She is not on prescription medication for anything. She also has had mild untreated back pain (same location) on and off for a few years. Other than that she is healthy, normal weight, and does not do any physical activity other than walking.

    Thanks for you help.

  • Pam

    Jan,

    My daughter’s back pain is in her right side lower back.

    Thanks.

  • Jan Modric

    Mmm,

    one explanation for shooting pains and numbness in the legs and hands is fluid built in your ankles, elbows and wrists, pressuring on the nerves that flow through tight tunnels there.

    Swelling may result from heart failure, kidney failure or liver failure, which may all come with weakness.

    Basic blood and urine tests can reveal which organ is likely affected and which specialist to visit. Blood work will also reveal if your iron is low.

  • Jan Modric

    Pam,

    pain in the lower back may be from the pinched nerve from a bulging or herniated disc in her lumbar spine. This could also contribute to numbness in both big toes although it’s likely she developed a tarsal tunnel syndrome (see a short description and link above in the article). In the later case going shoe-less probably won’t be enough but she would need to rest (not walking) for a certain period or even wear splints or take antiinflammatory drugs as prescribed by a neurologist or orthopedist.

  • Pam

    Jan,

    I wondered about Tarsal Tunnel Syndrome, but I didn’t think it would happen bilaterally/simultaneously. I don’t know what she could have done to bring it on on both feet at the same time. Is that common?

    Thanks so much for the information.

  • Crossbones

    I noticed a few months back that I get a somewhat mild numbness in my 2 small toes on my left foot and very minor numbness with my 2 small toes on my right foot. My job requires me to sit at my desk 13-14 hrs a day 35 days straight then I travel home for time off 35 day but still experience these same feelings. 1-1/2 months ago I experienced severe pain across my lower back & buttocks for about 3 weeks and 3 days after arriving home my back pain went away but this numbness in my toes still exist. During the day it is very minor or not at all but when I arrive home and remove my shoes and sit around it increases and when I lay down this feeling will increase. There is no pain just this numbness that is more annoying than anything else. On a scale of 1 to 10 my left 2 small toes is about a 5 and my right 2 small toes is about a 3. I plan to see a doctor when I arrive back in the states in 4 weeks. Any ideas what may be causing this. Also I have type 2 diabetes that I control with diet. No medication required.

  • Jan Modric

    Crossbones,

    your symptoms sound like typical sciatic pain, probably caused by bulging or herniated disc(s) in your lumbar spine. Prolonged sitting (including driving) and lying aggravates the pain and walking usually relieves the pain.

    I suggest you to having breaks during prolonged sitting and having daily walks. Finding appropriate sleeping position and hard matress my also help.

  • Jan Modric

    Pam,

    like carpal tunnel syndrome may affect both hands, tarsal tunnel syndrome may affect both feet. It is true that it commonly appears only in one foot and it commonly comes with pain and burning.

    Sciatic pain may also appear in both feet but commonly only in one foot.

    Symptoms lasting a month without improvemnt is enough of reason to visit a neurologist.

  • Pam

    Jan,

    Thanks again for the help!

  • tingles

    Hi Jan,

    Over the last week i’ve noticed tingling in my left lower buttock and down the right/back side of my left leg to the back of my knee. I’m a 30y/old man, i run and cycle but over the last 3 weeks have been working 12-16hrs a day sat at a computer. walking seems to help, elevating my left leg seems to make the tingling/numbness worse. I don’t have any pain or other symptoms. I have this week moved home from the UK-US with all the stresses that involves. Any advice for how to deal with this? Many thanks

  • Tonya

    Hello Jan, My name is Tonya I am a 40 year old female.I am hoping you may be able to offer me some insight into what is going on in my body. I have been having sharp pin like pain sensations in different areas of my body X 2 days, pain in both right and left legs from the knees down, I get pins and needles sensations that come and go. I am now having pain in both knees also. Tonight my legs feel achy and tired from the knees down, started having numbness in both great toes about an hour ago. I have also had problems with my carpal tunnel the past 2 days… connection????? Very confused as to what is going on. I do have hx of htn, controlled w/ lisinopril/hctz 20/12.5 half tab daily. Pain and tingling are tolerable but concerning. I am a overweight smoker. Started working out in Jan 09, pain seemed to start wed 9/10/09 after using leg lift, press and extension machines. I also rode exercise bike half an hour. Have a hx of bulging discs also w/ arth. Could there be a connection? Confused about the sudden onset and even felt as though i was experiencing mild numbness around my mouth also, thought maybe that was anxiety from symptoms in legs and wrists. I have had some mild swelling in fingers and hands past few days but none in feet and ankles. Aching, sore and confused. My cycles are also irregular and have been for a few years.

  • Jan Modric

    Tingles,

    it sounds like prolonged sitting has aggravated possibly previously existing bulging disc in your lumbar spine. Pain you have is called sciatica.

    Avoid any heavy exercise including cycling and running. Walking and swimming may help. But first, avoid prolonged sitting. If possible, take vaccations. If not, you should cut down sitting hours, and break them with walking sessions, every 2 hours or so.

    Avoiding lifting or carrying heavy burdens is a must. Sleeping on a hard matress may help. Physiotherapist may show you some exercises.

  • Jan Modric

    Tonya,

    it’s possible that using a leg lift has aggravated bulging disc(s) in your lumbar spine. Some swelling, even if not noticable may have occured behind your kness or around ankles. This can cause symptoms like in carpal tunnel syndrome.

    You should visit your doctor who will probably recommend you:
    – stopping using leg lift
    – stopping cycling exercises
    – avoiding prolonged standing or sitting
    – finding the cause of finger swelling and tingling around the mouth (could be a kidney problem, you’ll probably need to have some basic blood and urine tests).

    Walking, and sleeping on a hard matress may help but with continuing use of leg lift you can’t expect much relief.

  • lsalas

    Hi

    I started having a minor pain in my back on Sunday and by Monday it got worse and I also got severe pain in my buttocks and legs. By Tuesday morning the pain was still there and I took some medication and my back pain went away but I still had some minor pain in my left leg. Today is Wednesday and all my pain is gone but my left leg has been twiching and my left foot has been tingling all day. Note that I sit for most of the day (and have been doing so for many years now, I’m 32years old). I’m really worried but at the same time I don’t want to overreact. I tried to make a doctor’s appoint but they can’t see me until Tuesday. Should I go to the emergency room then?

  • lsalas

    Also I am a male and the medication I took was Diclofenac which was presribed to my dad for his back problems. My dad asked the doctor about the medication yesterday (Tuesday, when I took it) and the doctor told him it was ok have given me this(I believe it did get rid of my pain).

  • lsalas

    also I’m about 50-60 lbs overweight (5’6 weigh 220) and physically inactive. The twitching and tingling on my left leg has been occurring all day today(Wednesday).

  • Jan Modric

    Isalas,

    if you don’t have any leg swelling, prominent paleness or strong constant pain, then your symptoms are probably from pinched sciatic nerve and having an appointment on Tuesday seems appropriate.

    Avoiding sitting and having a walk every now and then may help relive your pain.

  • janeymac

    Hi there, I have had a mild numbness in the second toe in my left foot for the past year. It hurts when I walk or do any exercise and is worse if I wear a boot or shoe, even trainers. I also have a pain in my back/right hip that radiates a bit into my bum on the right side and sometimes this gets acute. When this happens my right hip is pulled dramatically to the right side into a position one would not normally be able to get into. tylex and muscle relaxants and 1 or 2 days bed rest usually mean it is back to normal. If no bedrest can be done it can hurt for up to a week. There is a constant mild discomfort in the right hip area and a feeling that the back might ”go” at any time. what is this please and are they connected?

  • lsalas

    Thanks for your response. Most of the pain has stopped since Tuesday but my calf muscle hurts more and moreso when I walk and my foot has been tingling and “asleep”/numb since yesterday. I did go to the doctor today and he said my back was really bad and that my back muscles are really tight and are causing strain on the nerve, which is causing the tingling sensation. He gave me a shot which didn’t do anything for me(yet). He sent me to go get x-rays and once he sees the results he said he would most likely send me to get an MRI. He also prescibed me some medication. Once again thanks for your time I appreciated it.

  • Jan Modric

    Janeymac,

    after medications and rest, does your back/hip pain goes away completely? In this case it could be caused by a muscular spasm. In this case physiotherapy could help you.

    On the other hand, all of your symptoms (including left foot) may arise from a disorder in your lumbar/sacral spine (bulging/herniated disc(s), spondylitis) resulting in pinched sciatic and femoral nerve. MRI or CT of your lower spine would be needed to see this.

  • TMBJAK

    JAN..I AM HAVING LEFT LEG PAIN AND IT FEELS COLD, YET WARM TO THE TOUCH…IT ALSO IS A PALE WHITE COLOR AND AT OTHER TIMES LOOKS RED OR BLUE….HAVE I A BLOOD CLOT? I’M 55 YEARS OLD, SMOKE, 1/2 TO PACK A DAY. I AM ALSO IN A WHLCHR. I BROKE MY LEFT LEG APPROX. 6 YEARS AGO AND CAN WALK BUT ONLY W/ WALKER. I DO LEATHER WORK AS HOBBY AND EXTRA INCOME SINCE I’M MEDICALLY RETIRED VET.ALSO APPROX. 10 YRS AGO I SEVERELY WRENCHED MY NECK SO BAD THAT I HAD TO HAVE SOME VERTEBRA FUSED IN MY NECK JUST ABOVE MY SHOULDERS. IT WAS PRESSING ON MY SCIATIC NERVE. COULD YOU POSSIBLY TELL ME WHAT MIGHT BE THE PROBLEM?…THANKS MUCH…

  • Jan Modric

    Tmbjak,

    leg pain, coolness and changing of its color speaks for blood or vessel abnormality. It could be atherosclerosis or venous thrombosis. If the change of color occurs only in toes and is triggered by cold or some other stress it may be Raynaud’s phenomenon.

    I encourage you to visit a doctor SOON, since you might be at risk of stroke. Smoking aggravates both atherosclerosis and thrombosis. So does inactivity, but I do not recommend you any exercises before you treat your current condition.

  • TMBJAK

    THANKS JAN…I HAVE AN APPT. W/ THE V.A. MED CENTER IN THE NEXT WEEK OR SO…I WILL CERTAINLY BRING IT UP TO THE DOCTOR…..

  • lsalas76

    Hello again

    Yesterday I had severe pain in my calf muscle (it feels like if I had s muscle and my
    tendons were achy too, and sometime the calf muscle throbs and twitches causing very minor ACLU pain. It felt very sore and was hard for me to walk. The tinlgling is still present/ my foot is still numb and if I’m relaxed seated or lying down, or with shoes on, sometimes I don’t even notice the tingling. How long does it usually take for tingling to go away completely

  • Jan Modric

    Isalas,

    symptoms persist as long as the cause persists. So, if a bulging disc is pressing on the root of your sciatic nerve, you cann not expect tingling and pain will go away spontaneously. Either you’ll need some exercises (shown by your doctor) or having a CT or MRI of your lower back to find out what has actualy happened with your spine.

  • RGP

    Jan, it’s me again (posts Aug 23 and Sept 07). The neurologist that is doing the EMG/nerve conduction on Oct 7th (two weeks from today) how has all my medical info including the results of the xrays done on my back. These xrays were done in 2006. I didn’t realize they were 3 years old, but they do show some disc problems at L4-L5 and L5-S1.

    Last week I went to my chiropractor for my monthly adjustment and since that adustment the tingling sensation in my left foot has gone from the bottom of the foot to the entire foot and even a bit up into the ankle area. I am wondering if these chiropractic adjustments are worth it. It was a little over a year ago that this tingling began in my left foot after one of these adjustments.

    My family doctor had me cut out the chiropracty and try physiotherapy for a few months about a year and a half ago and they didn’t help my back pain (I didn’t have the tingling at that time). So, at that point I went back to my chiropractor and the “fun” started from there.

    The tingling seems to go away when I am walking or standing, but is worse when I’m sitting or (especially) lying down. And I lie down on my left side. I wonder if lying a lot on my left side would have anything to do with the sensations in my left foot and ankle? Do you think by lying down on my left side it could be compressing some nerves? I watch TV a lot lying down on my left side. Thoughts?

    Also, for my back… my chiropractor says I get muscle spasms from my disc problems and to treat the soreness with ice, not hot packs. However, I have tried both ice packs and the heat packs and the heat seems to help me more. I don’t know now which to use. What do you think?

    Finally, I use to take voltaren pills for my back soreness. I took these for years on an as needed basis. Since I started taking pills for high blood pressure it appears that there is an interaction and I cannot take NSAIDS’s like voltaren, ibuprophen, etc. About the only thing I can take is Tylenol, which doesn’t really do anything for inflammation or the soreness. Have you ever heard of an NSAID medication reacting with a high blood pressure medication (made my pulse rate go way up and increased my blood pressure)? Is there anything else you can think of to lesssen my back pain?

    I know there are a lot of questions here, Jan, and I apologize, but I really would like to know what you think. You give wonderful advice here. Thanks.

  • Jan Modric

    RGP,

    about chiropractor: he can manipulate muscles and joints, but he can’t directly treat bulging disc with hands. Bulging disc may sometimes resolve to some extent with appropriate exercises and life style.

    Back pain in bulging disc may arise both from pinched nerve and from muscle spasm that is a reaction on pain. With warm compress you help muscles to relax, so your pain lessens.

    Cold compress works when you can put it directly on an inflammed spot. They are not your muscles that are inflamed, they are just tight; it’s a sciatic nerve that may be inflammed…in summary: if warm compress helps you, that’s it.

    Lying position may affect sciatic pain A LOT.

    Taking any pain-killer to manage sciatica pain on long term doesn’t seem to be reasonable. NSAIDs can cause inflammation or ulceration of the stomach, derange your intestinal flora…

    It’s only your doctor who can prescribe you appropriate combination of drugs. Voltaren itself can increase blood pressure…

    So:
    1. You can change your lying positon
    2. Think about hard matress and…if lying hurts…you will know
    3. Find reliable physiotherapist to show you appropriate exercises
    4. Consider surgery – surgical repairing of bulging disc(s) is generally a safe and effective.

  • Tingles Also

    I am a 49 yr old female, I injured my back lifting my small granddaughter, and experienced
    “electric shocks” at the time in both legs, knocked me to the floor. A trip to the emergency room followed.. diagnosed w/herniated disk, based on symptoms alone.
    Two weeks post injury still experiencing “tingling” sensation in both outer thighs and bottom of both feet. Xrays showed “minor” expected spinal changes. MRI showed the same…no herniated discs.
    Now a month post injury. Pain in my back has deminished to nearly 0. However, still have tingling in thighs and bottom of feet. Feet are very sensitive to cold/heat. Saw a neurologist who ordered blood tests for neuropathy and an MRI of my brain with contrast. No results yet.
    Here is my question.. Why the MRI of the brain if this all came about after an injury to my back? Neurologist seems to be perplexed by my symptoms as MRI on my back showed no herniations/abnomalies of my spine. (I tried to ask the Doc about the MRI but he was not very forthcoming) Could the nerves in my back have been injured, but it does not show up on the first MRI? (no contrast done on that one)
    Any comments will be appreciated!

  • Jan Modric

    Tingles Also,

    I believe your doctor might think that your back injury has triggered pain from eventual previously hidden multiple sclerosis or other neurological disorder (that affects brain)…or that lifting a child was maybe only a coincidence but not a real cause of your pain.

    I can’t say how realisticly this is.

    Extent of spinal damage does not correlate with pain. A small disc bulge can causea a lot of pain and a large herniation may cause no symptoms. Beside that, bulging disc could resolve before you got MRI but sciatic nerve has not recovered yet (and this can’t be seen on MRI).

    There are also back muscles and piriformis muscles (find a link above in the article) that can press on the sciatic nerve without any visible changes seen on MRI.

  • AlfaElfa

    Hello.

    About three days ago I went to sleep very late and I was super tired. The lower portion of my legs were aching, but this has happened many times after very long and buisy days. However, the acheing was stronger than usual and I decided to take a look. I noticed that my feet were showing more veins, and there were a couple very faint, thin and small purple veings in the skin. I guess this would be vericose veins? Now the veins are starting to show more and new veings are coming to view(all throughout the top of my feet and the inner sides). Also, I now have a lot of tingling and my feet fall asleep even in positions that shouldn’t be abstracting blood flow. There are also wierd little pains sometimes, not throughout my whole foot but just here and there. This is all freaking me out! I don’t know what to do. I’m only 20, and I think it’s a little early to be going through this. I should also mention that my mom recently developed vericose evins all through out her legs, espesially the lower portion.

    I am generally healthy,on no meds of any kind, but my period is abnormal (lots of bleeding for prolonged periods and then spotting in between….my hormones were checked and everything is normal, so they can’t figure anything out and just said to go the b.c. pill). Also the last week or so I was feeling very slight wierd feelings in my heart. Just some discomfert.

    Any idea as to what’s going on and what to do?

    Thank you so much for your help

  • Jan Modric

    AlfaElfa,

    your estrogen/progesteron levels were checked? Varicose veins and irregular period may be both caused by changes in reproductive hormones. Pituitary hormones FSH and prolactin were also checked?

    Has/had anyone in your family have venous thrombosis? Birth control pills can agravate thrombosis. I would recommend you to have some basic blood tests and a visit to cardiologist.

  • AlfaElfa

    Thanks for your reply Jan.

    Yes, I have the paper with the results of my blood hormone test and I found all the hormones you mentioned. They are on here, and since the doctor said that everything is fine, I’m assuming she looked over everything correcly.

    No, I am not aware of anyone with venous thrombosis in my family or family history, and I am definitely not on the b.c. pill. But I googled this condition and the symptoms that I have seem to not match.

    Well, I guess I will have to go to a family doctor and ask him to direct me to a cardiologist and for blood tests…..however, do you think that since my mom is having issues with her legs and now it seems I am also (my feet are tingling as I write this) that it could be bad genetics (even though my grandma, for example, does not have such problems)? Is this a possibility?

    Thank you for your time

  • Jan Modric

    AlfaElfa,

    yes, both problems with veins and with blood may run in the family. In most cases it is not a disease that is inherited but a predisposition to disease – it means you have an increased chance to get it, if it already runs in your family. In any case, you should get this checked, since thrombosis may result in a blood clot that can travel to the heart and lung and cause pulmonary embolism. Also you need to check what’s with yor heart.

    Varicose veins by itself are not necessary dangerous; they commonly drammatically worsen during pregnancy and then cease after childbirth. There are also some special elastic sockings ,that support blood flow through veins, available. Again, symptoms you’re describing are enough to see a doctor.

  • Kelster

    hi I just recently had shingles on my right side back in July which affects the nerves well recently I have had pain in my upper right leg its there all the time when im standing but mostly bothers me when im laying down its a numb tight tingly feeling and sometimes causes shooting pain when im trying to sleep..my mom told me it was because im on my feet for more then ten hours a day for work and also that im a little bit on the over weight side but im sure it has something to do with the shingles because it only is affecting my right leg not the left and the right is where i had the shingles i just want this feeling to go away! and would like to know what it is…i exersize everyday now and i have taken every vitamin out there tried those compress panty hose and everything nothings working

  • Jan Modric

    Kelster,

    sciatic pain can indeed be caused by prolonged standing and can be affected by change in body position, while pain from shingles is not affected by body position.

    Sciatic pain typically occurs in one leg only. If it is caused by bulging disc, walking, and sleeping on a hard matress could help. You would also probably need some rest from prolonged standing. If this doesn’t help, a neurologist can order an MRI of your spine to find out what’s the cause.

  • Cherylb

    My legs ache alot and sometimes my feet feel so cold that my big toe goes numb. My toes have a blueish tint as well. What could be causing this? This has been going on for a number of years.

  • Jan Modric

    Cherylb,

    are your toes bluish all the time or only occassionally, like when exposed to cold? Are your feet swollen? Do you have varicose veins? Do you get tired easily?

  • Cherylb

    Jan, my toes are not bluish all the time but sometimes they are without being exposed to cold. I haven’t noticed my feet being swollen. I do not believe I have varicose veins. I am tired alot.

  • Jan Modric

    Cherylb,

    how old are you, do you smoke? With tiredness, what exactly do you mean? Can you reveal any other symptom? Do you ever have bluish fingers, lipe or face? Difficulty breathing, chest pain? Check medical history questionnaire:
    http://www.healthhype.com/patients-personal-and-family-medical-history-questionnaire-form.html

    Thrombosis in your family? In general, there may be a problem with circulation in your legs due to vaculitis or vein thrombosis, or problem with your heart or lung. Skin becomes blue when blood is not pumped away from it sufficiently (vasculitis, venous thrombosis, weak heart not able to pumb blood efficiently), or when it is not oxygenated enough (bronchitis, lung edema, failure of the left part of the heart).

  • seeking relief

    For 6 weeks I’ve had burning, tingling sensations in my right foot along with intense pain. My podiatrist thinks I have planter fasciitis, which I had last year though this episode was brought on by trauma aka falling down stairs. She gave me a cortisone injection which made things worse; I couldn’t walk on my foot for the rest of that day. One week after the shot, she put me in walking boot and requested an MRI of my ankle. The MRI was fine, and the doc gave me two weeks medical leave to rest. I had no relief after the two weeks in my foot and developed pain up my calf, thigh, and bottom. Now I’m back at work, driving up to 4 hours a day and walking way too much. I made an appointment with an orthopedic doc, he thinks I have tarsal tunnel syndrome and referred me to an otho foot specialist. I see the foot specialist in two days. I can’t sleep as the pain is worse at night. Any suggestions for relief? Any advice for the next doc appointment?

  • Jan Modric

    To seeking relief.

    If pain has developed up to your bottom, it is possible that the problem arises from your lumbar spine – a bulging or herniated disc or a vertebral bone may press on your isciatic pain what causes pain in your entire leg and foot. MRI of the lower spine can reveal this.

    It is still possible you have (additional) tarsal tunnel syndrome or injury of your foot, but pain in this case does not spread up to the bottom.

    Sitting, especially during driving, and sleeping on a soft matress may aggravate your leg pain. Try to sleep on a hard matress. Depending on the nature of injury in the back, ortopedist may show you some exercises; do not try to exercise by yourself until you don’t know what exactly is wrong.

  • Michelle

    I am 30 years old, and have numbing pain that comes & goes in both legs. Sometimes tingling also. It runs from my hip to my ankle most times, & really feels like growing pains most days. It comes & goes throughout the day, with legs changing also. I have been to the doctor for other issues & my lungs have been clear for any clots. Any thoughts on what this could be? I also sit at a desk for 8 hours a day 5 days a week. I just want to make sure it isn’t something too serious for immediate medical attention

  • sbleam

    Hello…. I’m a fairly healthy 44 yr old female. My left foot went to sleep 4 days ago and has not waken up since. At first it felt like pins and needdles but now it feels more like I’ve been shot up with novacaine from my third toe to my pinkie toe. It’s mainly numb on the top of my foot over to the outside of my ankle. Any idea what this could be?

  • Jan Modric

    Michelle,

    if numbenss, tingling and pain you have are from “sciatica” – a pinched nerve in your lumbar spine – then symptoms would aggravate during or after prolonged sitting and possibly when lying down, and should lessen during walking. Neurologist can tell, if it is sciatica; he (or physiotherapist) can also show you some exercises, which may help.

  • Jan Modric

    To sbleam.

    If you “only” have numb and pins and needles feeling, this may be from pinched nerve in your lumbar spine. MRI of the spine can show that. Sitting work, bending, or lifting heavy objects may be the cause…I would suggest you to see a neurologist. If there is any change in color, temperature or any swelling in the affected area, it may be a vascular problem…

  • ascott

    Hi, everytime I sit on the floor with my legs crossed or even stretched out my left leg foot falls asleep, and it starts to move up my leg until i shake it off. It happens when I sit on the toilet too. I have slight swelling just over my left ankle joints and I experience stiffness in my left ankle. A few years ago an xray showed i had lower degenerative arthritis. Could the falling asleep be due to this? I dont experience this in my right foot at all.

  • Jan Modric

    Hi, ascot,

    sitting with legs crossed commonly causes leg numbness and tingling.

    Yes, swelling and stifness in one ankle and resulting numbness can be caused by arthritis.

  • Pantera

    I developed folliculitis on my leg starting 1-2 weeks following surgery on the leg for a ruptured Achilles tendon. I have a removable split, and have been able to wash the skin well, to no avail. The folliculitis is strongest near the incision, and radiates up to the knee, far from the incision; no other part of the body is affected. *Every* hair follicle on my lower leg is red and swollen, and it is extremely itchy. It does not look like hives, in that each red spot is ~2 mm. Topical hydrocortisone or benadryl did not help. Is this due to all of the growth factors involved in the wound healing? Any treatments in the short term?

  • Jan Modric

    Pantera,

    there is an ointment mupirocin available in pharmacies without prescription.

  • armullins007

    I was employed at a factory two years ago that required constant standing and minor lifting. I was there 18 months and in the last 3 months i started noticing a pain in my chest on my right side but close to ,y sternum, then i started noticing that when I make it home my left leg(hip to toes) would be very tense and tingling. When I jog for excercise my lower back gets real tight, I keep telling myself that its just tight muscles but now its getting worse. this pain has not ceased at all, but it only comes around when I work. I now work as a cook and stand for long periods of time. Could the pain in my chest, back and leg be connected any way? and what might be causing it.

  • Jan Modric

    Armulins 007,

    pain in your back and leg might be “sciatic pain” from pinched sciatic nerve, which is usually due to bulging or herniated disc in the lumbal spine.

    Does pain in your right chest changes with breathing or moving your torso or arms? Do you cough or spit out phlegm? Do you smoke, and how old are you?

  • Janhavi

    Hi,
    I’ve been having this tingling and numbness in my feet every night. This has been happening off and on since I had a C-section in July 2008. It usually wakes me up at 2-3 am every night. And my right knee is a bit painful and stiff since the last fortnight. Sometimes I have mild back pain and headaches. Is this all related? What can alleviate this problem? This sleep disruption makes me feel tired all the time. Please advise

  • Jan Modric

    Janhavi,

    no symptoms during the day? It could be sciatica – from a disorder in your lumbar spine – bulging/herniated disc, spondylosis, etc. Neurologist can find more during physical examination; it’s possibly you’ll need some imaging investigation, though.

  • Pingback: Tingling and Numbness in the Face and Back of the Head | Current Health Articles 2009()

  • Jojo

    Hi – I’m 55 yr old female. I’ve had lower back surgery years ago disc removed L4/5. I started having trouble again in the fall of 07 and it has gotten progressively worse.

    In the past year I’ve had 3 MRI’s and as recently as Sept. was told I have severe DDD and Spinal Stenosis and that there was nothing that could be done. I have no disc between S1/L5 and little or no between L4/5.

    Thanksgiving weekend I got severe pain (sciatica) and can hardly walk with the pain !! It is in my butt mostly and can be on either side or both. As well my right leg is completely numb and my left foot, the ball of the foot and toes – mostly big toe and next toe. I have been given Celbrex and Lyrica and I’m still having pain. I also do what exercises I can and take physio therapy once/week as well as massage therapy.

    I can’t beleive people are expected to live with this pain… Please tell me how concerned I should be about the numbness and should I be seeking another opinion. Thanks for your feedback.

  • Jan Modric

    Jojo,

    yes, I encourage you to seek another opinion and find a reliable surgeon. Damaged discs can be remodeled, replaced, fixed…spinal stenosis can also be surgically corrected. More waiting, more possibility for (eventually permanent) nerve damage from existing pressure upon your leg nerves.

  • Claudia

    Hi,
    My Pain started about 3 mos. ago. It started in the left side of the neck in it felt like it was burning but at the same time it eas numb. That faded away and it went to the outter part of my right foot. As that was going on, I began to feel numbness and tingling in my shin and ankle and sporadically I get very sharp pains in the inner part of my ankle. Its been escalating and now my left thumb, ear and the left side of my tongue feel numb and the same sharp pain occurs in my thumb. Theres also ocassional weakness in the knee, I limp most of the time. I already got a Catscan, X-rays, blood test (also thru artery vein) and evrythng seeems to be ok, but im still in pain and numb. Please Help, what could it be??

  • Jan Modric

    Claudia,

    pain in the tounge and ear suggests that the disorder is in the brainstem or brain (and maybe additionally in certain parts of the spinal cord). One of disorders, where symptoms disappear and appear on other sites is multiple sclerosis. MS is diagnosed by MRI of the brain/brainstem/spinal cord and investigation of the cerebrospinal fluid (lumbar punction).

  • summeryjen

    I had pain in my lower lower back, mid butt cheek, numbness in one foot, dr. put me on fladgel to clear up an infection she thought i was sitting on. I have numbness in both feet, numbness on left side of crotch area , and some slight bleeding after intercourse????

  • Tinydancer80

    hello,

    Not sure if you answered a similar situation but here it goes. I am 28yrs old and the past 3 days felt tingly sensation on the medial part of my shins on both of my legs constantly. it doesn’t hurt just feels weird when I rub those areas. I’ve had tingling in my feet in the morning for 3yrs, just thought it came with the territory, since I’m a dancer. I teach dance about 4 days out of the week. I don’t smoke but I do drink. My mom says Diabetes run in the family and I am also Anemic, though i haven’t been taking my iron pills like i should. I feel like my father has passed down his poor circulation to me. At this point I am laid off from my main source of income so i am unable to afford health insurance. I have no idea how to figure out whats wrong with my legs.

  • Jan Modric

    To summeryjean.

    Did symptoms lessen after the antibiotic?

    Did you ahve raised temperature, vaginal discharge, burning urination, cloudy urine or pelvic pain (symptoms of infection) ?

    Pain starting in the lower back and spreading over one buttock down to the foot suggests a compression of the sciatic nerve (commonly from a lumbar disc disorder, but could be from a mass within the pelvis.

    I recommend you to visit gynecologist – maybe a hysteroscopy or some imaging investigation of your pelvis will be required.

  • Jan Modric

    Tinydancer,

    would you say you have pale or cold feet? Do you get tired after walking upstairs? Do symptoms lessen after walking?

    You can
    – check your blood pressure and blood levels of iron, folate, vit B6 and B12 and get appropriate supplements, as needed. This should not cost you much.

    – drink enough water. Alcohol may cause dehydration resulting in low blood pressure and poor blood perfusion of legs.

  • Tinydancer80

    Hi,

    I would say cold feet (I think), and no I don’t get tired walking up stairs, and no symptoms to do not lesson after walking. it is a constant tingling feeling.

    and thank you for the suggestions…will do (although you would think drinking more water would be common sense, but I guess I have to hear from someone else)!

    Tinydancer80

  • Jan Modric

    Tinydancer,

    eventual low blood pressure, anemia and dehydration should be corrected. You do not need to force yourself with water or drink large amounts. If you try a glass of water at a random moment in a day, and you find that you can drink it with ease, it means you needed it. Urinating at least twice a day and excreting at least 200 ml of urine in the morning is another sign of proper hydration.

    In your first post you’ve said you had tingling feet “in the morning”, so I guessed it went away later in a day. The causes I’ve mentioned here are only the first thing you can do. If iron pills, vitamins and water won’t help you, I strongly encourage you to have a neurological examination.

  • Pingback: Itchy Legs - Causes and Treatment | Current Health Articles 2009()

  • mvirgo1975

    I recently just started back working out in a gym. I an getting a “tingling” feeling about 2 min. into cardio, that by the end of a 30 min. session, leaves my right foot almost completely numb! This is occurring in the left toes as well, but not nearly as bad as the right foot. I’ve tried different sneakers, loosing shoe strings, etc. but to no avail! Can you help at all? It’s beginning to worry me & the last thing I need is to fall off the elliptical. My thinking is that maybe it’s a pinched nerve in my spinal cord? I worked for a chiropractor years ago so I’ve heard of similar issues. I also am now noticing a “numb” area on my upper back! What’s going on?!?!

  • Jan Modric

    To mvirgo1975,

    do you lodge your feet or knees into some kind of tool that would eventually press on your nerves?

    If not, and also considering back numbness, yes, it’s likely the pinched nerve(S!) can be the cause. Consider STOPPING with your exercises to prevent eventual further disc damage.

  • Bevrox

    I’m so glad I found this site! I’m hoping I can find out why when I first get out of bed in the morning my toes are tingly on both feet until I move them around when standing up. Goes away quickly but am wondering if it could be caused by my new meds. I take nortriptyline to control my migraines and and lamotrigine for epilepsy. Both are new to me.

  • Jan Modric

    Bevrox,

    when exactly have you started taking nortriptyline and when lamotrigine, and when did you experience tingling for the first time?

    Tingling is a side effect of both drugs – you can check the drug information leaflets.

    Do not stop taking drugs without doctor’s approval, but tell him for tingling – he should decide what to do.

  • Dancolcas

    I have had a numb feeling in both legs from the front/above the knee spreading out and up the outside of my legs. I have had this from when I was about 13(ish) I’m now 35 and its spreading further up my legs. When I was younger and running it felt like I was getting very small electric shocks in my legs. Now its a very strange feeling all the time. Its not sore but more like uncomfortable and strange. like I have shiny style tracksuit bottoms on when i feel my leg… its like its not a skin to skin touch. Its not worse or better at any point of the day or night. I went to the Doc’s when young and was told it would go away itself in time.

  • Jan Modric

    Dancolcas,

    are you male or female? So, this numbness is constant and never goes away, and not affected by exercise or anything?

  • wendy

    hi i have problems with my knees were they have both disclocated this hashappened since i was 11 years old i have had lots of surgery on them ie muscles tightened pined and srcews added both knee caps broken i now alo have problems with my back after a mriscan i was diagnosed with a pinched nerve my disc isprotuding and i also have narrowing of someting in my back which is also trapping te nerve on the 16th of november ihd anerve root block tis made bothmy legs go numb i had no feeling until the 17th ofnovember some feeling has returned butmy feet are still tingling and feel numb i am female aged 45 please help thank you

  • Dancolcas

    I am male and yes, it’s constant and not affected by any exercise.

  • Jan Modric

    Wendy,

    it’s a neurologist, who can say which symptoms are from nerve block and which from herniated disc or spinal stenosis (narrowing of the spinal canal).

    it may still last few days that affect of nerve block will go away.

    Neurologist should also say if physiotherapy can help. Surgical treatment of mentioned spinal disorders is generally safe and gives permanent relief.

  • Jan Modric

    Dancolcas,

    two things come on my mind:
    – spinal stenosis or other physical disorder causing pressure upon spinal nerves supplying the legs
    – peripheral neuropathy – spinal nerves themselves are affected by low vitamin B6 or B12 or other disorder.

    I strongly suggest you to arrange an appointment with neurologist soon to prevent eventual permanent damage of your nerves. You can expect blood tests and CT or MRI of the lower spine.

  • Working Girl in Pain

    Hi
    I am 26 year old female and I got in a 4-wheeler accident 3 weeks ago. I could barely get around the first two weeks, due to pain in my pelvic and hip area. I did a CT scan and they did not see any acute breaks, but could see where I had previous damage from a pelvic fracture in 6th grade (broke in four places on both sides) That has healed good though and no problems since I am active in sports ect. I have been going to a massage thereapist to help with circulation from the 4-wheeler accident. When the accient happened the 4-wheeler rolled over my lower back hip area. My left leg went numb. I got feeling back slowly and was able to walk but my ankle kept giving out. At that time I didn’t have pain in leg just numbness. After about 1 week I got a naging pain in my upper outsid left calf, then week two and three I have horrible stinging pain in the ball of my foot numbness in second and third toe and pain in arch. My calf is still tender but not the stabbing pain. I use to have more pain at night and now it is day and night and hurts bad. I have a very tender spot on the side of my hips the muscles are sore and week two the muscle would spasm. I still have a lot of pressure on my pelvic area when I try to put my left leg into a pant leg while standing. I have to sit down or it is very painful. The side that hit the ground first is the most pain the 4-wheeler hit my right side and smashed me into the ground. My everything around the left leg socket was really bruised with a deep bruise along the pelvic wall in th inside of my leg.

  • redkite

    Hi!
    I have had a very small numb patch on my right toe for a few months. It covers the top surface from the tip to the bottom joint. I have also been un-naturally tired and quite moody/emotional. My sex drive has completely gone (for last 5 months). But now in the last 2 weeks I have felt that I’m battling back tears most of the time and have had 4 bad headaches. The numb patch on my toe has also spread and now covers most of the top of my foot.
    I am a busy working Mum, so I partially feel these are just random symptoms of normal life, but at the same time, I’m a bit worried. Would I be wasting the doctor’s time, or should I get checked out? Is it likely to be anything serious?
    Cath

  • Jan Modric

    Working Girl in Pain,

    I want only add this: It can be pelvic bone fracture, fractured vertebra or bulging/herniated intervertabral lumbar disc, torn ligament or muscle, muscle swelling or cramp pressuring or pulling upon the nerve, and nerve injury itself, that can all contribute to nerve-related leg pain. One of commonly overlooked issue is a “piriformis syndrome” (read above in the article).

  • Jan Modric

    Cath,

    you should see a doctor (neurologist) soon. You can expect, doctor will want to order CT or MRI of the head.

  • belinda

    5 days ago I lifted a way too heavy bag. I did not bend down to retrieve. I instantly felt like something hot traveling down my leg and ‘landing’ inside the middle of my right foot (center). It seemed fine after that, but over the next few days I have been experiencing increasing slight numbness, first starting at the center of the foot, and now slowly traveling up the leg. When I touch the area on the top of my foot, it increases the numbness. Not sure if I need immediate medical attention or not.

  • Jan Modric

    Belinda,

    this sounds like a bulging or herniated disc in the lumbar spine. If symptoms will continue to worsen, you will need to see the doctor who can judge how severe the injury is. A good sign is, if walking helps. Avoid prolonged sitting and lifting anything heavy.

  • lsalas

    Hello

    I wrote a few months ago. I have since gotten an MRI and it turns out I have a herniated lumbar disc. My left foot is still tingling and now I have some light tingling on the right side of body from my arm to my back down to my leg. The Neurologist recommended surgery but Im not so sure about the surgery. The other option is to get physical therapy and an injection. Not sure what to do.

  • Conservative

    When I am hot (usually after jogging, or in a hot room) I get a tingling/itching in my feet, calfs, thighs and sometimes my hands. It sometimes occurs when I wake up in a morning for no real reason. I have read about paresthesia, but I never feel weak after the tingling and never get a ‘dead’ or numb body part.

  • Jan Modric

    Isalas, you can start with physical therapy and see if it helps. Surgery is generally a safe, and permanently treats herniated disc.

  • joed

    My left leg is numb and tinglely for the past week. I have recently had to wear inserts in my shoes due to patella femoral syndrom. I dont’ know if this case maybe cause some issues or if it’s because I may have hurt my back while moving furniture last week. However, I dont’ have back pain. Is it possible to have a sciatic nerve issue without back pain.

  • Jan Modric

    Conservative,

    have you noticed any bumpy or patchy red rash when your legs itch? You might have physical urticaria.

  • Jan Modric

    Joed,

    yes, it’s possible to have a leg pain without back pain. I recommend you visiting a neurologist, who can tell what to do next: investigation, like MRI, or physiotherapy.

  • Anne

    For the past year, I have experienced constant numbness in my middle toes, primarily on the left side. The sensations were mild at first but have progressed significantly since the summer. I also experience aching in my knees, occasional parenthesias in my feet and legs. My symptoms are milder on my right side. I have an aching left shoulder and burning sensations in my upper arm. I’ve seen several physicians, who have performed MRI’s on my spine and knees. However, that don’t see anything except “age-appropriate degeneration”. They also did nerve function tests in the left foot and leg which didn’t show anything. I’m taking Neurontin and arthritis-strength Tylenol which helps, but doesn’t make it go away. The symptoms are much worse at night. My neurologist doesn’t think it is muscular dystrophy. By the way, I’m 62, normal weight, non-smoker, non-drinker, healthy (according to numerous blood tests), and moderately active. I work as a college professor. Any ideas? My last doctor’s appointment suggested that I learn to live with it as a chronic condition.

  • suebee60

    I have been having numbness and tingling in both hands and feet for about 8 months. I was diagnosed with Hashimoto’s about 4 months ago and starting taking levothyroxine. It took a while but my TSH levels finally leveled out. I am still having the tingling and numbness and sometimes wake up with cramping in my legs and hands. ABout 10 years ago my opthamologist noticed some optic neuropathy and sent me to have an MRI which didn’t indicate anything abnormal (other than pale optic nerves in both eyes). My father also had optic neuropathy without a definitive diagnosis. I’m now worried with these new symptoms that I might have MS but I have also heard that low thyroid can cause some of the same symptoms. Is it possible to have a normal TSH reading but still have the numbness and cramping?

  • Jan Modric

    Anne,

    symptoms worsen at night – this speaks for body position dependent condition – the first thougt is a pinched nerve both in lumbar spine (leg symptoms) and neck (shoulder/arm symptoms). If leg symptoms are at least partly relieved during or after walking (at least 30 min) this furtherly speaks for pinched sciatic nerve. Primary muscular disorders or neurological disorders, like multiple sclerosis do not likely have body position dependent symptoms or at least their relation to body position is not so obvious as in a pinched nerve.

    “Age appropriate degeneration” could cause changes in bony or cartilagineus parts of the spine, which could press upon the roots of the spinal nerves. Another possible condition is piriformis syndrome (see above in the article). You can show your MRIs to another neurologist.

    I suggest you to visit an experienced physiotherapist, who can show you some exercises and tell you about walking, using appropriate matress and such. If symptoms prevent you sleeping, get up and have some walk. Hard matress can help.

  • Jan Modric

    To suebee60.

    Would you say after starting levothyroxine symptoms lessened or not? Also, were your hands and feet swollen before treatment or are still swollen?

    It is swelling in wrists and lower legs that causes numbness and tingling, not TSH level itself.

  • NancyLea

    A lot of my symptoms were the same as yours–I had trouble walking which was a major concern. Had all the tests you had but were normal and was sent to a neurologist who did an MRI of the spine. Diagnosis was severe nerve compression in the C3-C4 spinal column, had surgery, and now the numbness, odd skin sensation, walking problems are gone.

  • mojo

    my partner had a hernia operation 3 years ago and he never recovered from the pain that he had. he also has severe back pain. recently his left leg has become numb and tingles. what is the cause of this

  • Jan Modric

    Mojo,

    another spinal disorder is posible (another herniated disc or other). He should see neurologist again.

  • mobrian

    I am 33-F. Middle toes on right foot only – have been tingling/numb for past 2 weeks. Started out about 2 years ago as tingling during exercise, leading to random tingling/numbness upon standing, now totally numb or heavy feeling all the time.

    This is also accompanied by several headaches per week, occasional daily blurred vision or somtimes floaters in eye. I have lower back pain in spinal area, and also occasional ringing in ears. I have gained 15 pounds in past 5 months (possibly due to decreased exercise routine because of twisted ankle from falling after foot numbness).

    I had a complication with an epidural during child delivery, 3 years ago-wondering if that could be the cause.

    I started out seeing a chiro for back pain/headaches – stopped going after paying 3x’s per week with no resolution.

    Then I had accupuncture – did absolutly nothing.

    Saw Family Physician, discussed some sypmtoms along with rapid heart rate I experienced during exercise. He said I may need to see a neurologist, and did EKG for heart rate issue-found out I had irregular heart beat and sent me to a Cardiologist-everything was reported normal, just an unexplained rapid heart rate – BP was a little lower than normal.

    I’ve stopped taking birth control pills (used to discourage reocurrance of ovarian cysts), and anti-anxiety medication to rule out one of those being the cause.

    Should I see a neurologist? Go back to my Primary MD? Could it be related to the epidural? Would I have been diagnosed already if I had diabetes, since I have had blood and urine tests?

  • Jan Modric

    To mobrian.

    Neurologist seems to be your first choise: he can judge if your foot symptoms arise from the pinched sciatic nerve, or you have some neurological disease.

    Blood and urine tests reveal diabetes only if sugar was tested – which is not always the case.

  • LS Williams

    I have had numbness in my toes on both feet for several years. My big toes and smallest toes are not effected. Toes on Left foot are more numb that toes on Right foot. I have recently, over last 4 months or so, been feeling random electric-type of zapping sensations from inner knee area up the back of my thigh to pelvic area. Also feeling random sharp shooting pain and soreness in various areas of pelvic region, lower buttocks, and back of upper thigh. I have been treated for a large anal fissure recently with botox and a Nifedipine compound. I have also had another (2nd) laparoscopy to remove invasive forms of endometriosis. 1st Laparoscopy was 5 1/2 years ago and the 2nd was Oct. 19 of this year. My body is frequently cold to the touch especially hands and feet. Cold is not due to winter temps as I live in AZ and it does not get cold enough for snow here plus I keep bundled up to try and warm myself. I find it difficult to relax the muscles in my neck, shoulders, back, buttocks, and thighs. Thank you.

  • LS Williams

    Also:
    I am 32 yo, mom of two. I have also experienced light yet constant urine leaking. Numbness in toes is also in ball of feet and middle of feet. Left foot is slower and more numb than right foot with a slight difficulty in lifting it to walk. Thank you.

  • LS Williams

    Also:
    Numbness is not due to shoes as I normally don’t wear shoes. When I do wear shoes, I wear good fitting nike sneakers. I also have red blood cells in my urine. I also have higher than normal white blood count. Thank you.

  • Celeste

    I’m a 55 year-old female and I’ve been having problems with my feet for about 18 months. It started with numbness on the tops of my feet when I was on a stationary bike at the gym. I thought my shoes were too tight but didn’t get any relief when I switched to other shoes. It progressed so that by about a year ago I was in a lot of pain. The soles of my feet felt like I had had several layers of skin peeled away and the nerves were being exposed. I went to my GP and she tested my thyroid and it was normal. She referred me to a podiatrist who thought I had osteoarthritis and referred me to a rheumatologist. Both the GP and podiatrist ruled out diabetes and peripheral neuropathy. Basically, they both told me to get new orthotic shoes and that was about it!

    I never saw the rheumatologist because he didn’t take my insurance and wasn’t taking new patients but because I now have aching in my wrists and elbows I’m fairly sure the diagnosis of osteoarthritis is correct but it doesn’t explain what’s wrong with my feet.

    My ankles are stiff when I wake up in the morning but loosen up in about 10 minutes as I walk around. The soles of my feet tingle a bit but it’s tolerable. As the day wears on, even though I have an office job, my feet start to hurt, tingle, feel somewhat numb, etc. and by the end of the day I’m in agony. I’ve found that I’m most comfortable lying down and after that in order of comfort is: walking, sitting, standing.

    I was very limber when I was young but now I feel like I’m going to tear something when I stretch. It feels like all of the elasticity has gone out of my body and I hurt all over, including my back, which hurts quite a lot. I stopped going to the gym because I was afraid of hurting myself but would love to go back.

    I would deeply appreciate any feedback you can give me. Thanks so much!!

  • Jan Modric

    Caleste,

    morning joint stifness that ceases with moving around appears in rheumatoid arthritis. Additionaly you could have osteoarthritis.

    The resulting condition in your feet could be tarsal tunnel syndrome (read above in the article). Rheumatoid arthritis can result in swelling of the ankle (and other) joints and tissues around the joints. Swelling pressures upon the tibial nerves that run beside the ankles and innervate the feet, so from here burning sensation in the soles. I strongly suggest you to find a rheumatologist. In meantime, your primary doctor can maybe order some basic blood tests, and, if he thinks it’s rheumatoid arthritis, give you some antiinflammatory drugs (aspirin, ibuprofen, etc.).

  • Jan Modric

    LS Williams,

    your leg, pelvic, back, shoulder and neck symptoms can arise from a spinal disorder, like degenerative disc disease (DDD) or spondylitis resulting in pinched spinal nerves (in the leg – pinched sciatic nerve).

    Additionaly, endometriosis could cause **piriformis syndrome** (read above in the article).

    I recommend you to visit rheumatologist.

  • morganime

    i recently started working at a job where i stand alot more like pace never could stand still for any amount of time like 8 hours i also lift up to 50 pounds in my job anyways one day after work i sat down and there was sudden painful tingling in left thigh witch was quickly repaced by numbness the area covers small patch in front and spreads a little to the outer thigh i only notice when i sit down i also more recently had tingling in right big toe after buying new shoes if thats important seems to go awey with stretching in the morning

  • Jan Modric

    Morganime,

    it’s possible that a bulging disc in your lumbar spine has developed and is pressing on your sciatic nerve. Besides that tisues around your ankles has maybe swollen a bit and cause a tarsal tunnel syndrome.

    If possible, sit down during work few times or have some streching exercises. Walking also usually helps.

    If symptoms disappear after streching, it does not seems to be serious, but you can expect symptoms will worsen, if you continue with these long standing periods and lifting things. When you lift things you have to go into squating position first and raise the object with your back being straight. Bending down and lifting objects from the ground may harm you a lot.

    Check proper standing, lifting, carrying and sleeping positions here:
    http://www.painexercises.net/what-should-i-do-for-healty-back

  • lsalas

    Can I still weight lift if I have a heriated disc?

  • Mia

    I’m 32/F. For several months (or maybe a year now, I’ve lost count), I feel a tightness/numbness in my right calf whenever I sit or stand. To relieve it, I have to lean towards my left when sitting or put all the pressure on my left leg when standing. Lately, I’ve noticed that the area at the back of my right knee has become affected as well. Also, I sometimes have this sudden/stabbing pain on my upper left leg or sometimes the arm which lasts for a few seconds. It comes and goes but it’s not as frequent as the numbness w/c I experience everyday. What do you think causes these? Who should I see? I’d appreciate any info you can give me. Thanks.

  • Jan Modric

    Mia,

    symptoms in your leg are probably from pinched sciatic nerve. A common cause is bulging or herniated disc in the limbar spine.

    Symptoms in your arm may be from the same issue in your cervical spine.

    You can see either neurologist or orthopedist and you can expect to have CT or MRI of your spine. In mild or moderate symptoms, treatment usually starts with physiotherapy.

  • DaniBee127

    I am a 26 year old female and since about high school I experience cold feet often especially in winter (in the summer my feet get too hot). They get so cold to the point that I have to warm them up in warm water. Also, if I squat or sit on my knees, my legs fall asleep instantly. My hands and arms do similar things as well. I am very concerned and can’t seem to find an answer. Anyone have any ideas what this could be due to?

  • springlilac

    Thanks in advance for everyone’s help/input.
    Over the summer I awoke in the night with pain in my Left hand, below the index and thumb finger. The next morning the hand became more painful, weak, and made it difficult to grasp items. Full function returned after a few days. But during that time my arm was tingly, my Left foot & leg also began to tingle. The tingle lasted in my hand off/on for a few weeks. The Left leg tingle lasted for nearly 2 months on/off. ( I didn’t notice the tingle much when I walked, only when I stood/sat).
    Since, I’ve had another episode in my L hand of the same thing (no numbness this time, just pain in the same spot), it also feels tired, achy and I have difficulty raising the arm (feels not enough blood circulation), again lasting a few days. I’ve also woke in the morning 4-5X’s these last few months with the L arm feeling numb, circulation returns quickly when I move it though.
    My Left leg hasn’t felt numb like it did in the summer, but I do get shooting pains down the outside of the leg now and then, and almost nearly every day for the last few weeks my Left calf & thigh will ache on/off during the day. Feels as if I have walked miles and miles. The ache I seem to really only notice when I’m sitting and not when I’m walking.

    The only similarity I’ve experienced on the Right side of my body is a similar pain on the Right hand, again under the index and between the thumb.

    So far thyroid, cbc, lytes, b12, fasting glucose, crp, esr all are normal. My doc doesn’t think I have CTS in my hands and now am waiting for an MRI of brain & spine to confirm/rule out MS.

    would like some light to my symptoms.
    thank you again.

  • Jan Modric

    DaniBee,

    I recommend you to visit a neurologist or orthopedist.

    It’s possible that you have some anatomical abnormality or swelling in your knees and elbows.

    It would help a lot, if you can disclose more of your medical history.

  • Dylan

    Just this morning I felt a bit of numbness in my upper left thigh. It persisted into the evening. I don’t feel any pain or prickliness when I stand and walk on it however it will feel like its going to sleep rather quickly when I sit. I have been sitting quite a bit for the last few weeks due to work/thesis writing. It almost feels like my mouth would when its coming off of a novacaine dose. I can pinch it, and still feel it, but the sensation is weak. When I sit and it starts to feel ‘sleepy’ I also get a bit of a itching sensation in my calf. So far I haven’t experienced anything in my other leg. There is no redness or swelling, which leads me away from a blockage of blood.Is this something I should be concerned with? BTW I am 24, in okay shape (could use to lose a few lbs.). I don’t smoke, drink excessively, have been cleared of diabetes, etc.

  • Jan Modric

    Springlilac,

    tingling, numbness and shooting pain aggravated by sitting or lying down and relieved during walking is likely caused by pinched nerves in your lumbar and cervical spine. Two common causes are degenerative disc disease (DDD) and spondylosis. MRI of the spine is appropriate investigation.

  • Jan Modric

    Dylan,

    it could be a pinched nerve in your lumbar spine (from bulging disc). You can make short pauses every our or so, stand up and walk around a bit. Also, try to have at least one walk a day lasting at least 30 minutes.

    If this won’t help, I recommend you to visit a neurologist or orthopedist.

  • springlilac

    Thank you Jan for responding.
    Would DDD and spondylosis also cause achy and weak limbs that come and go?
    I actually had a very painful episode earlier in the year where when I walked it felt like my chest was being crushed and squeezed. But felt totally normally sitting. I had a coworker (Occupational therapist) that felt my upper back muscles and said they were horribly weak and tense, he cracked me and I had instant pain release! He said it was because I have very poor posture (my head is always in front of my neck). I also have my L leg that is about 1.5cm longer than my right… could these be the reasons my Left arm and leg are having so many symptoms?
    thank you again Jan. I really appreciate your response.

  • Jan Modric

    Springlilac,

    all what you’ve mentioned sounds reasonable. Bad posture and especially difference in leg length may all cause your symptoms. DDD and spondylosis can both result in pinched nerves and cause leg pain and muscle weakness that may come and go as you change body position from lying, sitting, standing and walking.

    So, you can try (continue) with physiotherapy. I guess you use special shoes to equal your leg lenght.

    The question is, are only your muscles tight, or you also have disc degeneration. Only CT or MRI can show this. But maybe you can have only spinal MRI first and if this will be positive, then you maybe won’t need brain MRI. You need to discuss these options with your doctor.

  • springlilac

    Thank you again for your response Jan.
    I think why I’m being screened for MS first is because the symptoms seem to last days and then go away and come back. They all seem to be a little different each time, ie. numbness in L hand for weeks w/pain, then just pain in L hand, then weak L arm and hand or achy L arm. It’s always something!
    I’ve never actually corrected my leg length discrepancy, never really suffered real pains or aches in the back. I’m also 29, so could DDD and spondylosis still be the culprit? Thought it mostly affected those later in age?

  • thelazaruscat

    Hi,

    I noticed a mild tingling in both of my feet about three days ago. It’s not painful, and I notice it the most when I move my feet, for example if I curl my toes.

    About a year ago, I had some unexplained neurological symptoms–tingling in one hand, feeling warm on one side of my body–but I saw a neurologist, had a scan with contrast of both brain and c-spine, and both were normal. The symptoms went away gradually over the course of a month or so.

    I’m wondering if my tingling sounds more like just poor circulation, or if I should be more concerned.

    Thanks,

    Michelle

  • Jan Modric

    Springlilac,

    I know the man, who was operated for bulging disc in his early twenties. DDD can appear at early age in people with family predisposition.

    I strongly recommend you to try with physiotherapy, since you’ve mentioned dramatic improvement in the first attempt. Also think seriously about what to do with your leg and consider improving your posture. I can’t exclude any disease from here, though.

  • Jan Modric

    To thelazaruscat.

    Poor circulation would firstly cause cold feet, so, from what you’ve described, it’s not likely your symptoms are from circulation.

  • Pingback: Causes of Tingling and Numbness (Paresthesia) | Current Health Articles 2009()

  • jean

    Hello, I have been in pain for over 2yrs. My feet hurt,the muscle in my body tight up, I can not feel my toes, bottom of my feet feels like I have something under them, and my legs are numb (I bit by an ants and did not know I was bite until I notice the redness ans swelling. I have pain in my head, neck and right side of my stomach; also in joint of my right hip/thigh. A number of times I lose my balance when tring to stand or walk. I number of times the pain in the top of my head and across my eyes; my eyes run water a lot. There is a number of time I can not hold anything in my hands for a hard pain would flash in my hands and arms. Would you, maybe have an idea as to what is casing the pain in over half of my body?
    Jean H.

  • jean

    Hello, I emailed earlier, I wanted to add that I went to a heathyfoot store and was told that My feet were a Number 41, I am not sure what that means; but she stated that I had bad, bad feet. That my foot print show that my second toe did not level to the inside heel of my foot; that I would need a knee operation and it also could be damaging my hip and back. Would my feet be able to cause all of the pain that I have in my feet,thigh, knee, back,head, neck and eyes? Jean H

  • Jan Modric

    Jean,

    disorders in your foot and knee can cause pain in the feet, knee, hip and back, but not likely pain in the head, neck and eyes.

    I recommend you to visit an orthopedist.

  • NancyLea

    Jean,

    Also try a neurologist for the numbness, might be a herniated disc pressing on a nerve.

  • Jan Modric

    NancyLea,

    both orthopedists and neurologists can treat (surgically, if necessary) pinched spinal nerves.

  • NancyLea

    Jan,

    I went to an ortho first for my leg and hand numbness/weakness but he was unable to find anything after running various tests. He then referred me to a neurologist, who then did a head and spinal MRI with findings of a herniated disc. My next visit was with a neurosurgeon and surgery…so far, all is good.

  • Jan Modric

    NancyLea,

    I agree that the doctor (either neurologist or orthopedist) who feels confident what do do, should treat pinched nerves.

  • DaniBee127

    Sorry Jan it took me so long to reply to your message. You had said, “I recommend you to visit a neurologist or orthopedist.
    It’s possible that you have some anatomical abnormality or swelling in your knees and elbows.” in reply to my statement that my feet and hands get cold or hot too easily and that they fall asleep super easily. You asked for more medical history but there isn’t much. I broke my left ankle, T-plane fracture of the tibia (not a complete break), when I was in 7th grade and that would be about it for medical history other than moles and teeth. You mentioned possible swelling in the knees and elbows, would it be not visible swelling? Because I have slender arms and legs and swelling would normally be visible.

  • JulietJ

    I have scoliosis and worsening low back pain that is affecting my quality of life. It lessens with walking and is exacerbated with standing and sitting. Xrays are negative (other than the lumbar and slight thoracic scoliosis, which is unchanged). A rheumatologist said I had “severe arthritis of the sacroiliac” while a radiologist said the same x-rays were normal other than fused vertebra at the SI junction.
    Occasionally I have some vague lower leg and foot numbness on one side.
    Considering a spinal consultation, with fears of stenosis (which my mother had). I am also HLA-B27 positive, but it seems a little late at for AS to manifest at age 56. Any thoughts?

  • Jan Modric

    DaniBee,

    my idea about swelling or anatomical abnormality was from my impression you get symptoms when you bend your knees (not sure what triggers symptoms in your arms and hands)when tissus around the knee press upon the nerves that supply your legs/feet. Pressure on the vessels would explain excessively cold limbs, but not sure if also excessively hot ones. I mean, if this cold/hot feelings are not connected with limbs movements,then a neurologist would be the first one to see.

  • Jan Modric

    JulietJ,

    lower back pain and numbness in one leg, changing according to your activity, may arise from pinched sciatic nerve. X-ray is not enough, MRI or CT can show bulging or herniated disc or arthritis.

  • Diamond

    My father has symptoms of Spondylolisthesis, Paresthesia and Peipheral Vascular Disease. He has been in extreme pain from numb legs and feet for a few years, since he had surgery on both knees after an accident. 3 weeks ago he was sent for a sonogram of the corodid artery. During the procedure the nurse pressed hard at the base of his skull, immediately causing his hands to go numb with sharp pains and numbness. He cannot walk without canes or a walker, and now has extreme problems using his hands. Doctors have not been able to give him any relief. He has had several “mini strokes” in the past two years and is taking Plavix and blood pressure meds. After KAT scans, MRIs, EKGs and other tests, he is in excellent condition where the brain, heart, lungs and kidneys are concerned. Blood levels are normal, no high colesterol. Daddy is very miserable and prays for God to take his life because of the pain. Is there a pain killer which can stop the pain? Do you have any suggestions?

  • Jan Modric

    To diamond.

    When did his leg numbness/pain start – after spondylolysthesis or after knee surgery? It is a *neurologist* or *orthopedist*, who can judge what symptoms are caused by spinal or knee disorders.

    On the other hand, some symptoms can be caused by clogged leg arteries – this should be checked by a doctor, who deals with vessels.

    It would be completely irresponsible to recommend any kind of pain killer online to an “unknown” patient, but, since it’s likely he actually needs some pain relief, maybe his primary doctor can prescribe one to him. In any case he would need to have tests to find an exact cause of his symptoms and then the causes would need to be treated.

  • Diamond

    His feet and legs became numb after his knee surgeries. He has recently seen his primary doctor, a neurologist and a chiropractor. His doctor said, “I’m sorry, but you have a long hard row to hoe. I don’t know what I can do for you.” The neurologist said he has nerve problems. The chiropractor said he will do what he can, but he doesn’t know where to start. This morning he took a 10mg Oxicontin. I don’t know if that will help, but we are trying everything we can find. Last night I ordered WSN Nerve Support pills, and today I’m going to try to find Neurogen at a local drug store. I found both these medicines on this site. I hope they will help.

  • Jan Modric

    Diamond,

    beside painkillers, your father should solve the original problem, otherwise his nerves can be damaged with time. It’s not primary doctor and NOT chiropractor, who can help, but neurologist or orthpoedist surgeon – maybe the one who did the operation or someone else.

  • Lola A

    i recently had a change of environment,i moved to a cold region and few days later i felt tingling sensations in my my feet.my feet were swollen and becomes numb at times.this gets worse at night and i find it difficult to sleep due to the pain.Although the pain reduces when i wake up and become active,it gets worse when am lying down

  • Jan Modric

    Lola A,

    you should visit a doctor that deals with vessels. Swelling from moving to cold environment is not normal.

  • Kackalee

    Hi,
    I have been experiencing leg pain and tingling with both feet going numb. The pain is in both legs and radiates from the thigh down. I am on reglan could this be causing the numbness?

  • Jan Modric

    Kackalee,

    yes, numbness is one of possible side effects of Reglan. I can’t say if this is the cause in your case, though. Discuss with the doctor about changing the drug.

  • Dszijarto

    Hello,

    I am trying to get some info on where I may need to start in my search for answers. I have been in and out of different doctors for a very long time with different ailments: Uti’s, severe back pain, abdominal pain, bowel problems. I have had each treated separately, but I still have the problems and feel like my doctor doesn’t really listen and that maybe she is feeling like I am making this stuff up. I do know and feel that something isn’t right. I have constant back pain, cannot stand in a line for a period of time, cannot sit straight up for a period of time, I get abdominal pains, I have frequent urination issues, bowel issues. extreme fatigue. When I sit or drive for example, my right leg will shake on its own or go numb. My hands shake sometimes. I know your thinking I am nuts for sure, and I feel as if I am though too sometimes, because how can one person have this many problems at once?
    When I was 21, 4 yrs ago, after having my son I was moving stuff into a new home, bent over, and literally got stuck that way. I could not stand straight back up because of the pain, and I could not bend all the way back down. It lasted for about 5 minutes. Could all of these things somehow be related?

  • Jan Modric

    Dszijarto,

    have you already have a CT of the spine? Bending over as a cause, and numbness in the leg and not been able to sit or stand for some time can all arise from bulging or herniated disc in your lumbar spine. There could be also other disorder affecting your spine but CT would be needed to show it. Neurologist can lead you further.

    Bladder and bowel urination could be also related to spine, but not necessary. I strongly encourage you to write down your full and exact medical history.
    http://www.healthhype.com/patients-personal-and-family-medical-history-questionnaire-form.html

  • katyaiscool

    so sometimes, i kind of get this numbing feeling in my toes that reaches all the way across my foot which causes excruxiatingg pain. i used to get it when i moved my toes in a certain way, but now i get it out of no where, and it happens in both of my feet, sometimes not at the same time, but yea. its pain that makes me yellll. what could it be?

    • Jan Modric

      To katyaiscool.

      one possibility is bulging or herniated disc or other disorder in your lumbar spine, pressing on nerves that supply your feet. Neurologist can confirm this.

  • Deanna

    About 3 years ago I suddenly had a burning sensation in my hips that sent down my legs with sort of a prickly heat feeling. My legs got very weak and I fell down. The feeling lasted about 20 to 30 seconds started easing up and then I was able to go on with what I was doing. That happened about 5 more times over the next few months and I went to my doctor. I was sent to get an MRI and an EMG. I had had one before about a year earlier. Was told the first time I have arthritis in my spine and had lost a little nerve in my legs but not bad. When I went for the second MRI and EMG I was told it had gotten a little worse and I needed some physical therapy and a shot in my back. I did those things and had no pain or problems until about a month ago when I had the same burning prickly sensation in my hips going down my legs. I was sitting down so I had no problem, but I could tell I had weakness in my legs. This lasted about 20 secs. I had another episode yesterday and had to go down to the floor to keep from falling. I now know when it first starts in my hips, I need to get to a chair immediately or just sit down on the floor. Can you tell me what might be causing this? I am 68 years old and otherwise in good health. Just the back problems for years and now getting worse. I was also told that I have stenosis of the spine. Thank you for your help.

    • Jan Modric

      Deanna,

      would you say there is any specific movement you make or anything other what triggers leg symptoms? Have you ever had any problem with urine or stool incontinence? It’s quite possible that stenosis of the spinal canal (if in your lumbar region) is the cause. There are several possible causes of spinal stenosis and your doctor should tell, if the MRIs you’ve had revealed it. Spinal stenosis can (but not necessary) cause a so called cauda equina syndrome; beside leg symptoms, numbness in the groin and bladder/bowel problems can appear.

  • Nicole

    For the last few months I have had severe painful feet. They will get really hot and can’t walk on them. Now they are alternating cold/numbness and heat/pain. When they are hot they turn red and when cold they will go numb, turn blue or white. Just for the last few weeks my hands have been really cold and turning white. Noticed slight fatigue in them once in a while. My feet and part of my legs are always in pain and now waking up in the morning or trying to sleep is difficult and constantly hurt. I’m also having some chest pain in the center *acid reflux* but now having some pain on the left side under breast. The pain comes and goes. I’m not sure what is going on. Have been to a specialist for intestinal issues but only meds within one week which is hyoscyamine and cholestyramine. So I know that those couldn’t be a factor since just started them. What could be going on? Connected to the intestinal issues or something serious?

    • Jan Modric

      Nicole,

      what exactly are your intestinal symptoms – cramps, diarrhea..? When did they start? Do you have or had any other disease or symptoms? Do you take any other meds besides the two mentioned? Or did you take them when your feet symptoms started?

      Your symptoms in feet and hands sound like a Raynaud disease or Raynaud’s phenomenon and can be caused by a systemic connective tissue disease, like SLE or certain drugs.

  • Nicole

    Jan,
    I have gone through tons of tests with CT scan and upper GI showing narrowing at ileum and inflammation in ascending colon, but when the specialist did the colonoscopy it revealed nothing. He initially thought I had Chron’s because of the low grade fevers, weight loss, diarrhea, vomiting, nausea. Still have those symptoms and have lost 20 lbs last year. Last year had an appendectomy and gall bladder removal. Only medications are b/c, hyoscyamine, chlosetryamine, acid reducer. On hyoscyamine and chlostyramine to stop the diarrhea and spasms of colon for 4 weeks then to return to see if that helps my intestinal issues. Only been one week on medication. My feet and hand symptoms have been going on for a few months and continously getting worse each day. I have been through alot this last 11 months and the feet and hand thing is horrible. Just be in a room and they either get really painful and hot or extremly cold and turn white or blue. I don’t have to expose them to heat or cold to have these constant pains and numbness. No other diseases

    • Jan Modric

      Nicole,

      every detail you reveal may help to get a whole picture, so I strongly recommend you to go through this patient’s medical history questionnaire and write down all relevant issues, including tests and their results, medications and their effect, family history, etc.

      Few thoughts:
      1. If nothing found during colonoscopy, it may mean the disorder, like systemic sclerosis, SLE or other connective tissue disease is affecting only intestinal wall, what can’t be seen from inside. The same disorder could possibly narrow your pylorus (exit of stomach) causing gastric reflux. Systemic sclerosis could also affect walls of small arteries, causing symptoms in your feet/hands. So one direction to think is systemic sclerosis or related disease — a rheumatologist should know.
      2. Now, the completely other cause could be some sort of cancer, including carcinoid tumor. This cancer grows slowly, but can affect several parts of the body: intestine, appendix, lungs…This cancer can secrete serotonin or other substances that trigger sudden contractions of vessels — this would cause your hand/feet symptoms. The whole condition is called carcinoid syndrome. It is rare and a doctor often don’t even think about it. Ask your gastroenterologist about it.

  • stevenfmarks

    I have tingling and numbness in my right leg. Mostly have L5 dermatome issues, but also S1 and some L4. Have DDD bewtween L5 and S1. Leg becoming weaker and numbness increasing. How do you know when to try surgery???

    • Jan Modric

      To stevenfmarks.

      Surgery is recommended when physiotherapy doesn’t help.

  • stevenfmarks

    I am seeing a nuerologist at UCSF, Dr. Ralph and am trying to get him to do an MR Nuerography test to see if the nerve issues in my leg may be occurring away from the spine. The nuerosurgeon I saw said he had no promises about getting rid of numbness and tingling from my back. I don’t have any sharp pain, just numbness and tingling.

  • sou1234

    hi i had pain in my buttocks going down my leg, and sometimes it camed nummed and i went for a scan, and the specialiste told me it was a soften disc and walk out. told me not to go to work for 6 weeks. but can someone tell me what it a soften disc????

    • Jan Modric

      To soul1234.

      A soften disc is a deformed and often bulging or herniated cartilagineus disc lying between two spinal vertebra. The common cause is a degenerative disc disease (DDD); lifting or carrying heavy objects, or prolonged sitting can aggravate the condition. Such a disc can press upon a spinal nerve(s) innervating your leg and causes symptoms, you’ve descibed. Physiotherapy can sometimes help. Try to get exact data from your doctor: at which exact level the softened disc is and what therapy he recommends.

      You can read more about sciatic pain.

  • AmyB

    Jan, thank you for providing such a great forum like this. Perhaps you can help me figure out if what I’ve been experiencing is doctor-appointment worthy or not. I have had pretty bad lower back pain on both sides of my lower back for the last 2-3 weeks. At first I thought it was bad menstral cramps, as that is where I have always felt them, but the pain never went away. It seems to get worse when laying down. I have also had abnormally cold feet lately. The only thing that makes them not cold is wearing 2 or more pairs of heavy socks. I used to not be able to wear socks at bedtime b/c they bothered me, but now if I don’t I can’t stand the cold feet. I also seem to be inadvertently tightening my buttocks as if I were trying to hold in gas – perhaps this is to compensate somehow for the lower back pain? As an aside I’ve also had pain behind my eyes which I have attributed to sinus headaches; but I have also been sensing my eyes are straining a little more than normal.
    Anyhow, I don’t know if these symptoms are related or not, but I wanted to throw them all out there.
    I really appreciate anything you can do to help me figure out what may be going on, and what kind of doctor to see, if any.
    Thanks,

    Amy B.

    • Jan Modric

      AmyB,

      yes, I recommend you to visit a neurologist. All your symptoms could be related; they could arise from the spinal cord, for example. Doctor might order CT or MRI of the spinal cord.

  • Jan Modric

    Stevenfmarks,

    the neurologist can’t say much before knowing the exact cause. It is true that a decision about surgery depends on the severity of the disorder and symptoms. Having “just numbness and tingling” does not necessary reflect the severity of the disorder. Surgery is generally a safe and successful method of resolving bulging/herniated discs and pinched nerves, though.

  • stevenfmars

    I also have a bit of dizziness and the whites of my eyes are very dry and discolored. I have had an MRI of my brain and it just showed scattered white matter. Could this relate to my leg symptoms in any way with a neurological problem in my brain?

  • Jan Modric

    Stevenfmarks,

    yes it can. I encourage you to ask the doctor or check in your medical documentation, what is suspected cause of “scattered white matter”.

  • stevenfmarks

    Thanks Jan. Your site is awesome. My MRI says there is scattered white matter abnormality in each cerebral most likely small vessel ischemic change in a patient of this age – I am 55. No pathological gadolinium is seen – this is my second MRI of the brain. So my primary symptom is after I stand up in the morning I get tingling in my right toe and foot and the toes next to the big toe and the feeling of a glove feeling running up the outside of my calf up to the top of my knee and slightly on the outside of my thigh. It is worst when I stand up to shave in the morning. After that just kind of a constant throughout the day. Walking seems to make it better or I just cannot feel it. Thanks again and love your site. My lumbar CT Mylegram shows that I have bony elements and disc material may abut the L5 nerve sleeve in the lateral aspect of the right foramen and disc bulge abuts the S1 nerve sleeve in the anterior epidural space. So could this be causing my symptoms. Back doctor I spoke with says he has no promises a laminectomy will resolve tingling and the glove feeling. Thanks Jan.

    • Jan Modric

      Stevenfmarks,

      what you’ve described is a school example of sciatic pain (sciatica). Obviously bony and disc changes in your lumbar spine press on the nerves that supply your right leg. Surgical treatment is usually successful. Nobody can say what will be exact result, but if all disturbing bone and cartilage is fixed, you can expect to be healed. It’s now up to you to decide which surgeon you will trust.

  • gkenneb

    Jan,

    I rode a bike a year ago and the next day my leg was in spasm and it felt like I had sciatica. I went to an ortho doc and he gave me a cortisone shot under fluro and it did nothing. The pain is a little better but still very annoying even after one year. Any suggestions?

    • Jan Modric

      To gkennb.

      Sciatic pain is often caused by bulging or herniated disc in the lumbar spine. Orthopedist or neurologist can estimate if certain exercises would help you. Walking and swimming can help. Sitting and standing often aggravates the pain. Hard matress can help. If no relief after this, you might want to have a MRI of the spine. Surgery of disc disorders is generally a safe and successful procedure.

      Your orthopedist probably thought you had strained or torn a muscle.

  • stevenfmarks

    Jan, question on symptoms for DDD. I have DDD between the L5 & S1. I had a CT Mylogram that showed nerve abutment issue at the L5 nerve sleeve and the S1. Could this nerve abutment give me tingling in L4 and L5 dermatomes. I have read that dermatomes are not real predictable. I saw a neurosurgeon and he no promises about tingling symptoms. I do not have any lower back pain or any sharp leg pain, just tingling……

    • Jan Modric

      Stevenfmarks,

      DDD can result in only numbness, only tingling, only pain or burning sensation, or any possible mixture of these symptoms. I can’t judge from here in which dermatomes your symptoms fall, since different dermatomes schemes differ quite a bit. You should trust the surgeon – if not, find another one. The surgeon actually can’t say for sure, if your symptoms will disappear completely, but he can judge, if he also needs to check L4-L5 disc during the surgery – so you can ask him this. Small disc bulge can cause a lot of symptoms, and a large bulge can cause only few, so the surgeon should be able to interpret CT correctly and predict changes in adjacent areas. For you it is important that you describe him which exact areas of your leg (inner/outer side of the foot/calf/thigh) are (or were) affected. If you can’t trust the current surgeon, find another one.

  • samuel m

    Hi Jan,

    I’m 26 years old and have been suffering from right buttock pain for a good part of the last 2-3 years. I believe its what I’ve found to be called ‘wallet syndrome’ or in better terms sciatica. I am 6’1’’ and about 230lbs.

    I’ve been doing stretches regularly to relieve the pain, but it doesn’t help that I have a sedentary occupation where I sit for 3-4 hours at a time, during 9-10 hour days. Of course the wallet is gone from the back-pocket.

    For about 5-6 months on and off, I’ve begun to notice deep dull pain running down the middle of right thigh, pronounced near the hip. Stretching tends to help a little, but what helped the most was a massage of the thigh, however, I don’t get one done nearly as often as I would like (maybe once every 2-3 months). Another thing that seems to help is slight pressure in the centre of the thigh, which I apply using my elbow.

    Walking and exercising seems to help the pain, but, it comes right back a few hours later.

    Recently, I’ve began to notice my right knee beginning to crack more often as well as my right ankle. My right foot becomes numb on occasion and uncomfortable while wearing shoes. Some times it also feels swollen.

    A friend mentioned it might be a hip problem (irritated nerve), massage therapist advised it is possible to be hip related, but most likely back related. I don’t feel any shooting pains down my leg, but I do have slight lower back pain.

    I don’t know what to do anymore. It is causing me to lose sleep and is possibly the cause of other random pains I have in my body to compensate (ie leaning to one side to relieve pressure off buttock, walking awkwardly sometimes to remedy thigh/ankle problems)

    Help me!
    Sam

    • Jan Modric

      Samuel,

      it’s quite possible you have a degenerating disc disease (DDD), or certain disc(s) in your lumbar spine have bulged/herniated during lifting a heavy object or so. Surgery is a last resort – generally safe and efficient, though. Diagnosis is with CT or MRI of the spine.

      You may try to adjust your chair. You’ve probably heard some people sit on a big ball at work. This forces you to sit with a straight back. Swimming may strenghten your back muscles and should be beneficial like a walk is. A good physiotherapist can show you some exercises. You can break your 3-4 hour episodes of sitting by a walk or stretching. You can try to walk or exercise before bed, and you can try to sleep on a hard matress. If you can’t sleep, have a walk. All this would need quite a disciplined and regular approach. If walking helps you, it’s possible these things will help you you also. If nothing helps, then surgery. Someone I know, was successfully operated at his 22. Losing some weight may prevent knee and ankle joint degeneration. Except joint symptoms, all other symptoms in your leg and foot are probably related to your lumbar spine.

  • Lorna

    Hi
    I had recent back surgery for a large herniated disc at L4-L5. Since my surgery, my left lower leg and foot have been very numb. My toes are extremely numb. My foot feels very cold much of the time. When I submerge it in warm water, it feel as if I have put it in cold water. I cannot stand anything touching my toes. My foot color is redder than my right foot. When i walk or sit for long periods, my foot feels like it is very swollen but does not appear swollen. The numbness in my toes increases dramatically and so does the coldness of my foot. Does anyone have any reasons why I am experiencing these symptoms? Thank you for your help.

    • Jan Modric

      Lorna,

      I guess you had symptoms in the same left leg before surgery. Obviously the nerve root that was compressed, was irritated during the surgery. You should inform your surgeon about these symptoms, so he can tell, if this is something usual and you need just to wait a bit, or something is wrong.

  • kushal

    Hello Sir/Madam,

    I experience electric current like spurts just above my right buttock.
    The feeling is currently localized to that spot .Generally, this ‘current’ aggravates on movement of the legs or certain body posture.
    Sometimes, it happens once in a day or two.But, yesterday, it happened quite frequently and even on the slightest movement of the right legs and even slight bending. After lying flat on bed and sleeping , however, everything is almost right .

    Is it an issue of sciatic nerve press Because I sit on the chair for long hours while working.What should I do in this case?

    Is there a physiotherapy or local solution which I can follow regularly so as to befit in the long run too? Should I start taking Vitamin B-12 and neuro tonics ?

    Kindly suggest me on this issue.I will be very grateful for any help.

    Best Regards,
    Kushal.

    • Jan Modric

      Kushal,

      avoiding prolonged sitting, having walks or breaks with stretching exercise may help. Physiotherapist can show you exercises. Vitamins and tonics won’t likely help, since the problem is probably a bulging/herniated disc or arthritis in your lumbar spine. If symptoms will worsen despite physiotherapy, you might want to have an MRI of the spine that can show an exact disorder.

  • Aditya

    I am 21 yrs old,i hve this pain in my legs when i get up in the morning,earlier i used to experience a slight numbenss in them,then after few months it developed and the numbness was replaced by pain gradually.the pain use to go when i walked for a while but now the pain has begun to stay for the whole day and it has extended till my knees,the pain is mild but irritating,i cant stand erect these days,im required to bend one of my leg while standing,its hard to balance my weight on them.i dont exert at all, my work is sedentry.Now the numbness that i use feel in my legs earlier is being felt in my hands too,it started from my palms and then its slowly extending. PLease Help..Just tell me which doctor shud i visit ? A Physiotherapist ,An Ortho or a NEurologist .

  • Aditya

    The Leg also pains when im sitting.and my schedule requries me to sit for long hours.I am more comforatble in walking than in standing.even in the lift om required to keep walking to & fro.i also get relief by keeping a weight on my legs like a load or so or sitting on my legs Pleasse Help

    • Jan Modric

      Aditya,

      you can visit a neurologist or an orthopedist. Your symptoms probably arise from the pinched nerves caused by bulging/herniated discs (degenerative disc disease – DDD) or spinal arthritis. Try to break long sitting episodes with occasional walk.

  • brie

    ive always had mild hip problems, my mom and grandma have it to the point to where they just pop out of place and cause sever pain mine just ache and feel tight, i occasionally wake up with legs pains like i need to move them and that doesnt always work and i was told that i kick my feet alot on the bed when i sleep, i dont know if my toes have anything to do with this but for awhile now my big toes ache bad ive changes shoes not walked stretched out my feet everything but they still feel the same way and hips and toe aches/ numbness have gotten worse since i have had my baby, i have worked and stood on my feet alot but randomly about 3 years ago my right foot started to ache i thought it was my shoes so i changed them to more supportive ones then my toes and top and bottom of my foot got tight and i couldnt put any pressure on my toes and i got a bruise on the top of my foot it lasted for awhile and then just went away as fast as it happened then it did it about a year ago again samething but i wasnt working at the time so i wasnt on my feet as much i dont know if any of that has anything in common but about a week ago i got this random back pain in my lower back was very tight it was dull with occasional sharp pains felt like someone was twisting my muscles now my legs hurts sitting lying down standing up and walking is the only thing that eases them i stretch and it will go away for about 30 min then i have to do it again but i have this constant throbbing pain on the right side of my lower back close to my spine i dont no if its my muscle because my bones ache as well, im in over all good health i do have cronic migraines ever since i can remember i dont smoke dont drink and i work out regularly…

  • brie

    also my feet are always cold when they get really cold it feels like its cold to the bone most of the time i can only warm them up with hot water and if i sit in on position ( legs under me or bent up or if i lay on my hands or have them elevated to long ) they fall asleep really fast but since they have been acky apply pressure like sitting on them makes them feel a little better i feel like im crazy and i dont think alot of this has anything in common but i would rather be safe then sorry thank you for your time

    • Jan Modric

      To brie.

      Pain aggravated by standing, sitting and lying and relieved by walking probably arises from a disorder in your lumbar spine. It could be bulging/herniated disc or spinal arthritis or other. I recommend you to visit a neurologist or orthopedist.

  • Nicole

    Jan,

    Thank you very much for getting back to me. My newest symptoms are now swelling in the feet, ankles, hands, and wrists. Is this something that needs to be evaluated immediately and a call placed into my GI specialist? Reason I’m asking is because my appt with him isn’t until the 26th and the swelling along with the reynauds type symptoms are only getting worse. I know you mentioned a few things like SLE, sclerdoma, carcinoid syndrome. I did have a blood test done for lupus a few months ago and that came back normal. I’m just at a loss because this is my second GI specialist and he seems to just be holding his hands in the air and not listening. Should I get yet another opinion and if so by which kind of doctor? Thank you again for being soo kind to everyone with questions.

  • Jan Modric

    Nicole,

    is this true swelling (fluid collection) or it only feels like swelling? Are only joints, including finger/toe joints swollen, or complete “gloves and socks” areas are swollen?

    Some substances, like serotonin, can cause arterial spasms in fingers (and hence color changes) and other substances, like histamine, arterial dilation resulting in fluid leaking into surrounding tissues. In carcinoid syndrome, lung cancer or certain other cancers, level of both of these substances in the blood could be increased.

    Different doctors can check these substances in the blood. You might also need CT or MRI of the chest, since you’ve mentioned left side chest pain. Few days of waiting to appointment might not harm you, but weeks/months of delay because of non-active doctor can do.

  • Nicole

    Jan,
    This is true swelling and it is like the glove and sock type swelling. My rings on hands are getting tight and I like to wear short socks and they are leaving indentations in my ankles. This brings back memories of prego swelling but I am not prego. My hands usually have some blue spots on the palms now with white at fingers and my feet turn bright red but are still cold to touch. I will definetly write everything down you mentioned and talk to him about it. Again, thank you for your help I really appreciate it.

  • 10USNUT

    I have been fighting numbness in both legs and both arms since I had my first stint installed in my heart artery in 1999. These symtoms reoccur quite regularly. I have had many tests,all of which are negative with the exception of a slight Bilaterak forminal encroachment between C3 & C7. No central stenosis or dis herniation. Similarly at L4-L5. . Could this be the cause of my numbness
    I am taking Myofacial release massage theraphy, which so far has not helped. Should I continue the theraphy, or do you have any other suggestions.

    • Jan Modric

      To 10USNUT.

      Disorders in C3-C7 and L4-L5 you’ve mentioned can press on the roots of nerves innervating your arms and legs. Now, an experienced neurologist (neurosurgeon) or orthopedist should tell you what can be done. Myofacial massage won’t likely help since it does not affect spinal nerves or the spine.

  • desperate hubby

    I am writing this to try and help my wife. She has been dealing with bilateral leg pain for about 1.5 years. She said the pain isn’t always constant and isn’t in the same place every day either. Some days are way better than others and some are debilitating. Sometimes the pain could be on the front of one thigh and in the ankle on the other leg at the same time, other days it could be just her lower legs. She says it feels like deep achy pain. no changes in position or anything she does seems to help or alleviate the pain. She did say it seems like exercise helps sometimes. She has had x rays, MRI, Cat Scan, Bone Scan, Nerve conduction velocity test, blood work, and nobody can help. She has tried countless meds (neurotin, pain meds, anti-depressants, etc..) and nothing gives relief. She is at her breaking point right now, we have seen rheumatologist, neurologists, gynocologists and have been to a couple different places and no one can give any answers, they just keep referring us. My wife does have endometriosis and has had several laproscopic surgeries in the past and the last CAT scan showed a cyst on one of her ovaries, which an ultrasound was then performed and her obgyn said the cyst was nothing to worry about and couldn’t be causing her symptoms, However some of the blogs that i have read has said otherwise. She just took a 3 month Lupron shot that was suggested by her obgyn and that isn’t helping either. BIG SURPRISE!!! There was also a tiny lumbar syrinx noted on the MRI, but the docs said its too small to be significant. ANY SUGGESTIONS WOULD BE GREATLY APPRECIATED. This is affecting our marriage, my wives job, and she is short fused with our 3 year old. PLEASE HELP!!

    • Jan Modric

      To desperate huby.

      I suggest you to get a second (or whichever) opinion from an *experienced* neurologist about the “small” syrinx in her lumbar spine. In a combination with eventual spinal stenosis or bulging discs (or even without it), this could cause her leg symptoms. If something appears “small” on the image, it doesn’t mean it can’t cause severe symptoms.

      Another possibility is piriformis syndrome, caused by a pressure of an endometriotic mass or ovarian cyst or pelvic adhesions upon piriformis muscle in the pelvis. This muscle then presses upon sciatic nerve causing symptoms in the leg. Yet another possibility is psoas syndrome. Neurologist should be able to make exams to identify these conditions.

      What you two can do:
      1. Find a reliable neurologist and get an opinion about the lumbar syrinx.
      2. The same neurologist can make neurological exam to identify eventual piriformis or psoas syndrome.
      3. The same neurologist can, if necessary, order MRI neurography (MRN, not the usual MRI) that might show an exact pelvic disorder (adhesions, endometriosis, onarian cyst…) causing the leg pains.

  • stevenfmarks

    Jan, I am trying to get an MR Neurography done too. From what I have read you should get one before opting to do back surgery in case you have nerve entrapment issues somewhere in your pelvis. Most HMO’s don’t have access to the equipment so most people will have to go out of network to get this kind of test done. I am seeing a neurologist at UCSF that is in my insurance billing system and I am going to beg him to do the test so I can decide better about back surgery. I checked with the MR Neurography institute down in LA and the test runs about $3,000 if you have to go out of pocket…….hope this helps. This is a test they should do with anyone that has nueropathy in their leg and they don’t. They give you and lumbar MRI and prescribe Neurontin and tell you to come back in six months unless you are in excruciating pain…sorry for the sarcasm……….

    • Jan Modric

      Stevenfmarks,

      not that I want to disturb you further, but MRI neurography should be considered mainly only when the cause of the symptoms is not known or a known disorder is not clearly seen by a regular MRI. Ask your surgeon about possibility of disorder in L4-L5 disc, eventual spinal stenosis or what other could be present but not seen in an existing MRI. In clearly delimited disorders, the main question is how completely the surgery is done.

  • stevenfmarks

    No disturbing at all. I appreciate your insights. I see the UCSF neurologist on 2-4-10 and am going to ask him for an MR Nuerography test. My neurosurgeon in Sacramento does not have access to this equipment. I am also having a spinal tap done by my local neurologist to see if I have any type of spinal infection. If I cannot get the UCSF neurologist to order an MR Nuerography I am going to go directly to the MR Institute and pay for it myself just to rule out a problem in the pelvis before I opt for back surgery.

  • stevenfmarks

    Thanks Jan, I will keep you posted on my tests and how I proceed. You have been most helpful and this is a wonderful website.

  • Jan Modric

    Stevenfmarks,

    neurological infection does not sound likely to me, and I don’t know how any doctor could afford to perform a spinal tap without a clear indication for it.

    If neurografy reveals any disorder in your pelvis, it can’t be operated at the same time as your spine. Piriformis syndrome or psoas syndrome can be possibly excluded by an experienced neurologist/neurosurgeon by a specific examination.

  • farhorizonz

    Hi, recently i have fractured my right Ulna and had a plate drilled into the bone. My right hand is stiff but i was told by the surgeons this should go in time and that i should exercise the fingers.I do this but it does causepain in my arm. Last night i felt a burning sensation in upper right leg and which went away after sitting upright but i am left with a numbness on part of the top area of that leg – basically the lefthand side. I have been sleeping in a way to protect my arm and favouring my left side.

    Is this all connected to my arm injury and will it go when i recover?
    I have had numbness in the same area 5 years ago but that healed with massge therapy.

    • Jan Modric

      To farhorizons.

      Your right leg pain is probably from a disorder in your lumbar spine (usually bulging disc or artritis). I don’t know, if you have also injured your back during an arm injury. The way you sleep actually can affect leg pain a lot, so consider some other position, avoid lifting heavy objects and prolonged sitting.

  • farhorizonz

    i meant to say, it was left leg with the numbness.

  • Annie

    Celiac Disease can also cause tingling of the hands and feet. It’s definitely something worth looking into since Celiac is so incredibly often missed…

  • farhorizonz

    Sorry its my left upper leg that is semi numb.It isnt painful, but i get a cold burning feeling if i have been sitting in same position for a while.This only came on a week after my arm fracture. I had it come on originally 5 years ago, but went away with massage.

  • Jan Modric

    Farhorizons,

    your left leg symptoms seem to be a separate issue that was probably aggravated by eventual stress to your lumbar spine during your arm injury, and furtherly aggravated by your different sleeping position.

  • talerco

    I had pain in thigh after standing. Not sitting or active. Saw bone spur on spine in x-ray and MRI.
    Had spinal injection and NOW have almost constant burning in whole leg – especially when sitting. Sitting releived pain before – causes pain now.
    They want to give another injection – I’m not sure. I’m thinking I need surgery for the bone spur.
    Any comments welcome

    • Jan Modric

      Talerco,

      it’s quite possible that a bone spur is pressing upon the root of the spinal nerve supplying your leg, so, yes, discuss with your neurologist or orthopedist about surgery.

  • Maggs

    Hi,
    I get tingling sensations in both feet and my calves feel tender. I’m 51, 5ft 5in and weigh 106kg. Any reason why thi is happening?

    Thanks

    • Jan Modric

      Maggs,

      Since when do you have these symptoms? Have you walked a lot or do you have varicose veins? Would you say your feet are swollen, pale or cold?

  • Maggs

    This started two days ago. My feet are not swollen and I don’t do any particular exercise (strange thing is my goal for the New Year was to start Yoga). My feet are always warm and are not pale. Thanks for responding.

  • subra

    Hi, i sat cross legged for about 1.5 hours making slight adjustments but after i stood up i totally lost the feeling in my leg, i regained it the next day but i feel like i have a muscle cram. What should i do? Plese help!

    • Jan Modric

      Subra,

      if your symptoms are not worsening, wait for a day and two, and the cramp should go away. If not, see a doctor.

  • Jan Modric

    Maggs,

    I suggest you to see a neurologist; it can be a disorder in your lumbar spine or something other.Both legs being affected at the same time sounds quite serious to me.

  • Terry T

    I am 20 years old and living in central Mexico in the mountains. Went to the beach last week for 5 days of camping, swimming and a general great time in the sand and sea. When leaving I put my tennis shoes on and thought I had sand between my toes. But when I got home and showered the tingling sensation has remained, not for about a week. It is both feet just the toes and more the 3 middle toes on both. No discoloration, or temperature change, just a constant sensation like my toes are just beginning to fall asleep. Any ideas? Thanks for any help.

    • Jan Modric

      Terry T,

      do you think it’s possible you’ve injured your back? I mean stretched your lower back during some sport activity, like surfing, or so?

  • emze622

    In April of this past year, I was in a car wreck. My right foot was cute open from a piece of glass and I had to have 10 stitches. There were pieces of glass still in my foot when I arrived at the ER but they cleaned it all out. Sometimes I think though that a piece of glass may be still stuck in it. Sometimes when I step on my foot in a certain way, I get a sharp stinging sensation that lasts a few seconds. Also, it doesn’t hurt too bad when someone touches the area where my scar is, but you it is still sensitive. Also, there is a bump around where it is. Do you think I might have a piece of glass in my foot?
    Also, the other night when I was trying to sleep, both of my legs started feeling tingly, kind of like when you’re on a certain body part for so long and it starts to fall asleep. I tried to move around to make it feel more comfortable, but it still felt tingly. And sometimes my legs look like they are bruised and blotchy. I notice especially when I get out of the shower. I know alot of it is because the temperature of the water, but it’s never looked bruised before.

    • Jan Modric

      To emze622.

      A small piece of glass could cause a chronic inflammatory reaction resulting in a bump. I believe an X-ray of the foot could show it, or a doctor could make an incision and investigate it.

      Do “bruises” itch and are they in the level of the skin or slightly reaised? Sometimes a cholinergic urticaria develops after trauma.

      Tingling in both legs could be from a disorder in your lower back. Maybe some intervertebral disc in your lumbar spine was damaged during the injury or later and a disc is pressing upon the sciatic nerves (causing pinched nerves) on both sides. These are only speculations though; I think you should see a doctor.

  • bexter

    hey, I have had a ‘dead’ big toe for over a week now… i can move it as its only part of my toe which is numb, im on citalopram 10mg x2 per day and was wondering if this could have caused it? i have been on them for almost 3 weeks now. i cant think of any other reason why this would happen :s
    any advice would be greatly apreciated 🙂
    thanks

    • Jan Modric

      Bexter,

      numbness is listed as one of possible side effects of Citalopram. I strongly recommend you to discuss with your doctor about this, since, in general, drugs have to be changed, if serious side effects, what numbness is, appear.

  • jennythehut

    Hi,
    I am 30 y/o Female. For the past 6 weeks I have been experiencing lightheadedness, nausea, ear pain, headaches and random pains in my arms, legs, throat and abdomen. I have no prior medical history (completely healthy). All of these symptoms come and go. For example I will have a small burning pain (about the size of a quarter) in my arm and then it will go in 3 seconds. An hour later I will have a burning sensation in my calf and then it will go. Later I will have nausea, then ear pain. I have been to see a neurologist, the only thing he could find on the MRI are tiny white matter lesions (they did not enhance). He said these are most likely due to headaches, but I have a follow up MRI in 3 months. I have not experienced numbness. Of course I am worried about the possibility of MS but my symptoms seem very fleeting.

    • Jan Modric

      To jennythehut.

      Symptoms you are experiencing are not so unusual in MS. A neurologist should give you a diagnosis on the basis of existing and future MRIs of the head (maybe also spinal cord) and eventually by invesigation of the cerebrospinal fluid (acquired by a spinal tap).

  • mcnolens

    Dear doctor,

    Currently I am living in Mexico, but I am from Europe. Since a month or so I have been feeling really tired with occasionally dizziness. 2 weeks ago I started having problems with my ears. I went to see a doctor and he told me to take antibiotics because I suffered from a chronich sinusitis. It was Tavanic 500 mg. When I started to take the medicine I started having some numbness in my both legs. The first day it was not so bad but it started getting worse. After a week I could stop the antibiotics but the numbness remained. It feels as if there is not enough blood in my legs and they feel very stiff, as I have been running a lot. Tonight it also started in my arms, neck and shoulders. My doctor says it comes from the antibiotics, but I don’t really trust him. Today I also started feeling sick again, with a sore throat and ear pain.
    I have a slight fever but not too much. Do you think this is serious? It is difficult to find adequate medical help here so I don’t really know what to do.

    Thanks a lot, kind regards

    • Jan Modric

      To mcolens.

      I don’t currently work as a doctor, so just a thought: tiredness, sore throat, ear infection, sinusitis, fever may be all symptoms of flu – either seasonal or swine flu. I recommend you to get tested for that and get appropriate drugs (if it is flu, which is a viral infection, antibiotics, like Tavanic won’t help).

      Numbness can actually be a side effect of Tavanic. Read here.

  • mcnolens

    Thank a lot!
    I have stopped taking the Tavanic about a week ago. Is it possible that these side effects last longer?

    • Jan Modric

      Mcnolens,

      if numbness won’t start to cease in few days, I would go directly to your doctor to see what’s wrong and would insist to get a proper diagnosis (by a neurologist). Tavanic may be just a coincidence with something other. I’m not sure how long side effects of Tavanic can last.

  • jennythehut

    I just wanted to follow up on my previous comment for all the other readers. I tested positive for Lyme disease today (by CDC standards) and have just started the antibiotic regimen. Just something else to consider talking to your doctor about if you have any of these symptoms (dizziness fatigue random pains nausea and ear pain). Just grateful I got a diagnosis!

  • steve

    3 days ago I strained my back by lifting a heavy box. That night I noticed a slight loss of sensation in my toes which was a little worse the next day. I can bend down and lift one leg at a time without pain. Should this go away on its own? How long before it might subside?

    • Jan Modric

      Steve,

      a bulging disc in your lumbar spine is possible. You should avoid lifting or carrying heavy objects or heavy exercises. If symptoms do not go away on its own or lessen in two weks, I recommend you to visit a neurologist or orthopedist.

  • Michele

    I had surgery on my C5, C6 a fusion in Oct 2009. I still have pain in my neck but recently started feeling in both legs a tingeling feeling. I didnt notice this until today that when I move my neck a certain way I feel the tingeling. Could there be something wrong with my nerve?

    • Jan Modric

      Michele,

      merely moving your neck without moving the lower back causes tingling in your legs? Does this happen both in sitting and standing position?

      Have you ever had any leg tingling or pain before the surgery? Have you lifted or carried something heavy, fallen or so?

  • dave w

    I have been having circulation problems in my feet and hands off and on to varying degrees the past couple months and just wondering how alarmed i should be
    because of this or not etc. I’ve had anxiety too, which i have chalked-up to most episodes of arm numbness etc at least when i’ve been stressed or worried. BUT lately i definitely realize that even if i’m just relaxed at home, that if i sit indian style, my feet go numb very quickly. Same with my hands and forearms if i lean on an arm for a bit.

    My blood pressure is always good when tested, i did do a Halter monitor too which was ‘normal’ even though i DO have an odd heartbeat. Umm i HAVE had some problems sometimes when i go to sleep and thinking about my ‘inhale…exhale’ breathing too much, which when i do always makes my heartbeat irregular for awhile and i have to distract myself to not think about it so i can relax. Not sure what else to add, just mainly wondering what would be the main causes of circulation problems with someone who has never had them before and suddenly does? And no i don’t have any noticable swelling or veins either etc, blue fingers, no no.

    Could this be another stress symtom? Could the bentyl be causing it? Orrr is the most likely cause lack of exercise etc, which for me definitely has been the case the past few months, i’m home a lot doing nothing. And what tests should i have the dr run for me?

    I HAVE had back pain, lower mostly, and have had tightness in the neck and upper back muscles, and i do have an appt with a chiropractor in two days.

    • Jan Modric

      Dave w,

      numbness is one of possible effects of bentyl, or maybe bentyl makes you experience numbness sooner. If it was bentyl, I guess you would also experience other side effects. Dedication to some work with clear goals helps in resolving many stress-related problems. I can’t judge about the state of your heart and vesselds, but unless you don’t have a severe atherosclerosis or other vessel disorder or arrhythmia, numbness is not likely caused by a “circulation problem”. Direct pressure on the nerves or arteries supplying hands or feet are the usual cause.

  • lamontc

    Hey there;

    I just started experiencing a numbness/discoloration in my fourth toes (primarily on my left side, but occasionally on the right as well) during cardio workouts. Can’t be an issue with my shoes because I usually work out barefoot (or in socks) on my carpet.
    This typically happens after a moderate elevation in my heart rate, like after a few minutes of yoga, and will persist throughout my workout. The feeling and color in my toes returns back to normal when I begin my cooldown.

    Any thoughts?

    • Jan Modric

      To lamontc.

      How old are you, male or female, do yo smoke? Is only the 4th toe affected? What about the 5th? And the the same side of the foot? Does the toe turn white?

      If only one toe is affected, it could be a problem with local circulation. If adjacent areas are also affected, it could be a pinched nerve in your sacral spine.

  • lamontc

    Hi Jan,

    I’m male, 29 years old, non-smoker. I am currently in the “overweight” BMI (lost about 33 lbs through diet and exercise since last April). Never had a problem until about a month ago. I have experienced some mild lower back pain, particularly just after my workouts.

    My toe does turn white during the “numbness” issue, and surrounding areas are affected. Seems to start with toe #4, spread to toe #5, and then mildly affect toe #3. Once my heart rate goes down, color stabilizes and the issue goes away.

    • Jan Modric

      Iamonts,

      Lower back pain with toe 3-5 numbness speak for a pinched nerve(s) in your sacral part of the spine (possibly from bulging or herniated disc) that supply your foot/feet. I recommend you to visit a neurologist to get a diagnosis. Pale toes could result from temporary disorder in foot/feet circulation, since the same affected nerves also innervate feet arteries.

  • dave w

    ‘Direct pressure on the nerves or arteries’ located in…the spine?

    • Jan Modric

      Dave w,

      …nerves or arteries in the arms/legs.

  • JRabbit

    Hello. I’ve been experiencing numbness in the inner part of my left leg [from my inner thigh to my ankle or right side of my foot], but ONLY when I’m sleeping. It only lasts for a couple minutes, and when I move my leg around, it goes away. Then it feels a little heavy for a few minutes, then feels notmal again. I’ve been to the doctor and the ER about anxiety/depression symptoms and I’ve recently been put on antidepressants. They’ve taken blood work twice, but everything comes back normal. Can this symptom be my medication? Or should I seek more medical attention?

    • Jan Modric

      JRabbit,

      most of us have experienced numbness because of sleeping in certain position. It’s also possible you have a bulging disc in your lumbar/sacral spine – this can pinch the nerve(s) that supply the leg. The symptoms change with certain body positions – they are often aggravated by lying down or sitting and relieved by walking. Antidepressants may make you feel all these symptoms more than before.

      What can you do: Try some other sleeping positions, try to sleep on a hard matress, discuss with your doctor about adjusting the dose of antidepressants, and if nothing helps, consider having an MRI of the lumbar/sacral spine.

  • 10USNUT

    I have enjoyed your discussions. I have a bulging disk (Bilateral foraminal encroachment between C3 & C7. No Central stenosis or disk herniation based on a MRI of the cervical spine. I also have MRI of lumbar “Degenrative changes, mostly due to facet arthrophy as well as L5 pars defect casing foraminal narrowing and encroachment at L4-L5 and L5-S1. Mild central stenosis at L4-L5. no focal disk herniation” I am in PT, and they are using a machine streching my back (80# max) for about 20 minutes. Other than that, some exercizes to streach out my back. Trying to help numbness in legs and arms along with siatic problem in my right hip and leg. Any thoughts on the appropriatness of this treatment

  • Jan Modric

    10USNUT,

    any symptoms?

    Tracking is an usual physiotherapeutic approach…if it helps, it means it was appropriate.

  • dave w

    What about your groin/butt area going numb when on an exercise bike? Or in the latest case yesterday, my lower back seemed numb after when i was whiping the sweat away, is that still sound like pinched nerves?

  • dave w

    OK i’ve pretty much deduced that i have a pinched nerve in my neck and it’s…definitely freaking me out. Not only would it explain everything thats been going on the past month off n on, but its been stiff and now i definitely notice numbness on the back of my neck. and if i massage the area i always get some dizzyness or, like earlier, i was pressing down and felt something shoot down my spine. I’ve visited all the sites with the home remedies etc, a lot of them say it should heal on it’s own if you take care of it etc but, boy is it freaking me out. If it wasn’t for the dizzyness i think i would be ok.

    now i DID coincidentally see a chiropractor today, it was just my first visit, it was great. but he just gave me my first time check out, and a couple mid spine adjustments, i didn’t bring up my neck worries because i didn’t have them yet. not til i got home later and finally figured out the connection.

    what would you suggest? obviously MRI’s would be GOOD to see what’s going on and see how bad things might be or not.

    • Jan Modric

      Dave w,

      disorders (arhritis or degenerative disc disease – DDD resulting in pinched nerves) in the neck spine cause symptoms in the neck or arms/hands, and disorders in the lumbar/sacral spine, symptoms in the lower back, groin or legs/feet. MRI can reveal them, yes. It is a neurologist who should give you a diagnosis and decide about investigations.

  • Jackie

    I had thyroid and one parathyroid removed Nov 4th. voice is still hoarse and comes and goes, having tingling from feet to knees and hands to elbows…
    doctor tells me calcium is fine (190)…
    I see TSH is at .034 marked L on bloodwork. I feel something is not right

    • Jan Modric

      Jackie,

      you should have your TSH, thyroxine, PTH, calcium and magnesium checked and take appropriate hormons or minerals, if necessary.

  • restlessintx

    During this past summer I started feeling a slight tingling/pin prick sensation in my right toes after wearing flip flops or standing for long periods of time. It seemed to go away when I wore good support shoes and only reappeared when I would wear shoes without a lot of support. I am 27 years old. This past week the tingling/pin prickling sensations have been constant, no matter what I do. Then a day or 2 ago it became this burning sensation, like my foot was on fire. I have feeling in my foot but it feels weird and is more uncomfortable than anything. I went to the Dr. today and he said it was most likely a neuroma because I do have a vein bulging on the inside of my right foot that is tender when pushed. I’m a worry wart and thinking of a million other things it may be. He gave me some strong pain meds but I’m not in enough “pain” for those. It is just uncomfortable feeling and scares me! Sittings for a long time seems to irritate it and walking sometimes gives me temporary relief. Could it be a sciatic nerve? Any feedback would be appreciated.

    • Jan Modric

      To restlesssintx.

      Yes, it could be sciatica. Symptoms aggravated by sitting and relieved by walking speak for this. You should solve that bulging thing also, though.

  • dave w

    Hi Jan me again, well since i last left you i was thinking pinched nerve in neck etc, but a funny thing happened, saturday i was really bad all day, and MORE than just tingling here and there, clear blood flow issues. I’d get up and feel the blood rush to my head, legs staying numb etc etc. And then i finally ATE, and yeah guess what, all those syptoms magically went away nearly instantly.

    SOOOO im backing off the pinched nerve search FOR NOW and concentrating on testing my blood, blood sugar etc.

    IN the meantime, can you put me at ease if you have any knowledge in the area, of all of the LESS THAN diabetes related blood sugar conditions you know of? Short term ones, spikes, lows etc. Again, pretty much just the past 6 weeks, w/ a good 2 or 3 weeks with barely any symptoms in there too, obvsiously the bad symptoms of late. (though yesterday i was BETTER, ate more, before bed too etc)

    Also keep in mind that i HAVE been eating poorly overall the past 4 months, as i’ve had stomach problems/GI track that have caused me to not have the hunger level i used to, so i’ve been eating 1/2 as much a lot of the time. And i usually cut myself off of food early at night too as habit from wanting to prevent reflux at night.

    THANKS.

    • Jan Modric

      Dave,

      try to avoid plain sugars, including fruit juices and such, and have regular meals rich in carbohydrates (bread, pasta, rice). Limit fats…

      Transient hypoglicemia (causing numbness, dizzines, weakness) may occur in malnutrition (possibly in your case), diabetes, dumping syndrome (rapid gastric emptying), certain hormonal disorders, but first check what seems obvious…

      Tests that can a primary doctor order:
      – blood pressure
      – blood levels of main minerals and vitamins (iron, vitamin B, Ca, K, etc.)
      – fasting glucose level

      If necessary:
      Endocrinologist:
      – specialized blood glucose levels to check for diabetes or determine the type of hypoglycemia
      Gastroenterologist:
      – blood or breath test for H. pylori, bacterium that commonly cause excessive gastric acid secretion

  • dave w

    Thanks Jan…waiting on phonecall from doctors as we speak to speed-up testing, she’s notoriously slow and non pro-active with my symptoms, she probably thinks i’m Baron Von Munchausen at this point. Sighh, just hoping it’s just a temporary hypoglycemia i’ll have to watch and hopefully be quickly able to reverse. (crosses fingers)

    The not knowing, waiting, or not having an easy ‘solve’ to the problem is the worst.

  • granny4726

    For several years I’ve occasionally had a burning pain in my left leg. It starts at the outside of my upper thigh and goes at an angle around to the front of my thigh, ending at the inside of my knee. I have a line of broken veins (maybe just close to the surface?) that follows the exact path of the pain. I also have a numb spot about the size of the palm of my hand, above and slightly left of my knee. Over the last year, it has gotten worse. If I have to stand or walk, within 15 minutes the burning starts. After 30-45 minutes of this kind of activity, I’m near tears from the pain.

    My doctor sent me for an EMG, but the results were normal, ruling out nerve problems.

    I do have Restless Leg Syndrome, some bulging discs and arthritis in my spine. I have Oral Lichen Planus, and gained 40 pounds in the last year and a half from taking the Prednesolone (steriod) prescription. I’m 5’4″ tall, and about 195 pounds. I can’t seem to get rid of the steroid weight gain.

    Any ideas?

  • granny4726

    granny4726, again.

    I probably should have mentioned that I’m 59 years old. I neither smoke nor drink. I tend to be a couch potato since the leg pain flares up with standing and walking. Generally, my health is good, with the noted exceptions.

    Hope that helps.
    Thanks!

    • Jan Modric

      To granny4726.

      The pain as you’ve described fits in a “dermatome” innervated by nerves originating in L3 segement of the lumbar spine. A bulging disc pressing on the L3 nerve root and/or Herpes zoster (shingles) seem to be likely causes.

      You can consider to have CT or MRI of your lumbar spine.

  • jtilyard

    Im a 36 yr old mum with 3 kids, about 6 months ago i noticed the outside of my big toe on my left foot started going numb,it’s been numb ever since. I also have noticed a numb area on my left leg that goes all the way from my foot to my knee. And now and then i get a hot flush in my right foot.. Any idea what could be causing this??? Jackie.

    • Jan Modric

      Jackie,

      symptoms in your left foot/leg (possibly also right foot) sound like from a disorder (bulging disc?) in your lumbar spine. CT/MRI of your lumbar spine would be needed for diagnosis. Prolonged standing or sitting and lifting heavy objects aggravates the symptoms.

  • jtilyard

    Thanks Jan, with my job i do alot of standing and some heavy lifting and symptoms have started since i went back to work. thank you for your help Jackie..

  • jenn

    I have had numbness in my right upper thigh for the past six months. It has moved down the outside of my thigh to past my knee and up to the outside of my upper buttocks. It appears to be spreading and now I have sensations in my foot. There is a constant burning, tingling, painful sensation that won’t go away unless I am asleep. It has begun to effect my ability to walk. I have had low thyroid in the past and wonder if this could have something to do with it. Do you have any idea what this could be?

    • Jan Modric

      Jenn,

      it sounds, like a pinched nerve in your lumbar spine. CT or MRI of the spine would reveal it. A neurologist could say (after a blood test) if thyroid hormones have something with it

  • dave w

    Hey Jan, i wonder if you might have any thoughts on blood-regulating herb/mineral pills like Herbal Life’s “Snack Defense” ?

    It contains chromium and gymnia, the woman i talked to swears it works wonders for her friend and her brother with hypoglycemia. Spose to naturally prevent highs and lows. I was going to try it then i brought it up to a dr. and she said chromium should only be used for bona fide diabetics and not to mess with it.

    • Jan Modric

      Dave,

      as I understand you have gastric reflux and you were avoiding food recently. I think you should solve your original problem and try to maintain a regular diet.

  • leftie

    For the last several months I have numbness/tingling in my outer left thigh, and sometimes outer left toes – only when lying down (in any prone position). The thigh numbness is constant (when prone), it isn’t intermitant. There is no pain, and it doesn’t affect my life/actions. Is this something I should have checked out?

    • Jan Modric

      To leftie.

      If the numbness in confined to the left leg (no numbness in the trunk, arm or face) you can assume it’s from a disorder (bulging disc, arthritis..) in your lumbar spine. Try to avoid prolonged sitting and standing, lifting and carying heavy objects. Also try to sleep on a hard matress and see if it helps. You can visit a physiotherapist to show you some exercises and the numbness might go away. If this does not help, visit a neurologist or orthopedist.

  • rhadoo1st

    Hello, I’m a female, 18 years old, experiencing right arm and right leg numbness plus pain in the right part of the abdomen. I also feel nausea and sometimes vomit, lack of appetite.

    Please help me with an answer!

    • Jan Modric

      To rhadoo1st.

      This sounds serious enough to me to recommend you to visit a neurologist soon.

  • naina

    hi,i am 19 yr old girl my height is 5.4 and my wheight is 42,when i move clicking noises comes from my joints and mainly in left knee when i bent and get up,i have pain back of pelvic bone right side when i sit on chair or bed it gets worse and i get tingling and numbness in my feet it irritates a lot,i went to doctor he examined and did x rays he said muscle pain but he gave me muscle relaxant and anti inflamotary medicine but it din’t work my sholuders n neck also pains i feel stretching feeling i m a designer so when i work it gets worsen,my perods are also not normal n may be i got ulcer does this cause the pain?can i go for a full body massage?i cannot walk also for 2 minutes…my calf …..thighs…also pain do i kneed blood test..urine test….plz help

    • Jan Modric

      To naina.

      Yes, blood test is recommended; I guess you should visit a rheumatologist. Gastric ulcer would cause pain in the upper abdomen. If rheumatologist won’t find ahything, you can visit a gastrologist. It’s possible you have some disease, so I don’t think a body massage would solve your problems.

  • I am a 45yr old female, 5’4″ 130lbs. No previous health issues or injurys. I was in a MVA about 18 months ago and was diagnosed with neck strain and concussion. I’ve had numerous issues since. About 2 weeks after the incident I started having lower back pain. I have had MRIs of neck and lower back. Slight disk bulges at C4,5 and S1. Physical therapy and injections have helped eliminate lower back pain, but now months after the accident, my left foot/toes are numb. No pain associated. I still have neck/shoulder pain with severe headaches and tinitus. I also suffer from strange displaced feelings and occassional anxiety. A few days after the accident, I was having pain in left arm and tingling/numbness in left hand. Now My left palm, thumb, index and middle finger are constantly numb and I have problems grasping objects. My pinky fingers and ring fingers on both hands become paralyzed at night. It wakes me up. After a few minutes of shaking them, the feeling comes back into them. My doctor put me in wrist splints at night, but they still go numb. An x-ray of my left shoulder showed signs of slight shoulder separation, but an MRI didn’t reveal any tears, only inflamation. I have seen a chiropractor, physical therapist, pain management specialst, neuologist, and orthopedic specialist. Steroid injections help releive pain temporarily, but not numbness. Nothing has helped with the headaches or ringing in my left ear. I thought this was all related to the accident, but now I’m not sure. It seems like it should be getting better by now, not worse. Any recommendations?

    • Jan Modric

      To mommy_of_2

      All or most of your symptoms are probably related to the accident. For example, spinal discs were damaged during the accident, and additional damage has occured due to later wear and tear, resulting in pinched nerves and therefore numbness.

      For the leg, physical therapy may help again. The nerves for the arms, regarding you have symptoms on both sides, are probably compressed in your cervical spine. Additional pressure upon the nerve may arise from the shoulder or elbow area – a neurologist or an orthopedist should determine this. Maybe a new MRI(s) of the spine will be required.

      An ENT can determine an exact source of tinnitus.

  • Crista

    I hope you can help ease me a little. I have had back problems in the past that resolve within a few days. I am a 27 yr old female and am overweight. I’ve had tingling in my left leg (still have feeling, its just a tingling sensation without pain) for a couple weeks. My lower back has hurt on and off for those two weeks as well. I have my computer next to my bed, and stupidly have been using my bed as a chair (with no back support obviously) and sit for long hours of time on my computer. I know this could be the cause of my pain, but would it also cause tingling in my left leg? Also, this morning i noticed a drop of urine on my leg after urinating maybe an hour earlier. Is this incontinence?, and would it be linked to my back problem? All i keep seeing is “spinal tumor” online and im freaking out. PLEASE help.

    • Jan Modric

      Crista,

      both back pain and tingling in the leg may arise from the same pinched nerve in the lower back. This is called sciatica. When it worsens, tingling may develop into a pain. Sitting on bed surely can aggravate such a condition. Also lying on a soft matress. But even prolonged sitting on a normal chair could. Common causes are bulging or herniated disc and spinal arthritis. Symptoms in spinal tumor develop slowly, and then they don’t likely resolve by themselves. Having breaks during prolonged computer use and walking can help. A drop of urine is not already incontinence.

  • Kyle

    For the past two days I have been having discomfort behind my knee, at my lower calf, and a tingly feeling on the bottom of my feet. It feels like it needs to go numb but isn’t quite there. It does seem to get better when I walk versus when I am sitting down, but it is constant overall. Just with various intensities. What could this be?

  • Kyle

    This is all in my left leg only.

    • Jan Modric

      Kyle,

      a pinched sciatic nerve in the lumbar spine can result in symptoms you’ve described. I recommend you to visit a neurologist or an orthopedist. Were you lifting or carrying something heavy before the pain has appeared?

  • Kyle

    No, I was just sitting on the couch and it hit me.

    • Jan Modric

      Kyle,

      pain relieved during walking and aggravated by sitting is commonly caused by a disorder in the lumbar spine. A neurologist can say which investigation can show the exact cause. You can expect CT or MRI of the spine.

      • Jan Modric

        Suffering,

        are you male or female, how old are you? What are your current symptoms: anal itch, rash in the groin, diarrhea, mucus in the stool, bloating, burping, skin rash or itch…?

  • Pingback: Leg Weakness - Causes and Treatment | Current Health Articles()

  • lsalas76

    Hello again

    I was diagnosed with a herniated disc back in November-December of 2009. I did not seek out treatment and I thought it went away. However I have recently started to have some back pain and severe leg pain in my left hamstring. Its is intensely sharp and extremely painful in the morning after waking up. I have been taking medications both anti-inflamatories and pain meds(vicadin) but it only stops the pain for a few hours. Is there something I can do to avoid the extremely painful leg pains I get first in the morning (i.e. certain ways to sleep, heating or ice pads, take meds at night). There is still leg pain throughout the day which is somewhat tolerable after medication but the morning pain is one of the worst pains I have ever felt and now I’m scared to go to sleep and wake up with pain and hope to aviod this if possible. Also what should if my job requires me to sit for most of the day.

    thanks again for your help

    • Jan Modric

      Isalas76,

      I recommend you to seriosuly speak with a neurologist or orthopedist about surgery.

      Using a hard matress (but not something completely hard), sleeping on one side, using a thin pillow, placing some cloth under the lower back are few things you can experiment. Having a walk, even in a middle of the night, if possible, having breaks and short walks during prolonged sitting, avoiding lifting or carrying anything heavy – this is what you can do. Painkillers are not long-term solution they can cause irritation of stomach, constipation and other problems.

  • Brandy

    i am 26 years old and I have had a tingeling burning sensation in my legs for a couple of years, I just had my third child 6 months ago and since then it has become extemely worse. my symptoms are headaches daily,migraine follows about once a week. my legs burn,feel like they are asleep and i can’t stand in one place very long at a time and i have to sit down. if i sit to long the same thing happens it’s driving me crazy. I also feel dizzy and have almost past out a few times. please any idea what’s going will help me.

    • Jan Modric

      Brandy,

      I strongly recommend you to visit a neurologist, who can tell where your symptoms arise from and which investigation you need to get a diagnosis.

  • Brandy

    i also wanted to mention the tingling recently started in my finger tips and when the burning,tingling first started in my legs it was only my feet now it has spread up to my thighs and it has a deep itch it’s on the inside. i’ve had my thyroid checked it was normal.i also had my back checked and he said that my neck bones were rubbing together i don’t know if that is a collapsed disk or not he wants to do steroid injections in my neck.i’ve also been to a neurologist he had no clue since it only happens when i stand in one spot and not when i’m walking i feel like i’m in a daze all the time i had a mri and a mra done on my brain today awaiting for the results so i was hoping you could lead me in the next direction if this is neg.i ask the doc was my neck the cause of it he didn’t think so.hope to hear from you soon.

    • Jan Modric

      Brandy,

      have you had MRI or CT of the spine? What was said to be “rubbing of neck bones” can be a degenerative disc disease (DDD) causing pinched nerves in arms and legs.

  • Brandy

    i just heard back from the doctor about the mri i had today.it was normal so now i’m stumped again. no i have not had a mri or ct of my spine which doctor would i go to for that and what would i say to them to have that checked.do you know if the (ddd) disease would cause all these symptoms including the head symptoms

    thanks again Brandy

  • Brandy

    i forgot to mention my legs from my feet up to my knees stay ice cold painfully cold and when my feet tingle it’s a neele feeling tingle.it’s painful which is why the doc had no clue i thought it may be paresthesia but he said no because mine is painful and if i prop my legs up they go numb

    • Jan Modric

      Brandy,

      headache arising from the spine would be felt on the back of the head up to its top (see blue area in this picture).

      Pain changing with moving speaks for a disorder in the spine or muscles, like psoas muscle. Thrombosis can be excluded by a blood test. Dizzines may be from several causes, including hypoglycemia or dehydration.

      If the MRI of the brain is clean, an mRI of the neck and lumbar spine seems to be a reasonable investigation. Symptoms from spinal disorders, including DDD, can range from numbness, tingling, burning, changed sensitivity for hot/cold to pain.

  • Deanne

    Hi,
    I have tingling/numbness in my fingers and toes (mostly right fingers and left toes). I also get facial tightening. Brain MRI was normal. CT scan normal. Octreoscan nornal. Symptoms are worse when I eat acidic foods. It definitely seems linked to eating – happens shortly after ingestion. Don’t have it at nighttime. It all began about 2 months ago when I was under tremendous stress (thought I had carcinoid, but it was ruled out). I changed to a veagn diet and 5 days later developed symptoms described. B12 is on low side 250, but am now supplementing and have reintroduced fish and some meat. Once after drinking orange juice first thing in the morning (on an empty stomach) I got a tingling sensation across my scalp. I had Hodgkin’s 27 years ago treated with mantle radiation. Had thyroidectomy 15 years ago and take synthroid. Have had seizures in past (3 times – no meds). 3-4 months ago had “anaphylactic” episodes but no food allergies found. Don’t know if I should see gastro, endo, neurologist, etc. Ideas? Suggestions? Thanks!

    • Jan Modric

      Deanne,

      is tingling in all fingers on the hand and on both back and palmar sides? Is facial tightening constant? When symptoms appear after a meal, do they completely disappear after some (?) time? Were anaphylactic episodes (which symptoms exactly?) related to meals? White blood cells and thyroxine are normal?
      Which exact acidic foods trigger symptoms? Oranges? Was allergy to oranges excluded? Excessive burping? Heartburn? Any change in bowel habit?

      If it’s food related, and regarding you’ve mentioned anaphylactic episodes, an allergologist should be able to tell more.

  • Deanne

    Tingling is mostly on first 3 fingers, both sides. Facial tightening is short lived. Allergies have been ruled out. Carpal tunnel ruled out. Yes, some heart burn and belching. This morning I woke up with mild heartburn. Anaphylactic episodes started with diarrhea, itchy palms, vomiting, flush, sweating, drop in blood pressure, labored breathing (not closed throat). TSH is low so synthroid dose was reduced. White blood cells slightly elevated (but I think I had a urinary tract infection at time of blood test). The carcinoid MD I saw thinks it may be autonomic nervouse system issue. Seems to originate in my gi tract so I am going to see a gastroenterologist (although carcinoid MD was a GI MD). Also hands some times get very cold (not white though). Some times left hand is warm and right is ice cold. I also have moderate to severe aortic stenosis. It seems like circulatory, GI, and nervous system all in one. GP is checking me for scladerma and celiac and wants an endoscopy. Going to cardiologist and they want a doppler test too. Everything came on suddenly when I was stressed. Could the stress have triggered something? Any ideas? -Deanne

    • Jan Modric

      Deanne,

      stress and a change in diet can be important. Try to write down your complete personal medical history, since every detail can be important. For example, “itchy palms” can appear in allergy or Hodgkin disease, among other, but not likely a symptom of disorder of autonomic nerve system. Autonomic system still can be involved, and all doctor’s suggestions sound reasonable. Were anaphylactic reactions related to meals (minutes after food intake)? I would not exclude allergies (to foods, meds, molds, air pollutants..). Elevated eosinophils in blood (to check) speak for allergies, so you can ask your GI about this.

      Symptoms worsening after acidic foods, heartburn and belching can be from gastritis caused by H. pylori infection – blood and breath test exist.
      Elevated leukocytes – doctor should tell if this can be related to Hodgkin. Itch, tingling, and other symptom mentioned, can all apear in Hodghkin disease. I strongly suggest you to ask for appropriate tests.

  • gregva1

    I have type 2 diabities and have severe burning/pins feeling on the top and ankle area of both feet and numbness on the bottom and toes of bothe feet. The doctor ran test and said it was most likely neuropothy. I had surgery on one foot tarpal tunnel release and nerve decopression, that helped for about a month then the pain came back and is now back to the same pain level in both feet. I am now experiencing burning and numbness in both hands. The docotrs think it may be sciatica but are not sure at this point? This has been so very painful and is unbearable to wear shoes I can not bare to even put scoks on my feet and I have to sleep with the sheets not touching my feet because of the pain. They have put me on Vicodin as well as gabapenten to ease the symptoms. They just changed to Lyrica to try and gain some relief. Do you have any other ideas of what could be the cause and or any treatments I might want to discuss with my doctor? Thanks for ANY help you can provide.

    • Jan Modric

      To gregva1.

      Male or female, age? Any other symptoms, even if not related? A serious and reliable neurologist should be able to determine the cause of these pains. Roughly said, pain can arise from neuropathy caused by diabetes, from inflammation or swelling in feet and wrists (tarsal and carpal tunnel syndrome) or from pressure upon nerves (pinched nerves) at some other point, like in the spine (example: arthritis or bulging disc in the neck spine would cause pain in hands and the same disorders in the lumbar spine would cause pain in feet – sciatica). You should aim to get treatment and get off vicodin as soon as possible, since it can ruin your life.

  • RoastLamb

    Hi, Three weeks ago I scratched an itch on the right side of my right leg, just above my knee and noticed that I next to the itchy place there was a band of skin with a loss of sensation. Ever since then the numbness has remained and the surrounding area now feels sore and when I press gently just above the numb area I get shooting pains in the area to just below my knee. I’ve read through this entire column to see if anyone else has my symptoms but no luck. I notice the soreness more when I move/walk about. What do you think it could be? I am female, 41, play tennis regularly, take no drugs except a B12 vitamin shot every month.
    Thanks you!

    • Jan Modric

      To RoastLamb.

      Do you think it could be a sport injury? A sport doctor or orthopedist can give you a diagnosis.

  • emtravalford

    I am 33 year old female. About 10 years ago I had a desk job that caused me to bend and turn at weird angles and I ended up with tingling in my lower legs and feet. After trips to the chiropractor, it resolved and no more problems. Now, 10 years later and 2 children later, I am a stay at home mom. I had some lower back pain last week but it seemed to resolve with Motrin. Now a week later I am having tingling/”feeling asleep” feeling in my legs and feet, and it goes up in pelvic and pubic area as well as in the last two fingers of each hand. I know I sound like a nut but can you help me out? I recently went in the to chiropractor for an adjustment but it did not provide much relief. The tingling is the worst first thing in the AM when I get out of bed. Thanks.

    • Jan Modric

      emtravalford,

      Symptoms in legs, pubic area and back can arise fro the spine (from spinal arthrotis or degenerative disc disease (DDD) resulting in bulging/herniated sisc(s). Symptoms in the hands can arise from the cervical spine (from the same reasons) or from presing on the ulnar nerve in the elbows area (leaning on the desk for prolonged periods). Symptms worse in the morning tell that the way you sleep or (soft?) matress you use aggravates the disorder in your spine.

      A neurologist or orthopedist can order CT or MRI of the spine to confirm diagnosis. Having a hard matress, avoiding prolonged sitting and lifting heavy objects can help a bit.

  • michele

    Hi.
    1 1/2 years ago I decided to up my exercise regimine as part of getting back in shape after Baby #5 (He was almost 1 1/2 at the time). That night (and each night thereafter), I had R. leg paresthesias making it hard to sleep. Over a period of 3 months, this worsened (only at night–no problems during the day) and began to include my R. arm. I finally went to a chiropracter. She said I had a posteriorly rotated sacrum on the right and put me in place. All symptoms disappeared– until 6 wks later when I went off some natural hormone supplements I was taking for milk supply (I also weaned the Baby at that time). My sacrum went “in” & “out” over the next 8 wks as I weaned–off Baby and supplements. Then, I finally got “in” again… adn it seemed to hold, but I discovered that my right piriformis began to go into spasm regularly… causing similar paresthesias at night. I went to a PT friend (for free– I am a PT too) and he corrected me for a anterior rotation of the right ilium. Again, all symptoms disappeared (He also put me on stabilization exs for the pelvis.) This complete relief lasted 4 months. At that time, I wanted to increase my exercises to get back to full function (I was on high impact restriction.) My PT said I needed to do 20 min of aerobic conditioning for 2 wks-before I could add to my program. I started stationary biking. After 5 times or so, my piriformis spasm (and paresthesias) on the right returned…. I returned to him and (because I was still doing mobilization exercises along w/ the other exercises) found that my ilium seemed okay (off a little, but that is has been typical) and that I did have a post sacral rotation on the right again (mild-mod). 2 days later, he suggested we try treating as if it is a disc, tho he admitted the symptoms did not fit what he usually sees w/ this (as I agreed) Anyway, I went on all kinds of extension exercises, self traction, then flexion postures and mild mob to address it… my syptoms worsened/changed. My r. foot started to feel cold off & on. I got lightheaded & dizzy several times, etc. I checked myself (w/ the help of my husband) and discoved my sacrum out again. I got it back in myself and this relieved the constant tinging misery I had gotten into after all the disc exercising. Currently, I am exercisign to keep my sacrum in: sometimes is stays in most of the day, often it quickly wants to slide out again. But, now my right foot is cold most of the time up to above the ankle (whether I am in or out) and I can see that my veins (spider adn regular) are more visible. I still have r. paresthesias off & on when lying, & piriformis spasm (w/ prolonged sitting) The paresthesias can be somewhat controlled if I avoid pressure on my right buttock and extreme hip extension it seems.
    History: hormonal issues: 3 miscarriages and milk supply problems after last 2 babies (requiring the natural supplements which really helped). Also increased tendency towards headaches since Baby… tho only one migraine. Also, vericose veins on the right. I am big on good diet: no refined foods, lots of produce, little sugar etc. Never have smoked. Normal weight. 40 years old.
    What are your impressions?
    Could this be hormonal???? It’s the cold in my foot that has me stumped the most. Who should I see next? I have to be choosy as my insurance is not the greatest…My PT friend is at the end of his expertise…
    Thanks

    • Jan Modric

      michele,

      physical adjustments of the spine helping several times, and cold foot on one side speak for a physical problem in the pelvis/lumbar spine. Degenerative disc disease or other disorder at L4-L5-S1 level could cause change in the position of the sacrum. It seems, like an orthopedist could do appropriate tests: ultrasound of the pelvis, CT/MRI of the lumbar spine.

      The foot could be cold because of a pinched L4-L5-S1 nerves (that innervate the foot and foot vessels). Blood flow through the iliac vein could be also affected. Blood test for thrombosis may be necessary.

  • stacybeeme

    Hi, I’m 30 years old, female, and for the last few months, I’ve had severe numbness and tingling in my right thigh. I will wake up with bruises from scratching at night. It feels as though there are bugs crawling just under my skin. Lately I have noticed it during the day as well, and frankly, its quite annoying. And this sounds completely ridiculous, but I went tanning today for the first time in2 years, and immediately felt the sensation of crawling under my skin in that area. It seemed as though whatever it was tickling my leg was trying to get away from the uv rays, moving to the outside of my thigh. Crazy, I know. Help!

    • Jan Modric

      stacybeeme,

      reagrding you have scratched the area, would you say it was an itch? Was it entire thigh, or only inner thigh? Have you changed some clothes or soap few months ago? Anyone in your family has some blood or vascular disorder, or spinal disorder?

  • Peaches

    Hello Greetings, Over the past few years I notice my left fingers hurl a bit nothing severe but recently my left arm and hand becomes numb ,sometimes tinglie then over the past few weeks my left leg around the knee and thigh became stiff , and looked a bit swollen ,could you advise me as to what I may be suffering from?

    • Jan Modric

      Peaches,

      – if hand and leg symptoms are from one cause, it can be a disorder in the right brain (a mild stroke, TIA…)
      – if there are separated causes, it can be: a disorder in the neck and lumbar spine, enlarged lymh nodes in the groin, thrombosis of the leg veins…

      Your symptoms sound serious enough, so I recommend you to visit a neurologist.

  • Marie126

    Hi,
    Recently i have been experiencing a pins and needles type feeling in my foot. this has then developed into a numbness. shortly after there is a pain in the back of my knee which makes it hard to sit in the current position, soon after though i start to lose feeling in my foot completely. i try poking and pinching it but cant feel it. then my whole leg gets paralysed and i cant move it at all and when i try to get up and walk i cant. this usually happens when i sit in a certain position for about 30 minutes. at first i thought it was nothing but now i am starting to get quite worried.

  • Marie126

    also i have just experienced itchiness on my left foot

    • Jan Modric

      Marie126,

      I recommend you to see a neurologist, since these symptoms can be from a pinched nerve(s) in the lumbar spine. Avoiding body positions that trigger symptoms can help in meantime.

  • Deanne

    I wrote in about numbness in my hands and feet. Started getting daily vitamin b12 shots (oral did not do the trick) and after only 2 days I feel some relief. We knew my b12 was on the low side (250), but most doctors did not put much weight on it even when I brought it to their attention. Will be checked via endoscopy for pernicious anemia (the stomach cannot absorb B12). A note to your subscribers…if you think something is wrong, keep looking until you find someone who can help you. I went to internist, oncologist, gastroenterologit, endocrinologist, neurologist, and finally a 2nd gastro who suggested pernicious anemia. He gave me 1 shot. After I read on line about pernicious anemia most people get daily shots for 4 weeks then monthly shots, I asked my internist for the daily shots. You must be your own advocate.

    • Jan Modric

      Deanne,

      if you find other interesting things during your treatment, you’re welcome to share them here, if you want.

  • robinbw700

    i am a 54 year old female dont drink smoke or do any drugs 5 foot6 129 pounds walk 2 miles a day ,,,for about the past 2 years i have a small patch of skin the size of a golf ball on the outside of my left knee, just below the knee that is numb only on the surface of the skin. it hasnt changed at all or increased in size. sometimes when i am up on my feet alot it might at times burn a little but not terribly. also i have lower back pain that when i pick up anything heavier than 40 pounds i have throbbing pain and most of the time when i bend over and stand back up its just a constant dull ache. recently my left knee has been causing me arthriris like pain that hurts to squat and go down stairs. when i sit on a hard surface then i might get a little tingling in my legs but that goes away when i move around no other symptoms of anyhting else.

  • robinbw700

    p.s. im parranoid it might be MS due to the fact that i have a mom and 2 sisters that have it but symptoms just dont add up.. oh by the way when i was 16 i had a mini bike wreck on that same knee and the top of the knee was numb then. i hope you can tell me it is all something else. its hard to deal with 3 family members with MS.

    • Jan Modric

      robinbw700,

      localized area, constantly numb, can be from an injury of a local nerve. Lower back and leg symptoms aggravated by lifting things and body movements are usually from a pinched nerve(s) in the lumbar spine. Diagnosis is with CT or MRI of the spine. I recommend you to visit a neurologist.

  • SHERRY

    HI,
    I AM HOPEING YOU MAY BE ABLE TO HELP ME BECAUSE I DON’T KNOW WHERE ELES TO GO.

    PROBLEMS-LEGS BURN,TINGLE,AND ITCH.THEY STAY EXTREMELY COLD.THEY FEEL NUMB LIKE THEY HAVE FELL ASLEEP WHEN I SIT.AND WHEN I PROP THEM UP MY FEET AND FINGERS GO NUMB.RECENTLY MY FINGERS GO NUMB.NORMALLY IT’S JUST MY FINGER TIPS BUT YESTERDAY IT WAS ON THE LEFT HAND AND IT WAS MY PINKY,RING,AND MIDDLE FINGER ALL THE WAY DOWN THE PALM OF MY HAND.IT IS SPREADING WHAT EVER IT IS.IT USE TO ONLY BE MY FEET THEN SPREAD TO MY LEGS AND NOW MY FINGERS.I GET HEADACHES,DIZZINESS,AND I FEEL LIKE I’M IN A DAZE ALL THE TIME.

    DOCTORS I’VE BEEN TO-2 FAMILY DOCS RAN BLOOD TEST FOR VITAMIN DEF.(NEGATIVE)CHECKED FOR THYROID DISEASE (NEG) NEUROLOGIST DID MRI OF THE BRAIN(NEG) VASCULAR DOC(NEG)HE SUGGESTED I GET MY PIUITARY GLAN CHECKED SO THAT WILL BE NEXT ON MY LIST AND I WENT TO A SPINE DOC HE DID AN X-RAY WHO SAID I HAVE DDD AND A TILTED PELVIS BUT HE WASN’T SURE IF IT WAS CAUSING MY LEG PROBLEMS BUT HE DID’NT THINK SO.SO ONCE AGAIN I’M BACK AT SQUARE ONE I DON’T WANT TO GIVE UP BECAUSE I KNOW THERE IS SOMETHING WRONG I JUST DON’T KNOW WHERE TO GO NEXT PLEASE HELP

    • Jan Modric

      SHERRY,

      X-ray of the spine can provide only a rough image of spinal disorders. To determine an extent of DDD and an exact position of affected discs, CT or MRI of the spine would be required. DDD often results in pinched nerves causing symptoms in sharply delimited areas, as one half of the hand, toe tips, and so on.

  • RoastLamb

    I wrote earlier this week about a numb band on my right thigh above my knee. I have since seen my doctor and she got me to do an ultrasound on my numb right leg and she says I have fluid there – bursitis? And has put me on anti-inflammatories. And she is sending me to a neurologist.

    • Jan Modric

      RoastLamb,

      thanks for sharing, interesent info. A sport injury could be one possible cause, but doctors will tell you.

  • confusedgurl

    hey, I have had this problem for a little over a year now…maybe longer im not sure. I am 22 and I have had repeated numbness in my feet, like ALL THE TIME. at school, during a 100 minute lecture, my feet fall asleep 4-5 times. And i dont even have them crossed or anything, and i keep on changing my position. After the numbness goes away, my feet become really really cold. And this not only happens at school, it happens everywhere all the time, when im at my computer, when im in a car, when im watching tv, and this all happens even if i dont have any pressure on my feet. What should I do? This problem is becoming annoying, and painful!! Please Help!

    • Jan Modric

      confusedgurl,

      numbness, pain, and cold feeling can be from a pinched sciatic nerve (for example, from a bulging disc in the lumbar spine). Another possibility is venous thrombosis or a vascular disorder. I strongly recommend you to visit a neurologist.

  • confusedgurl

    thanks so much for the tip, i will be visitng a doctor soon, and when i do i’ll let you know how it went

  • stevenfmarks

    Jan, I have emailed before and have had classic L5-S1 sciatica symptoms. I have DDD at the L5-S1. I have had a NCS from a neurologist and have axonal deficicienes in the deep peroneal and sural nerves. I am getting muscle fascilations on my right instep and have had a Babinski type cramp in the same foot. Have had all the tests including Athena Diagnostics and still have idiopathic PN. Should I try surgery to see if that fixes the leg problem. Do I have ALS?

    • Jan Modric

      stevenfmarks,

      the question for your neurologist or neurosurgeon is, if “axonal deficiencies” and “positive Babinski sign” can result from pinched nerve(s) (in the spinal cord) or they are a sign of a disorder in the brain?

      Next, it would be a great information for your doctor, how your pain changes throughout the day, what triggers or relieves it. You’ve mentioned you feel the pain in the morning, and that it lessens when you walk, but yoa were kinda not sure. It is important, if you can clearly say, if the pain changes with body movements, walking, sleeping, do you feel pain when lying on your back and lifing your feet one by one…From this your doctor can think where the pain originates from.

  • tposton03

    Back in 2004 I had a four wheeling accident. I went off a 65ft drop off and the four wheeler and I rolled several times. Half my body was so severely bruised most people didn’t recognize me. They never found any broken bones as much as I could of swore I broke my hip. Now almost 6 years later I still have alot of hip pain and tingling pin pricking sensation that runs from my back do to my knee on the right side. I have seen where walking helps, but then the hip and the muscles in my back starts to hurt so bad that I have to sit. I have issues with sitting, standing, sleeping in one position to long because of the pain. I have gone to the doctor, but they never find anything wrong. I need some suggestions on what to do and where I can go.

    • Jan Modric

      tposton03,

      I suggest you to visit a neurologist or orthopedist. Your symptoms sound like “sciatica” and can be, if I mention only few posibilities, caused by a pinched nerve(s) in your lumbar spine (due to bulging/herniated disc or injured vertebra) or from a dislocation of pelvis bones or inflammed muscles (like psoas muscle) in your pelvis. Spinal disorders can be detected by a CT or MRI of the spine.

  • Jessie’s Mom

    My healthy 16yr old daughter woke up a few weeks ago with swollen, puffy toes and fingers which were sensitive. I took her to a doctor who tested her urine and said that there was nothing wrong with her. I pointed out that swollen fingers and toes are not normal and that there has to be something wrong. I asked whether it may be an allergic reaction to something, but he didnt think so. She wakes up each morning, with varying degrees of swelling and sensitivity and soreness. On the second day of swelling she had some red spots on her legs, but nothing since then. I had bought a new mattrass for her bed, and she slept on it before I had it cleaned, a week later. Are bedbugs on this new mattrass a possible answer? I gave her an antihistamine, which seems to have helped. Do I need to complete the course?
    Can you help me with what this may be caused by?
    Thank you

    • Jan Modric

      Jessie’s Mom,

      if antihistamines have helped, it means it was either an allergy or other condition with increased release of histamine in the blood. Did red spots looked as bumpy hives? They could or could not be related to swelling…Bed bugs do not likely cause symmetrical swelling in all fingers and toes. Has she eaten something different or taken any drug the day before swelling has appeared?

  • markpre

    Two months ago I injured my back at work they’ve done a mri but it didn’t show anything. I stay about half numb from my waist down, I’ve had 10 sessions of physical therapy but still can only pick up my right leg about 3 inches and my left leg only about 1 inch. They’ve finally approved for me to be able to go to a nuerologist but it’s going to be a while before I can get in any suggestions what could be wrong?

    • Jan Modric

      markpre,

      the neurologist should check your existing IMR image and tell, if there a bulging disc or some other disorder can be seen. If not, an ultrasound investigations of pelvic muscles and bones might be the next investigation, but neurologist should decide.

      In meantime, experiment with different sleeping positions, avoid anything what aggravates your symptoms. Hard to tell more in this situation. Can you arrange an earlier appointment? If muscle weakness or leg swelling develops, see the doctor as soon as possible.

  • Moshorocky

    Hi everyone. I am currently being treated by a physical therapist for vestibular issues and a bulging disc in my neck. I have recently had a problem walking. It feels like my hip needs to crack, as I can only move my leg so far. Also when I am walking, I have little movement from my leg, like my knee does not want to bend. It makes my leg feel like a hard log, if that makes sense, when I do anything with it. It used to tingle, but the tingle has gone. Any ideas?

    • Jan Modric

      Moshorocky,

      a CT or MRI can show, if you also have a bulging disc(s) in the lumbar spine. Inflammation of certain pelvic muscles is also possible…To say more, I would need to know how and when your symptoms started.

  • Moshorocky

    It has been bothering me on & off for a few months, maybe once a week. The past two weeks it has gotten worse, every day now. When walking through a store at first, everything would be fine, but about 10 minutes after any type of walking it progressively gets worse. Now it’s even when I’m sitting, sleeping or standing. Could the bulging disc in my neck cause this too? Or could this be an additional lower back problem. Only in my right leg too.

    • Jan Modric

      Moshorocky,

      one bulging disc usually presses only upon one nerve that supplies a particular part of the body. Nerves arising from the cervical spine supply the arms, and nerves from the lumbar spine supply the legs. So, it is unlikely a bulging disc in your cervical spine would cause leg symptoms. Your doctor can judge about this by checking your existing (CT, MRI?) images.

  • Jessie’s Mom

    Thank you for your prompt response. The bumps were little red pinpricks, all in one area on the front of her thighs. No raised bumps, no itching. The first time it happened, she woke up with her hands swollen, especially between the knuckles and the first joint of both her fingers and her toes. She has a childhood scar on her knee, and even this was slighly swollen. She now wakes up every morning with the soles of her feet and the palms of her hands puffy and sensitive to touch. The Doctor that we saw looked at the actual swelling and said that there was no odema (sic). Our diet is very regular, we eat a lot of vegetables – she drinks a lot of water and plays hockey daily, so is fit and healthy. She has never been on an antibiotic in her life and is seldom ill. We have been eating more chocolate than normal recently. We have gotten into a habit of eating chocolate in front of the television after dinner at night. We have been doing this for a few weeks now, and never did it before. The only things that are different are this, and the new mattrass that I got for her bed. The swelling happened within a week of sleeping on this mattrass. Is it possible that if she had a reaction to something that it needs to work itself out of her system? This has been going on for about 3 weeks now. I have had her on the antihistamine for about 4 days now. It helps during the day, but she wakes up with the swelling the next morning. Should I wait and see what happens, or should she be tested, and if so, by whom?
    Thank you very much.

    • Jan Modric

      Jessie’s Mom,

      so the swelling appeared for the first time only after you’ve changed the matress? I recommend you to change the matress again and see. From the facts that antihistamines help, swelling reappear each morning and affects only hands and feet (which I assume are only body parts that touch the matress), an allergy is likely. I recommend you to call an allergologist and ask if they need a sample of the matress for the test. Fabric, mites, mold, or something other can trigger an allergy. Skin tests, either by injecting certain substances into the skin, or patch tests (pathces with different substances glued on the neck) are done to determine an allergen. Your daughter might need to wear patches for three days…you can ask all this by phone.

      Still, it can be a coincidence. Mention the chocolate and eventual other new foods to an allergologist. Also mention eventual special socks and gloves she wears at hockey.
      Another possibility is arthritis or related disease – a rheumatologist can make appropriate tests.

  • Tom

    Numbness in my left leg, just above the knee. Affected area no bigger than 4 inches. No associated pain, but a hot (not tingly) sensation when I sleep. Thinking DVT, but not sure.

    • Jan Modric

      Tom,

      an inflammation of the knee or adjacent structures (for example, bursitis) is possible. I recommend you to visit an orthopedist or rheumatologist.

  • mary

    I have numbness and tingling on the fronts of my thighs and toes i have operated 5 times for carpel tunnel syndrom and still having problems with my hands my question is why am i having this numbness and tingling

    • Jan Modric

      mary,

      I suggest you to find a reliable neurologist or orthopedist, who can make a careful neurological examination and order CT or MRI of your lumbar spine (to check for pinched nerves) and appropriate investigations of pelvic muscles (like psoas muscle), if necessary.

  • tiredofpain

    Hi need help, im a male who Fell down in beginning of 2005. Had mri done and emg test done and had spondyolitis,ddd, and sciatica. Tried physical therapy, in jections. precription pain meds and that didnt touch the pain. So I had in late 2005 I had back fusion,When I was still in same pain had another mri and then then a refusion in late 2006 since 1st one didnt work. When again pain was still there and sciatica was getting worse had laminectomy in early 2008. So 3 major back sugeries since late 2005. My last surgery was 2008 lamenectomy. All My surgeries were done by same neurosurgeon that I seen since my fall. He moved out of state so I had to find another neurologist. Today even after 3 surgeries and on major pain med for back pain. med for sciatica, and med for sleep Im only a little better pain level for my back, But still cant sit or stand for too long or servere pain will come on., Cant do what I used to do or go like I did before the surgeries and fall. Yes I can sleep with med but only for about 4 hours then wake in severe pain because I was in same postion while sleeping. I havent slept a full night sleep since my fall in 2004. Med for sciatica only statred about 5 months ago but now pain in both legs as before pain only in 1 leg. Had emg and nerve conductive test last week and my neurologist said I srill have neuropathy but now in both legs. My fall was caused by wet floor, slipped 2 times and hit lower back on shelf I also have had this spot on my lower back since 2005 thats the size of about quater that I can feel like a bump and when anyone slithly presses on it My pain level goes to highest level possible. When I talked to neourosuegeon was back in 2005 he said surgery would get rid of that and would get rid of all back pain and sciatica.
    I dont drive, never smoked and only about 20 pds overweight. Tried all different injections for pain didnt work. Also physical therapy chiropacter too and nothing has worked. No other health problems
    Wouldnt anyone think that after 3 major back surgeries since late 2005 I would be better and able to do things and not have the foot numbess, tingling, pain and sever pain back?. And that small part of back {its right on left side on lower vertibrate about L4-5} like I said feels like a lump size of quarter that when pressed on slightly make me go thru the roof with the pain Has been there since my 1st surgery in late 2005 on l4s1. Why hasnt that gone away either? My grade level was s1 now its s2
    After 3 surgeries in 4 years and still have back pain and neuropathy Im sad, depressed mad, and very frustrated. With recent emg saying still have neoropathy and recent mri saying back have ddd and scar tissue and bulging disc which 3 sugeries should of cured that. What do I do when neurologist says you need another surgery? I cant bear to go thru another one knowing 3 surgeries failed. Why didnt past surgeries fix my back? Isnt there anything that can help me ? Had another doctor look at mri, emg, me and had me do alot of test in his office and he said I have failed Back syndrome? What is that? With all meds in on Im tired and sleepy all the time. So I cant take theM all the time as I have children. And when I dont take them im in severe pain and tingling in legs, lower back, right foot falls asleep, My neuropathy was only in 1 leg now its both legs. When I told my neurologist I still couldnt sleep at night and only sleep 3-4 hours then wake up in sever pain in legs and back and i need help sleeping. He said “im not a sleep doc go to sleep clinic.” He a neuro doc that knows why I cant sleep. He did recent emg that found neorpathy that keeps me awake at night and mri showing back problems. He also said to my face about ssi “if I have to go to court about your ssi Im not going and you will need to find new doctor. Im too busy to do that” Is he allowed to say and do that to me? Drop me as patient because he might have to go to court regarding my getting ssdi? This only make me madder and sadder and more angry. Im have anxiety problems now with anger, crying alot and sleeping problens and pain issues regarding everything ive gone thru. With the surgery failures, not able to do things, cant do things with children like I used to, i cry alot about thse issues, im upset, mad frustated.. Who can I see about these issues? I never had any issues{sadness, crying alot, mad, anger} before my fall. I dont show my feelings about this in front of my children. Who can I see about sleep problem{sleep clinic is booked up for at least 6 months.? I cant wait that long. Primary care doc said to me the med ive been on for 2 years should help you sleep. I said it helps only for 3-4 hours the most and I wake up in severe pain from being in same position for that long. she said well if thats not working I cant help you. I tried pain clinic and they only do injections and Ive already gone thru that and it failed. Please help. Please Try to answer my questions if possible. ive gone thru so much and im at my wits end. I thank you so much in advance.

    • Jan Modric

      tiredofpain,

      how old are you? Do your pains lessen or worsen during the day? Is that lump on your back the main thing that bothers you currently? If your doctor is of no help and he is rude, I recommend you to consider to find a new doctor – a reliable neurosurgeon or orthopedist. The doctor can then check your medical documentation and judge what could still cause your pain. A surgery not done well can be a cause of pain and other problems – this is called a failed back syndrome. This is a judgmenet rather than a firm diagnosis. Regarding diagnoses you’ve listed, your problems may arise from the vertebra, articles between vertebra, discs and other cause of “neuropathy”. When surgery is done on one site of the spine, the other problems still remain there and need to be treated separately. If surgery is not done well, a corrective surgery can be made.

  • Sore

    Dear Jan,

    Wondering if you could give me any advice. I have been suffering somewhat for over a year now, underactive thyroid,anemia but these are controlled. However I suffer from wat i can only describe as dead legs from my calf downwards,but also radiating up my right thigh. This leg seems to be the worst. my feet feel coldish to touch and to me. I have an achy lower back. There is also tingling in my legs and I have these intermittent sharp or electric type pains all over my body. My legs feel weak and if i walk any distance my calves really ache.I am also constantly tired.

    Any advice would be appreciated.

    • Jan Modric

      Sore,

      when did you checked your thyroid levels?

      In hypothyroidism, the so called myxedema (or pre-tibial edema) can affect the lower legs. Feeling cold and tired can also be symptoms of hypothyroidism.

      Additional or other cause can be a pinched nerve in your lumbar spine. Tingling, weakness, cold legs, lower back aches, electro-shock pain, symptoms worsening with walking can be all from a pinched nerve…

      I recommend you to visit the doctor and ask about:
      – blood tests for TSH and thyroxine levels, iron, vitamin B complex
      – MRI of your lumbar spine

      You can check this personal medical history questionnaire to see if you can recall any other symptoms, triggers, circumstances, medications..

  • carmel

    hi i have tingling in right hand in finger had op carpal tunnel still the same and have tingling in both legs and big toe what causes this

    • Jan Modric

      carmel,

      tingling in the arm and in both legs can arise from a spinal disorder (degeneration disc disease (DDD), spondylytis…), or local swelling or inflammation in the legs (in hypothyroidism, rheumatoid arthritis). It would help a lot if you can mention eventual other symptoms and their time course.

  • carmel smith

    i had carpal tunnel op still have tingling in fingers right hand
    also i get tingling in both legs around shin area and in big toe what can cause this. hope you can help.
    carmel smith

  • Sore

    Thanks for your response. My thyroid levels were checked about 12 weeks ago and my thyroxine was increased. I am also on iron. The sensations that I am getting are getting worse rather than better. I know it can take a long time for meds to kick in but I have been on my new dose for 3 month and wouldnt expect to get worse. Also I forgot to mention I also keep waking up with dead arms and legs. For instance last night i was awake several times and it hurts.

    • Jan Modric

      Sore,

      both arms and both legs were dead? In your previous post you’ve mentioned electric-shock-like pains – these usually occur when nerves are directly affected. I recommend you to visit a neurologist.

  • John

    Hi. I’m a 24 year old male, and I’ve noticed a bit of tingling on the sole of my left foot only over the past couple days. There is no numbness or pain, it’s just annoying. No other symptoms that I’m aware of.

    I sit at a desk for most of the day. I lift weights 3 times a week, but try to keep my lifting form proper as to not injure myself.

    Could this be a pinched nerve? I’ve been paying attention to how I sit, and noticed that the bottom of my thigh is usually pressing against the edge of my chair. I’m going to try to sit with more proper posture for now.

    • Jan Modric

      John,

      the thigh pressing against the chair can be a reason. It’s like one leg falls asleep when you cross your legs. If you ever notice weight lifting results in pain in the lower back, buttocks, thigh, calf or feet…it’s likely from a pinched nerve.

  • naveed

    Dear Sir,I had problem during driving my car 6 months back when my right leg fall asleep for one or 2 seconds, reason was wallet which i removed and every thing was ok but after a day or half had pain would not walk easily, got treatment used medicine, in addition got high blood pressure after said incidence (week), currently i had joined jim for exercise as per doctors advise to reduce weight which is now 83kg hight 5 feet 6 inches, but still have some times Tingling Feet and buttock numbs (reduced compared to 6 moths back), furthermore before all that had back muscle pull while moving home refrigerator, my job is desk sitting, kindly advise

    • Jan Modric

      naveed,

      additional to “muscle pull”, a cartilagineous disc in your lumbar spine was possibly injured and is now pinching a sciatic nerve that suppies your right leg. I recommend you to visit your doctor, mention this event with the refrigerator, and ask, if physiotherapy would help. If not, you would likely need to have a CT or MRI of your spine to check what exactly has happened in your lower back.

  • brandy

    i wrote you before i had tingling,burning and numbness in my legs and spreading to my fingertips i had a mri of the spine and they said i have scoliosis and narrowing could this be the cause of my problems and would that also be the problem in my fingertips or could that be from the ddd in my neck and the scoliosis is in my lumbar spine should i have a mri of my neck or could my neck problems also be from scoliosis

    • Jan Modric

      brandy,

      in general, disorders of the neck spine cause symptoms in the neck, shoulders, arms, hands or fingers, and disorders in the lumbar spine cause symptoms in the lower back, buttocks, legs, feet or toes. When there is more than one type of a disorder present, a neurologist should tell which exact disorder causes which symptoms. In your case the cause may be the narrowing of the bony canal where the spinal cord runs (this is called spinal stenosis), narrowing of holes in the spine through which spinal nerves come out from the spinal cord, DDD resulting in bulging or herniated discs or something other. I believe the doctor who has performed the MRI has descibed all details in the report, which is a part of your medical documentation.

      You can ask the neurologist:
      1. What would it take (which investigation and treatment) to get rid symptoms in the arms
      2. The same question for legs.

  • robinbw700

    also on my earlier post with the problems i was having that prompted my first question. they have resolved due to the fact i came off all diet foods and drinks that had asparatame sweetener in them .. i believe it was asparatame poisioning. any thought on that

    • Jan Modric

      robinbw700,

      if you believe dropping aspartame has helped you, I encourage you to stick with what you believe. Intuition can be a good guide. Problems with your knee and back, especially if they are obviously related to physical effort, can have other causes, though. A lump behind the knee can be from inflammed bursa (bursitis), and pain in the back can be from a disorder in your spine. Symptoms you’ve described do not typically appear in MS.

  • kalyn

    I have been dealing with cerivcal and lumbar stnosis, mylopathy and radiculothy for over a year now. Two weeks ago I tried to show my husband how to hang the curtain up , whne I raised my arm and tiled my head my leg began began to shake then the other one. With in a split second my arms were flapping allover the place I looked like a fish out of water. I tried to grab ontowindow and dresser and had absolutley no control of my body. My husband was calling my name but it seemed distant. He grabbed me from behind the waste and then my head flew back, eyes rolled back and body went limp. My husband lowered me to the floor. At first I had not feeling then with in seconds it all came back. All this happened within 30 seconds at least that is what my husband said. It seems a life to me. Does anyone know what this might be.

    • Jan Modric

      kalyn,

      there could be several explanations, why exactly those symptoms have occured. The probable underlying cause are disorders in your cervical spine. While raising the hand and tilting the back, a blood vessel or the spinal cord in the neck could be compressed resulting in a seizure. I recommend you to see a neurologist to get a proper diagnosis and discuss about treatment.

  • nlarios

    I have a constant tingling sensation on the left side of my thigh. it does not go above my hip or below my knee but my leg constantly feels as if it is asleep. I was wondering if anyone knew any causes?

    • Jan Modric

      nlarois,

      is tingling sensation constant and does it changes with body position?

  • Mark Gordon

    OK, I have something weird going on. I’m feeling something like a wave on the left side of my upper leg. It seems to move. The only sensation I can equate it to is when you have a head cold and you feel your scalp kind tingle and pull. It feels just like that, in one spot on my left leg.

    It just started a couple days ago. I feel this when I sit, or lay down. I don’t have any pain, numbness or tingling, except for the spot is where it tingles. Kinda like my skin is pulling. It comes and goes in waves.

    Any ideas?

    • Jan Modric

      Mark Gordon,

      so the feeling is clearly aggravated by sitting and lying down? This speaks for a disorder in the lumbar spine (like a pinched nerve).

  • Mark Gordon

    Thanks Jan!

    I have noticed lately now that I’m sleeping elevated that I wake up sometime with my hips burning, so I’m obviously not sleeping correctly.

    I think I’ll find a good chiropractor who can perhaps make some adjustments.

    Much appreciated Jan. Keep up this wonderful thing you’re doing!

  • 10USNUT

    My lower legs have severe shin splints several hours after playing tennis. I have to get up and walk around, sometimes all night to keep them from cramping. Also have pain radiating through the tops of my feet. Both sides. I know that I have a slight herniated L4-l5, but do not think this is related. I am subject to cramping, but usually only in my hamstrings. Any possibility of circulation? I am on Plavix and asperin already. Thanks

    • Jan Modric

      10USNUT,

      it can be herniated disc, usual muscular fatigue after an exercise, when you are not fit enough, hypokalemia…Here is an article about causes of leg cramps at night.

  • klind

    Help,
    I am a 43 yr female with a constant back pain mostly on left side which also shoots pain down my left leg and into my foot, i also have swelling in my legs and feet all the time i was out last week walking with my husband and got to a certain point my legs locked up i could not take another step for about 3 mins…the last 5 months i have had frequent leg cramps and my toes knot up. I have had an MRI and Cat scan neither one has shown any problems, the pain is about to push me over the edge and im at a complete lost as to what to do from here this pain is real not in my head they keep giving me medicine but it does not help i just want to know what could cause this and not be picked up on a scan.. Any suggestions would be appreciated..

    • Jan Modric

      klind,

      the leg swelling is occasional or constant? Have you been checked for venous thrombosis?

  • The tops of my feet near my toes have a tingly or slight burning sensation laying and sometimes sitting down. I have no other symptoms. At first it was occasionally at night, but has recently become more persistant, sometimes keeping me awake at night.

    • Jan Modric

      beachldymkl,

      pain in the feet changing with a body position can be from a pinched nerve in the lumbar spine. I recommend you to visit a neurologist or orthopedist.

  • Stelle

    Please help.

    I am a 38 year old female. In late September of 2009 I injured my back lifting a heavy object. I hardly ever go out anymore as I am in constant pain and I can’t sit or stand for longer than 15 minutes at a time.

    I saw my GP for 4 months and x-rays were taken. Only showed “normal degeneration” of the right side and degeneration of the L4 & L5 vertebrae. I have also been taking lots of prescribed anti-inflammatory painkillers (none helped)It got so bad (the pain) that by January of this year, I was going for painkilling injections twice a week, just to get by.

    Also around that time, I started experiencing numbness and weakness in my left side, from my shoulder down to my foot. My GP referred me to an orthopedic surgeon. He had an MRI done of my lower back, which did not show up anything.

    I had physiotherapy for about 2 months, and am still continuing with the excercise program, twice daily.

    The orthopedic surgeon also suggested a “Facet Block” (injection directly into the facet joint) and it worked wonderfully! I was told I should be pain-free for about 2 to 3 months. I was “pain-free” for about 3 weeks… and now the pain is back with a vengeance.

    But what is worrying me the most at the moment, is that about 2 weeks ago, I started getting pins and needles (along with the weakness) in the fingers of my left hand. About a week ago, this sensation “moved” into my arms and now in my left leg and foot. My GP prescribed a drug called Amitryptiline which I have been taking for 2 weeks now.

    The tingling (pins and needles) are getting worse – the pain is still the same (lower back and left leg) and now I have to bear the side-effects of this drug too : blurred vision in my left eye, tremors in my left hand and arm, dry mouth, loss of appetite. I favour my one side completely and never put my full weight on my left, as it feels like any time my body will collapse under the weight. (has never happened though!)

    Could there be something my doctors are missing in their diagnosis? Should there be something I ought to ask them to have a look at?

    • Jan Modric

      Stelle,

      abnormal sensations in the arm can be caused by disorders in the cervical spine or brain. An MRI (or CT) of the cervical spine would be needed for diagnosis. X-ray can show only rough spinal disorders. Your doctor (orthopedist) should also tell you, what is your diagnosis of the facet joint disorder – is it due to degeneration disc disease or arthritis. Blood tests can reveal arthritis.

  • Stelle

    Dear Jan

    Thank you kindly for the prompt reply. I have another appointment with my doctor and will let you know how that went.

    As far as the arthritis is concerned…I have regular check-ups (work-related) and am still VERY healthy. Never smoked, taken alcohol and never pregnant. I was involved in a car accident some 10 years back and suffered a fractured pubic bone. And 4 years ago needed to have a partial hysterectomy as I had very bad endometriosis.

    But, like I said, apart from that I am really in good health overall. I am 156 cm in length and weigh 43 kg’s.

    My mom and all her sisters though, have arthritis and all suffer from high blood pressure.

    • Jan Modric

      Stelle,

      I believe your doctors know all your personal medical history in details. Having an accident, and arthritis in family are two important data.

  • Stelle

    Jan,

    Yes. I have had the same GP for almost 15 years now. Only orthopedist is new. I did not know that the accident and arthritis would be that important. I will tell the orthopedist when I see him next time.

    Thank you kindly. Will keep you posted after my next visit.

  • Nicole

    I am a 20 year old female and I have been getting a weird tingling feeling in my upper right abdomen. (I swear I’m not pregnant) My doctors gave me a sonagram for my gallbladder, but it came back normal. Then they thought it was an ulcer, but I don’t have any burning sensations, just tingling. However, my digestive system was acting up for a few days and making some really weird noises. Just recently, I have gotten a tingling feeling in my jaw and mouth area, as well as the back right side of my head. My tongue felt like it was swollen for half and hour and I couldn’t speak easily. I have also been really lightheaded for the past couple days. My doctor did a CBC and found I was a tad low on iron, so I’m now on iron pills, but I have a feeling there’s more to it than that. I have no idea what is wrong with me. Does anybody have any thoughts?

    • Jan Modric

      Nicole,

      one-sided symptoms in the face, back of the head and other body parts may be from stroke or other brain disorder. I recommend you to visit your neurologist as soon as possible.

  • Jean

    Hi Jan,

    I recently had a lumbar microdisection in my back 6 weeks ago. I had a herniated disc. I then lifted a bookcase and since then I had a very severe episode where I was paralised and couldn’t walk – pain radiating from my lower back right through my leg and down to my foot tingling etc. And now I have nerve pain down my back through my butt, tingling foot and calf and my foot feels weak. Does it sound like I have done the same thing again???? I hope not!!!

    • Jan Modric

      Hi Jean,

      what to say. An injury could occur in the same or adjacent spinal segment. Visit the doctor again without hesitation.

  • lsalas76

    Hello again

    I was wondering if I would be able to go horseback riding if I have been diagnosed with a herniated disc. I have never been horseback riding but this is something I have been wanting to try. I don’t plan to go fast on the horse just a nice little trot.

    • Jan Modric

      Isalas76,

      instead you are looking for an instant surgery, I wouldn’t recommend you to ride a horse.

  • terry

    I am female aged 60. Generally healthy and fit for my age. Do ashtanga yoga. For about 2 months I have been experiencing numbness/stinging/tingling on my ankles and spreading about half way up the calves. Right side is worse than left. Initially I thought it was from using high strength Deet repellent on my ankles while in Kenya in February. It felt more like it was on the skin. Now, however, it feels like it’s going deeper. I do get some numbness/pain from sitting sometimes, especially on hard surfaces. As I am very slim with no “padding”, it has been suggested by family that I pinch my nerves when sitting. The recent burning/tingling/numbness on my feet, ankles and lower calves is alarming. Can you help? Thank you in advance!

    • Jan Modric

      terry,

      in fact a pinched nerve(s) in the lumbar spine can cause symptoms as you’ve described. Certain yoga positions can probably worsen it, as it can prolonged sitting or standing. An orthopedist or neurologist deal with pinched nerves – for the start, they can say if physiotherapy can help or not.

  • 1rbbl2

    I’m just in too much pain to read all this. Hip, lumbar, pelvis and groin. Last week had incontinence on waking but that has cleared up

    • Jan Modric

      1rbbl2,

      hip, lumbar, pelvic and groin pain and incontinence can all arise from a disorder in the lumbar spine or related part of the spinal cord. Neurologist can say more.

  • elrav

    I am a 45 year old female, smoker, occasional drinker. I have high bp (on 2 meds). I am being treated for Lyme Disease. Chief complaint with Lyme is the neuropatic pain in my legs. Now I am having issues with ankle edema, numbness (left side) and inability to move my left toes. This foot also swells up and the toes turn purple/red. The inability to move my toes isn’t due to swelling, I just can’t seem to get them to move at all. Any input?

    • Jan Modric

      elrav,

      non-symetrical (?) swelling of the feet is usually due to circulatory problems. I recommnd you to visit a doctor who deals with vessels.

  • Jay

    Hi! I am a 44 year old male. I work out regularly and have a healtly diet and have never had health issues. I woke up one morning and my feet/ankles were numb/tingling, ankles are discolored – darkish brown; feet have small brown splotches. This is also accompanied by lower left abdominal pain that travels into my testicle. I also have incomplete bowel movements and have to go the bathroom 6 to 10 times a day. Numbness travelled to left arm as calves and thighs. A tightness in chest for about 2 weeks but has now disappared. Blood tests; ct scan (colon was full); mri all look good. Dr originally thought I might have mild guillian barre. Still sick after 3 months. Any thoughts?

    • Jan Modric

      Jay,

      pain in the left lower abdomen and testicles can be from urinary stones or infection. Frequent stools can also be from an infection. Urine culture, stool culture and basic blood tests are usually done in such symptoms as you’ve described them.

  • lsalas76

    thanks again for your response. I’m assuming that going to an amusement park and going on the roller coasters is out of the question with my herniated disc then as well. Am I correct?

    • Jan Modric

      Isalas76,

      roller coasters may be quite shocking for the back. Many truck and bus drivers complain a lot about ther backs, for example…

  • Mike

    Hi, The last few days my left leg towards the ankle has had this weird sensation almost tingling. If I sit down for about 5 minutes it slowly gets worse and worse. It’s the most uneasy feeling. No pain involved. Almost like a tickling feeling where I have to move it even when laying down. I’m just really concerned. At night it’s become really hard to sleep.

    thank you so much for your time

    • Jan Modric

      Mike,

      abnormal sensations in one leg/foot aggravated by sitting or lying down usually arise from a pinched nerve in the lower back (even if there is no pain in the back or leg). An orthopedist or neurologist can say, if physiotherapy could help. Avoiding sitting and finding appropriate sleeping position can help in meantine.

  • terry

    Thanks so much for your reply. After I wrote you yesterday, the numbness/tingling spread to my right jaw area, right hand and arm and then right torso area. Those things later subsided but this morning the numbness/tingling is still in my feet and calves. Do you still think pinched nerve? It would be a relief. Have scared myself reading about MS on net. Also I had Lyme Disease 4 years ago though it was treated w antibiotics.
    Thanks again,

    • Jan Modric

      terry,

      what you’ve described now may actually mean that the brain is affected. Symptoms appearing on one side of the body and all over the body speak for this. A neurologist can give you a diagnosis.

  • robinbw700

    do 60 year old’s usually get Multiple sclerosis, i have read that it typically affects 20 to 50 year olds

    • Jan Modric

      robinow700,

      yes, it typically affects people in those ages, but it can occur at any age.

  • stevemd

    Ive been getting a sensation down both of my legs which I can only describe as similar to running my fingers over a sun burn,poss pins n needles?I’ve had a bout of this 2 weeks previous which lasted just a few hours but this new attack has now lasted 24 hrs+,also my right ankle is constantly aching.
    I’ve been told that anxiety/stress leading to high blood pressure could be causing this,which would seen right as I’m really stressed at the moment.
    My worry is that it could be worse,ie Diabetes,is this possible or is there nothing to worry about?

    • Jan Modric

      stevenmd,

      burning, pins and needles and aches in one or both legs may all arise from a pinched nerve in the lumbar spine. Diabetes, except you already have a diagnosis of it, does not likely cause such symptoms all of a sudden. I also don’t think this could be explained by stress and high blood pressure. Such pains are usually of a neurological and sometimes vascular origin. A neurologist can say what it is.

  • mommy2twins

    I was standing at my daughter’s crib 2 nights ago when all of a sudden my toes on my right foot began to tingle and I felt sharp pain so much so that I could barely walk out of the room so I could get off my foot. I rubbed my toes but that only made them hurt worse. The tingling and pain subsided rather quickly but since then now for two days, my right foot/toes hurts to walk on as if I had pulled a muscle or something. it is not painful enough that I can’t walk just enough to be uncomfortable 100% if the time. What do you think it is and is there something I can do to relieve the pulling sensation?

    • Jan Modric

      mommy2twins,

      a sudden tingling in toes can be from:
      – a pinched nerve in the lumbar spine (lifting something heavy or even a wrong body movement can cause it).
      – injury of the foot or inflammation/swelling of the ankle
      – a blood clot (in long term smokers or coagulation disorders)
      – arterial spasm (Raynaud syndrome) (toes would change color: white, red, blue)

      Symptoms from a pinched nerve sometimes disappear on its own after some time. Avoiding lifting or carrying any heavy objects, or bending down is essential. Prolonged sitting or standing may aggravate symptoms. If tingling persist, a neurologist can say what to do.

  • JMarcos

    Hi, I’m a male 24 years old. I’m very active, I work out at a gym 3 to 4 times a week, and play indoor soccer 2-3 times per week. It all started a week ago, I went to the gym in the morning worked out, as I was walking out of the gym I kinda felt I wasn’t walking right. At night I went to play soccer, and it was like I didn’t have the strength to run, my legs felt real heavy and no matter how hard I tried to run, I just couldn’t do it. On Saturday morning I went to the gym again, my legs didn’t feel right. I though I was just too tired. Then on Monday I went to play soccer at night and same thing happened. On tuesday I still couldn’t walk right didn’t have no balance, can’t move my toes right, and can’t pull my foot back, I still can’t do things like take my shoes off stepping on the hill to pull it off. decided to go see a chiropractor, He examed me, took some xrays, He said I had a little of a droop foot, and said that my problem was probably neurological. I didn’t go see a neurologist yet because I don’t have insurance, I’ve set up an appointment at a hospital but only for June. My legs burn if I have to do a movement that needs a little stretch, like bending down. It burns like if I was stretching for at least 5 minutes. On April 9-10-11 I had fever and diarrhea, probably from a viral infection, but then I felt better, 100%. Don’t know if this has something to do with it. Do you think this is something I should worry about? Do you think it’s a neurological problem in the nerve or something like that? Sorry about the big post.

    • Jan Modric

      JMarcoss,

      inability to control legs without an obvious injury is likely a neurological problem. Diarrhea caused by certain microbes can be followed by a neurological disorder known as a Guillian-Barre syndrome with muscle weakness starting in the legs, progressing to the whole body and weaning in the opposite direction. It is a rare syndrome, and the doctor might not think about it without reminding him. A neurologist should be well aware of it, tough; a diagnosis is made after physical examination. Much more common disorder is a pinched nerve in the lumbar spine. It is important you mention the diarrhea.

  • nlarios

    Jan,
    Yes the tingling is constant and the only time it causes the most pain sometimes occurs when I am sleeping.

    • Jan Modric

      nlarios,

      tingling in te tigh, aggravated by lying down commonly occurs in a pinched nerve in the lumbar spine. A neurologist or orthopedist can make a physical examination and judge if physiotherapy would help. Trying different sleeping positions, shallow pillow, hard matress, walking before sleeping, avoiding prolonged sitting or standing can help.

  • linda510

    Hi… 3 weeks ago I had surgery which required general anethesia. About 10 days later I started experiencing SEVERE pain in my right calf..the pain starts directly behind my knee and goes all the way down to my toes…with severe pain in my calf..and tingling from back of knee to toes. I went to a dr..and had an ultrasound/doppler done..which came back negative. i am unable to put my leg in a downward position and must keep it elevated in order to get any type of relief. However, the tingling never goes away..and as soon as I stand the pain is absolutely unbearable…even when i sleep there is tingling.

    • Jan Modric

      linda510,

      you don’t say what kind of surgery you had. A calf to toes pain can arise from a disorder of the sciatic nerve (pinched nerve root in the lower back), among other. Aneurologist could find the cause.

  • Hortense De Cardenas

    I have numbness and tingling of my right leg from my knee up to the midle of my leg/thigh. It happens when I cook or stand up for more 1/2 an hour. I have to sit down or stop and wait a while until the numbness goes away. Thank you in advance for your prompt response.

    • Jan Modric

      Hortense De Cardenas,

      knee/thigh pain and numbness, with tenderness (just above the knee) may be from inflammation of the knee or surrounding tissues. If the cause is a pinched nerve in the lumbar spine, there is usually no obvious tenderness. An injury of the leg could cause these symptoms, but this would be probably obvious.

  • winch1994

    i have had a bad back now on and off now for about 3 to 4 years last year i was off work for 3 months the 1st month i couldnt get out of bed then it took me another 2 months to get back to normal from that i have numbness down my leg from my knee to my feet. again this year my back has gone again (the only way i can explain is that i get pressure down the right side of my back and my legs are sore hurting and numb0 been to the doctors but all they say is strecth do i need to see a specilast.take all kind of tablets, and have been to phyisco last year it worked for a while but now has come back.

    • Jan Modric

      winch1994,

      a common cause of pain in the back spreading down the leg is a pinched nerve in the lumbar spine. A neorologists and orthopedists deal with these pains.

  • lmajors

    Hi. Was bending down to pick up my purse to go to work. When I stood up straight, my left leg abruptly went numb and tingly (the entire leg). I rubbed it while standing. Took a couple minutes to feel normal again. Had chemo 4 yrs ago for breast cancer. Am on aromasin, effexor (for hot flashes), numerous vitamins. Have strange pains and cramped muscles since then. Thought maybe fibromyalgia. Now, this leg thing. All related? 53 years (next month). Female approx. 132 pounds. Exercising regulary. Osteopenic since chemo.

    • Jan Modric

      Imajors,

      numbness and tingling obviously limited to one leg, triggered by bending down could be from a pinched nerve in the lumbar spine. Osteopeny could have something with it. An orthopedist could tell what it is.

  • ed dando

    I have tingling half way up the front of my right calf. This tingling comes ond goes and may happen at any time. I don’t notice a trigger. Dosen’t stop me from sleeping or doing any excersise. I am a 65 year old male and not on any meds. I do smoke(ugh!!). This has been going on for over a year. Thanks for any advise.

    • Jan Modric

      ed dando,

      to mention only two possible causes, tingling relieved during walking could be likely from a pinched nerve in the lumbar spine, and tingling aggravated by walking could be from atherosclerosis in the leg arteries (from smoking).

  • riyan

    hello,
    i hv tingling and burning sensation in my left leg,foot,heels and toe.and also burning and burden on the back side of my head and whenever i eat smthing it raise the level more. and special in night time its come with extra strength.coz of this i fell foggy brain and low energy etc. also my left toe nail is very slightly yelow but nail condition is perfect, and all these things are with me about 5 month.plz help me wt to do next. thxxxxx

    • Jan Modric

      riyan,

      burning in the leg/foot could be from a pinched sciatic nerve arising from the lumbar soinal cors, and burning on the back of the head from pinched nerves arising from the cervical spinal cord. Other causes are possible, but nerves are probably affected, so a neurologist can probably give a diagnosis.

  • viks3457

    Hi,
    I have relatively recently had 2 discectomys on my L5/S1 disc, the first in 2005 to remove the prolapsed part, and again in 2009 to also remove the pro lapsed part, and the scar tissue that was also causing problems. I have not really had any releif from the pain, numbness and tingling in my right leg, since the operation however I was having pain in my left heel, almost like I had stood on a stone, and this stopped after my op. However I have recently started to get pain in my right knee (severe pain where I can’t walk, kneel, or anything, at all times, not just on weight bearing or movement) and also this heel pain in my right leg, and numbness and tingling again, in my right leg.
    Could it be that my nerves are again becoming embroilled in scar tissue??
    It’s driving me mad, my surgeon confirmed on my last scan that a disc is still prolapsed, but I don’t know how many more times i can do it. I can hardly walk most days, until mid afternoon!

    • Jan Modric

      viks3457,

      yes it’s possible and likely that your spinal nerves are still compromised. After multiple surgeries, you might want to find a reliable and experienced orthopedist or neurologist to help you out, since several inappropriate surgeries may become the problem by itself.

  • numb leg

    Dear Jan,
    Last week I was diagnosed with a cholesteatoma in my left ear that will be surgically removed this week. I’ve been taking Cipro for two weeks now. Four days ago, I woke up with tingling and numbness behind my left thigh and the inside of my knee. I do have a herniated disk in my neck and have dealt with TOS on my left side for years now, but my lower back has not been hurting nor did anything happen to cause it to recently. Do you think it could be related to the ear tumor pressing on a nerve? Or medication side effect? Thanks!

    • Jan Modric

      numb leg,

      the back of the thigh and knee pain could be due to a pinched sciatic nerve due to, possibly, herniated disc in the lumbar spine and would not necessary cause back pain. Cholesteatoma in the ear and TOS do not cause symptoms in the leg. Cipro side effects would be likely more diffuse, not limited to one thigh. A localized disorder in the knee joint or streched thigh muscle would be also possible.

  • Laura

    I’m 53 F. I have leg pain (both), foot numbness (both), fatigue, mood swings, hot flashes, insomnia, no sex drive, weight gain and blurry vision. What’s going on?

    • Jan Modric

      Laura,

      have you already gone through menopause? It sounds as a hormonal disorder in any case.

  • martina

    I had an emergency colostomy performed on feb 2nd/2010, after surgery I was unable to move my legs for almost a week, they were very swelled with no feeling at all, the feeling began to come back as the swelling went down but I am still experiencing major numbness around the knee area of my legs, and to the touch its almost like an echo feeling, I have the numbness at all times although it does get worse when walking as well as when climbing stairs. I have seen my doctor about it but cannot seem to get a straight answer as to why I would still be experiencing these problems.

    • Jan Modric

      martina,

      it seems the question is where does the swelling come from – the surgeon should tell.

  • Jana

    When I sleep at night I have numbness and a burning sensation in my left hip area. It tends to be on the outside of my left leg and also comes across where your leg creases at top when you lift your leg or sleep with your leg curled under you. This happened to me a couple of years ago and started again in the last couple of weeks. During the day, the outside of my leg is painful to touch and the crease I mentioned earlier can begin to burn if I sit the wrong way.

    I have no other symptoms and haven’t done anything out of the ordinary that I can remember. I would appreciate your thoughts. Thank you!

    • Jan Modric

      Jana,

      a pinched nerve in the lumbar spine was my first thought.

      A disorder of the hip joint would cause pain during walking. Streched muscle would be tender to touch.

  • Renea

    hello. I came across this site in my search for help. In July of 2009,I fell and injured my left ankle. I thought it was a simple fall so I didn’t seek medical attention at the time. Two weeks after that my left leg began to swell up to my knee cap, it became two times larger then the right(it was the size of a grapefruit *dia). I went to the ER and they said it was *Edema*. In a follow up to my doctor. I had a ultasound that found nothing, then a MRI that found nothing, a CT scan that found nothing,and X-Rays that found nothing (all of my left leg). I was tested for diabetes,thyroids,Cholesterol,HIV,and a whole host of other common diseases. all were negative. I need help with this because after months of testing and varies scans. I still have this swollen left leg. I was given water pills and compression stockings. But now 11 months into this other symptoms have started. I have now started having these shocks of extreme pains that start at my hips(left) and rip though my whole body and sometimes temporarily paralyze me. I have also begun to experience extreme frequent urination *I stopped taking the water pills month ago*. I have elevated my legs at night to help. and this has worked but, the swelling always comes back. I need someones help to diagnose this problem. I lost my job of 10 yrs because of this.(they could see my swollen leg). If you have any ideas of WHAT could be causing this, Please share it. The doctors in my area are clueless, and I’m tried of being a science experiment. I’m in my late 30’s. I have no health problems (before this)and I had one surgery 10 years ago(tubal ligation).

    Thanks for your time.

    • Jan Modric

      Renea,

      swelling limited to one leg is probably a result of a local disorder in this leg and not a systemic disorder, like hypothyroidism.

      A part of displaced tissue could press on the lymph vessel that drains the lymph from the leg. If the knee is swollen, but the thigh is not, the disordr (injury?) could be in or around the knee joint.

      A blood clot could also cause swelling of one part of the leg.

      A specialist for blod vessels could maybe tell more.

  • S V

    hi,
    i am suffering from numbness in both legs in bending postion. AGE 28 years. good health, regular badminton player(minimum 2 hours). i had severe muscle spasm in lumbar region almost 2 years back. Please help.

    • Jan Modric

      S V,

      muscle spasms in the lumbar region and numbness in both legs could be from a disorder of the lumbar spine. A neurologist or orthopedist should be able to give a correct diagnosis.

  • wanda

    I have severe pain in lower back,left hip, buttocks, down leg to my toes. Swelling of legs & ankles & feet. I can’t sit, stand or lay down without pain. If I’m laying down & lift my left leg, I have to stop due to pain. While sitting I can’t straighen my leg. What should I do.

    • Jan Modric

      wanda,

      a doctor can give a diagnosis. It could be a pinched nerve in the lumbar spine, but if there is actual visible swelling in the leg, an obstruction of the lymphatic vessels or veins is possible. To me, it sounds quite serious.

  • Barbara

    Jan, I have burning and tingling in my (both) calves, extending down into my toes whenever I walk. After 15 min on the treadmill the “burning pain” becomes intense so I walk “through” it. When I do this my calves become numb and so do my toes (both feet). The pain continues but is of lower intensity once everthing goes numb. This has been going on for about 10 yrs, but has increased in intensity in the last few weeks. Can you tell me what might be the cause of this? By the way, I usually wake up with right arm and finger numbness-it disappates quickly. I am a female 65; After 50 yrs I quit smoking 9 months ago; Had open heart-triple bypass surgery 4 mo ago; Feel GREAT, except for this pain when I walk – which is part of my cardio rehab. HELP!

    • Jan Modric

      Barbara,

      long-term smoking can cause atherosclerosis and hence narrowing of the leg arteries (you may search for “Peripheral arterial occlusive disease, smoking”). Maybe the surgery has affected coagulability of the blood (thrombosis?) aggravating the symptoms.

      Another possible cause would be pinched nerve in the lumbar spine (symptoms in legs) and cervical spine (symptoms in the arm). Atherosclerosis could also affect the arm, though.

  • ghady ahmed

    32y female complaning of paresthesia in my both leg , and cramp in the calf muscle , for 45 days and the symptoms increas by lying down and the numbness not the cramps relive by walking..sometimes i had increas in frequency in urine at early morning.
    with history of lower back ache which dignosis by MRI befor 2 years back as (bilateral fracture pars 1-A of L5-S1 with 1st degree isthmic spondylolisthesis
    my investigation recently : blood sugar ,electrolyte , RFT , CBC , URINE analysis all with in normal .
    please for your kind opinion .

    Ghady

    • Jan Modric

      ghady ahmed,

      all described symptoms may arise from the described damage of the vertebra, so you might want to speak with an orthopedist or neurologist.

  • asmart

    A few months ago I developed sever pain in what I thought was my left hamstring. I stretched it and tried to exercise it, but nothing helped. The pain comes and goes, sometimes based on activity, but not always. Recently my left leg has felt tingly when sitting for periods of time from 30 minutes or more, but it is something I do not notice much until standing up. Tonight, after sitting at a cafe for about an hour, my leg felt quite tingly after standing up. I walked home, and now, an hour later, my leg still feels a bit tingly. What might be the problem?

    • Jan Modric

      asmart,

      pain in harmstring and other parts of the leg, aggravated by sitting and certain activities is often due to a pinched nerve in the lower back. A neurologist or orthopedist can make appropriate tests to find a diagnosis.

  • Wonder4l2

    I have numbness in my left leg (thigh, knee and leg) that has been going on for over two years now. I had surgery on my cevical spine six months ago to relieve the pressure on my spine. Compressed to look like a very thin banana on an MRI.

    My problems are: the numbing sensation is still present and I still have a grinding sensation when turning my head left/right. How long will this last? treatment?

    Not sure if this is related, but it takes a minute or so for me to strech out and be able to walk after sitting for over 5 minutes. Does this mean the surgery caused something else to get misaligned?

    • Jan Modric

      Wonder4l2,

      numbness in the leg aggravated by sitting usually arises from a pinched nerve in the lumbar spine. If only the spinal nerve(s), and not the spinal cord, was manipulated during the cervical surgery, this is not a likely cause of leg symptoms.

  • rohandxt

    about 2 months back i had a minor attack of bells palsy.
    The very next day the toes on both my legs went numb, though my bells palsy was cured within 5 days with medication and physiotherapy the numbness in my toes remained and my fingers and palm starting becomiing numb.

    Today I can feel the numbness in my shoulders, my upper arms, my fingers, my palms and my foot and toes.
    I have been to 4 doctors and also taken the nerve conduction study and MRI.
    The MRI showed mild bulging of the cervical discs C56 and mild bulging of the lumbar disc. The nerve conduction study was normal.

    One more symptom is that when I wake up in the morning my arms and les are extremely tight and I need to do a lot of stretching to make them usable.

    What is surprising is that when i stretch my arms and legs the numbness goes away temporarily.

    Please help as this is very irritating.

    • Jan Modric

      rohandxt,

      bulging discs are a likely cause of symptoms in arms and legs – these are typically aggravated during sleep and relieved during exercise.

  • Mokabean

    4 or 5 years ago I hurt my right ankle, tore the ligaments and chipped a tiny piece of the bone. I don’t have back pain other than occasional mild lower back pain which I believe may be caused by one hip being slightly higher than the other. I’ve noticed that my right ship is kind of numb. Not completely numb, if I pinch it I can feel it but numb to the touch. I’m a healthy weight with no health problems that I’m aware of. Could this old ankle injury have caused this numbness? Thanks so much for your advise!

    • Jan Modric

      Mokabean,

      numbness in the shin could arise from a displaced tissue pressuring on the nerve in the shin, but also from a pinched nerve in the lower back.

  • Mokabean

    my right shin is kind of numb not my ship, I don’t have a ship 😉

  • kari p

    I woke up at 4 am today with sharp shooting pain in my right foot, mostly around my big toe and the inside part of my foot. No swelling or any other symptoms. Pain is like throbbing and very sore. I tried walking it off but it won’t go away.
    I am 16 weeks pregnant with my second child. I didn’t have any leg or foot pain with my first pregnancy, I did have swelling but that was close to the end.
    I do have Raynauds in my hands and feet (something I’ve had since I was in my teens) but my feet were not cold at the time this started. It was bad enough to wake me up and keep me awake.
    I have only gained about 3 pounds so far and am in good health (not over weight and fairly active)
    Any suggestions on what this sharp pain in my right foot could be? thank you.

    • Jan Modric

      kari p,

      it can be a pressure on the tibial nerve resulting in “tarsal tunnel syndrome” (read above in the article). One possible cause is also a pinched nerve in the lumbar spine (from bulging/herniated disc) or spinal arthritis, for example.

  • kari p

    Went to the doctor, had some blood taken and it turns out I have gout. Never would have guessed that! The pain is still there and has not improved at all. Its spread up the front of my leg and it pulses at my big toe joint. Looks like there isnt much they can do about it since I am pregnant.

    • Jan Modric

      kari p,

      I believe some medications may be acceptable during pregnancy – ask your doctor.

  • mickeyd302

    I have been having legs problems for the past seven weeks. My left leg went numb while lifting weights overhead. I quit working out –waiting to see what would happen given rest. I started getting shooting pain through both legs while I was sleeping within the following week. The pain will last anywhere from 30 seconds to 3 minutes. It always starts on my left side, usually in the lower left lumbar area, left upper-glute or what seems to be the gluteus medius in the lower region close to the lower hip. The pain shoots down my leg and everything feels numb, I get a burning sensation in my lower spine in the lumbar area and then the burning sensation shoots down my right leg into my right foot and then up my right quad. I saw a doctor who was convinced it was a herniated disk, but refused to do x-rays. (I am in China right now and trying to find a western doctor is not that easy in this area.)
    While I have gotten this pain every night at least once each night, I have been getting this pain more and more during waking hours. Some of the things I have done before the pain has struck is simple things like getting off of a bus, getting into or out of a car, standing up from a seated position, doing doctor prescribed stretches, lying on my left said, stretching, etc. One of the odd things about all this is that several times I have only had nighttime pain and minimal daytime pain for several days, only for the pain to come back much stronger during the day for several days before improving.
    I have been doing stretches every morning and night for the lower back, the gluteus muscles, and the piriformis. Usually, this causes no problems but recently some stretches have seemed to trigger these acute attacks. I have also noticed some tender spots on my my upper left glute which seem to respond a bit to self-massage. Any help would be appreciated.

    • Jan Modric

      mickeyd302,

      weightlifting, pains aggravated when lying down, changing position, during certain exercises..is probably from a pinched nerve in the lumbar spine (bulging or herniated disc). X-ray is usually not enough for diagnosis, but a CT or MRI is required. Avoiding any stretching, unles adviced by a doctor is recommended. Avoiding carrying any heavy objects or lifting them from the ground is a must. Walking or swimming can provide temporary relief. Prolonged sitting, standing or lying can aggravate the pain. In a mild disc injury (bulging), symptoms may resolve on its own in some..weeks, but in disc hernia, symptoms may persist and often a surgery is required.

  • Jen517

    I am a 27 year old mother of two with Von willebrand’s type 1. My blood pressure averages 105/65. I recently had vaginal surgery that required the lithotomy position. Due to my disorder, I received an infusion of ddavp prior to surgery. When I was in recovery, I noticed that my right foot felt like it was asleep. At first I didn’t think anything of it, but three days later it has not changed. My foot constantly feels cold, and there is cramping in my calf as if from DOMS. I am having trouble curling and seperating my toes. I also feel an overall weakness in that leg, as if it could give out while I am walking or standing. It’s making it very hard to get around. My job involves a lot of standing. Any insight would be helpful, thank you.

    • Jan Modric

      Jen517,

      the doctor should check this soon. Maybe the surgeon that operated you can give an opinion (maybe try by phone first). It could be a pinched nerve in the lumbar spine, for example.

  • briana98823

    my toes feel kind of numb like your mouth when your recovering from an anistetic and you can your numb but you can feel pressure. its just the jerry tips but when i walk it spreads my feet. and it is only a few toes one each foot. my legs have also been faling asleep while I walk. i also keep haveing this feeling when i stand up like there is somthing worm dripping onto my thigh but i look down and nothing is there. also shooting pains like electric shock in my back if i turn the rong way or stand rong. any ideas

    • Jan Modric

      briana98823,

      it sounds like “sciatica” – symptoms from a pinched sciatic nerve in the lumbar spine.

  • briana98823

    oh i’m 18 years old and have 2 sons who where huge when they where born. my yongest born 10 months ago was 9lbs 4oz indust 2 weeks eaily. not sure if child birth has to do with it just thought i’d mention. oh and when i was 10 i had epilepsy but it went away after the 4th month of my first pregnancy when i was 15.

  • rhonda p

    hello i am a 23 year old female who walks 2 miles at night. here for the last week or two the out side of my ankle has been going numb and it goes down to my foot. what can cause that? it goes away when i sit down or lay down. but it has me worried.

    • Jan Modric

      rhonda p,

      tight shoes could be one cause (in this case the ankle would be likely sore and tender to touch), and a pinched nerve in the lumbar spine or sacrum is another possible cause (ankle itself would not be likely tender to touch).

  • AMCG

    HI,

    Iv had tingly numb sensation in both my feet for over two weeks now. Over a week ago this sensation started to spread from my thighs down. I also have experienced it in my left hand and tips of forefingers- but only on occasions. My legs feel heavy and also get sensation in waved when i walk and move.
    Help!

    • Jan Modric

      AMCG,

      abnormal sensations in both legs and one hand can be from a disorder in the spinal cord or brain. A neurologist should be able to give you a diagnosis.

  • Newtonb

    Hello – This is a great site.

    I am writing regarding my wife. About 3.5 years ago my wife woke in the middle of the night with vertigo. At the same time, she began to feel some mild numbness is one of her feet (may be coincidental – I don’t know). In addition, the day before she got vertigo, we were skiing and she fell and hit her head. A CT Scan was done and came back normal. Thought she may have had a mild concussion. The vertigo lasted about 5 days and never returned. She is 32 now, an avid runner, and is very much on the go (drives about 3 hours a day). She decided to go to a physical therapist who recommended she stop doing yoga, as he believed her core was too weak and she was arching her back, causing inflammation and hence the numbness. She followed the advice and did not deal with the numbness for quite some time. She has continued running and now deals with numbness (more tingling in both feet) to this day. She visits a chiroprator once a week to relieve buildup in her back, and she claims that she can actually feel relief in her feet when the chiro cracks her back. She just completed her 5th marathon and for the past few months she has been dealing with a “dead leg” – It’s just very weak at the hip flexor. I have finally convinced her to see a neurologist as I fear she may have MS. She says she does not have any other MS symptoms. Just deals with the tingling and now this leg. It has been 3.5 years and has no vision issues or any other of the typical MS problems. She is going to see the neuro next month. Any thoughts?

    THANK YOU

    • Jan Modric

      Newtonb,

      symptoms disappearing after back manipulation speak for a disorder in the lumbar spine (like bulging or herniated disc). A CT or MRI of the lower back can reveal this. In MS, symptoms are not likely affected by body movements or back manipulation. Visiting a neuro seems to be a wise decision.

  • Ann

    Hello. I had a knee replacement 4 years ago and have been having problems with my legs, arms and back. I had an epidural. When I stand for a certain amount of time (15 mins) then my legs start to burn and go numb and my ribcage seems to compress causing respiratory problems. If I lay supine I loose the feeling in my arms and legs. If I lay on my left side then I loose the feeling in my right side. The exterior side of the leg with the knee replacement is numb from above the knee to mid-calf.
    Now my breathing is affected because when standing the back of my ribcage seems to squeeze inward and seizes on me. I have seen several neurologists and have had several MRIs done but they say that all looks fine. I was fine before the surgery.

    My legs also swell up very badly. I had them check for circulatory problems. It showed that I had varicose veins but nothing is visible on the outside but it still indicated that I have them. Both my cardiologist and naturopath could not find any. I swell from my sternum down to my toes. I am losing my mobility and that is disturbing me. When I sit I can feel tightness in my pelvic area especially at the hip joints and my back will seize. My feet will start to burn and when I stand I am in a great deal of pain. I would like to know if there is a possible solution, which might remedy my situation. I would like to continue to walk and be active but at this stage I might be looking at a wheelchair if the situation isn’t resolved.
    My mother had a similar problem after her epidural. She called her leg a peg leg but she never lost her mobility. Hopefully you can shed some light on the matter or point me in the right direction. Thank you.

    • Jan Modric

      Ann,

      this is quite a demanding question; I guess an experienced and reliable neurologist should be able to give a diagnosis.

      By swelling, do you mean actual increase in the diameter of the limbs? What was the reason for the knee replacement?

      Symptoms appearing in arms and legs and changing with body position, seem to originate from a spinal disorder (arthritis?). Epidural injection could affect the sciatic nerve, for example, resulting in leg symptoms, but this does not explain symptoms in the arms.

  • deetee857

    Had excutiating hip/back pain last dec with numbness in left shin and foot. MRI’s show no brain lesions and lumbar mri mild ddd. Numbness comes and goes now but muscle in left hamstring very tight and both calves ache alot at night. Incidental bone lesion on hip found but tests say benign. All blood tests fine. Question 2-fold: does this sound like a spine related issue and can bio hrt replacemnt therapy cause muscle pain/weakness as a side effect?

    • Jan Modric

      deetee857,

      mild DDD in the lumbar spine can cause back, hip, shin and foot pain. I do not claim this is the cause and I do not know if the hip bone lesion has something with it. The doctor who has explained the MRI can say if physiotheraphy would be appropriate.

      Hormone replacement does not likely cause pain or weakness in only one leg. The doctor should exclude the possibility of blod clot (a side effect of hrt), though.

  • Donna

    I’ve had numbness/tingling in my two last toes/right foot. Today there was pain in my right thigh when walking up stairs and when initially sitting down, my lower leg is feeling heavy/numb. 20 years ago i had a clot in my lung after child birth approx. 6 years ago i had a clot in my leg, I currently take warfarin as I was diagnosed with a protien S deficiency. I do not currently have any swelling however swelling did not happen with the other clot in leg. Am I being a nervous nelly or should I be concerned?

    • Jan Modric

      Donna,

      apart from thrombosis, a pinched nerve in the lumbar spine is a likely cause. For example a pinched nerve arising from L5-S1 segment would cause symptoms on the back of the thigh and in last two toes and they would be affected by body position and walking.

  • Ann

    Thank you for responding Jan.

    The swelling is actual increase in diameter.Sometimes it is so bad that my limbs look they belong to an elephant.

    My knees were constantly being scoped for fragments and bone chips due to wear and tear. I had a total of 12 surgery on them…9 to the right and 3 to the left.

    I have seen 5 different neurologists and they all try to drug me with medications which do nothing to remedy the situation. They say that I am fine.

    The nunbness in the arms and legs can happen when I stand, sit or lay down. It is very discouraging because I was a very active person.All was fine before the surgery as I mentioned previously.

    Thanks for trying to help. Take care.

    • Jan Modric

      Ann,

      varicose veins and swollen legs (both, right? and also the tighs?) speak for a circulatory problem. There could be something in your abdomen pressing on the vena cava inferior (the main vein that colects blood from the lower body).

      If your legs are so swollen, the doctor could not say everything is ok. If swelling appears only from time to time, you could take a picture of the swelling and show it to the doctor.

      It could help, if you can write down your complete personal and family medical history, especially mentioning triggers and relievers of numbness and swelling.

  • Pammylu

    Jan, so happy to find this site. I’ve been worried sick about a similar situation. Here are my details.

    -for 5 weeks now, sensory numbness in right leg from waist, front and back and circular all the way down to toes

    -foot and toes most affected, numbness plus ‘pins & needles’

    -for 3 weeks now, also spread to left leg, but from bottom up rather than waist down; so far, only toes, feet, up to just above knee

    -also skin numbness in upper right arm spreading gradually to right torso from spine around to front center, including right breast

    -terrible case of shingles a year ago in right torso area with affected nerve coming from spine around to front, just below breast

    -recently stung twice by a wasp, husband found and removed stinger left left of upper spine at base of neck and other site was back side of upper right arm

    -have lifted heavy objects over course of two years in home renovation projects

    -confirming no pain, only numbness/tingling (dead skin feeling)

    -had a lower back issue 8 years ago from sleeping in a temporary airbed (with downward arc in the middle) for a month; after that, couldn’t sleep on a flat bed for more than an hour without sitting on a recliner, often feel asleep in recliner and slept fine; husband bought me an adjustable bed to get the correct angle for me to sleep through the night, no issues for last 8 years, other than inconvenience of traveling with a “Mattress Genie” when away from my adjustable bed

    -went to ER (3 hours) last week for numb leg issue, (because I am currently without health insurance), and after x-rays, Drs said couldn’t find any cause and released me because I was not in pain or life-threatened situation

    -went to chiropractor 3 times last week after ER disappointment; he fixed my lower back issue of last 8 years (Hallelulia!!!), but nothing changed with numb leg issues

    -without insurance, can not afford a $5,000 MRI, have no family doctor to ask, so what could possibly be my problem? I am starting to get worried about a permanent situation with this.

    -forgot to tell you, I am a tightly controlled Type II diabetic with A1C of 5.6; I don’t think the way this onset could be related to diabetic neuropathy

    -I am 55, have never smoked, do not drink (for over 25 years), I eat healthy, very moderate exercise (walking, balance ball), and I’m about 25 lbs overweight

    -considering accupuncture because of affordability, what would you do in my situation?

    Thank you so much for your time and consideration in helping all of us.

    • Jan Modric

      Pammylu,

      in your situation, I personally would not try acupuncture, since some organic disorder, like degeneration disc disease (DDD) or spinal arthritis, may be causing your symptoms, and this cannot be cured by acupuncture. On the other hand, it is interesting that lower back manipulation has not relieved numbness in the legs. Still, it is quite possible that the leg numbness is caused by a pinched nerve(s) in your lumbar spine. Numbness in the arm and trunk could arise from pinched nerves in the neck and thoracic spine. Lifting heavy objects could result in disc bulging ij mentioned spinal areas…In most cases, X-ray cannot show small spinal disorders, so a CT or MRI is needed for diagnosis. But, if you have no pain, the spinal disorders are maybe not so heavy, and a chiropractor or experienced physiotherapist could maybe try again. Walking and swimming may provide some relief – this would additionally speak for a spinal disorder.

      Diabetic neuropathy usually starts as a socks/gloves pattern – affecting feet and hands.

      Low blood levels of iron, vitamin B complex, folate or glucose could contribute to numbness, but they would not likely be the main cause of asymetric numbness pattern.

      Shingles can reappear at any time, sometimes without characteristic rash and burning pain, but these can appear few weeks after initial symptoms. I want to say, regarding your medical history, there could be more than one cause. I’m not sure if a wasp itself could cause numbness in the arm…

      Migrating numbness can occur in multiple sclerosis (MS). Symptoms from DDD are change with body position and moving, but symptoms from MS usually do not.

  • Robin

    Hi I have some questions regarding vision – I see letters, numbers, text etc as if they are curved or bent instead of straight. Other spacial surroundings also seem tilted at times. This has been going on for 6 months. Its worse when I tilt my head to the right or left. I have had an MRI of brain with focus on ocular nerve, CT scan of sinus & neck – both came back normal – I did have a choroidal cyst in R trigonal region less than .5mm but still normal. I have seen a neurologist and an opthamologist who suggested it could be migraines. I also have vertigo (dx BPV) but no lightheadedness. I have had blood sugar checked and also normal, so is BP. Tested for lyme – neg. No recent head injuries. I have slight astigmatism in R eye and 20/25 vision even with this crazy way of seeing! Wondering if you have any ideas what this could be – there is one opthoneurologist (also suggested) who doesnt accept my ins. Can BPV cause visual problems – they seemed to start at the same time then the vision became worse. Do you have any suggestions for treatment? Thank you.

    • Jan Modric

      Robin,

      vision problems can occur in BPPV, but you would first need a firm diagnosis from an ENT doctor, who can also give you instructions about special excercises.

  • Simone

    hi, well the last 2 days i have noticed a small lump which when i feel it, it feels like a vein or tiny bone that has moved and its making my big toe feel all tingly especially when i touch it. Im 24, yes i smoke but other than that am in good health. … please help me with any ideas as im starting to stress out.

    • Jan Modric

      Simone,

      a doctor can give you a diagnosis after physical examination. It can be localized infection, inflamed tendon..

  • MAV

    Hi, 16 years ago had fusion of c4,5,6 and 30 years ago a laminectomy at L5/S1. Feb this year I had a fall and bulged discs at L4 and L5. I have tingling ‘socks and gloves’ in both sides and have had since neck operation but they have become more pronounced since the fall. I have constant backache and am on ‘heavy’ analgesia. Last 2 days have a burning sore pain across the arch in my left foot – usually its my right leg that is affected by sciatica. Any ideas on the tingling and the foot pain please.

    • Jan Modric

      MAV,

      from your description, it’s possible all your symptoms arise from the spinal issues. One bulging disc can affect sciatic nerves on both sides and symptoms may change with body position and moving. Symptoms may also change with time since a bulging disc can be partly resolved or worsened. The foot arc (muscles and skin on upper and lower part of the foot) is mainly innervated by nerve fibers arising from L5. It is possible you already had bulging disc at L4 and L5 and it was aggravated by the fall. I’m saying this, since I can imagine a cervical surgery would caue tingling in gloves, but not socks pattern.

      Socks and gloves pattern of tingling is not characteristic for spinal disorders, but in your case it could be a coincidence, since nerves in both cervical and lumbar area seem to be affected. Tingling, numbness, burning, pain, muscular weakness and cramps are different “stages” of the same problem – pinched nerves.

      I strongly recommend you to solve your spinal problems with the help of an experienced neurologist. Long-term heavy analgesia can have serious side effects (stomach, kidneys..).

  • lele

    I fell up the stairs about 2weeks ago and landed on both my right shin. Since then my shin has been numb to the touch. It only hurts if you press on it. I can ambulate fine. However today I noticed a knot just below my knee. When I elevate my left leg it looks like my shin is seperated. But it doesn’t hurt.

    • Jan Modric

      lele,

      an orthopedist can say what exactly has occured in your shins.

  • kngrllr

    Hello, I have read a lot off the post here and I haven’t heard anyone answer a part. I have had a strange feeling in my head of not being clear and feel slight pressure. I have experienced this before and if went away on its own. This time it came about after my hand swelled up and got tingle. I all the sudden got tingle on different parts of my limbs and then started to feel the head issue. Could this be caused by nerve issues?

    • Jan Modric

      kngrllr,

      yes it can be from nerve issues – brain issues to be exact. A neurologist can say more, but he/she would like to know:
      – when you feel a limb is swollen, does it only feel like that, or the diameter of te limb is actualy increased
      – in which exact parts of the limbs symptoms appear
      – where exactly in the head do you feel pressure
      – any problems with vision, hearing, balance, speaking
      – when such an attack has occured for the first time and in what timeline the next events has occured
      Here’s the help to write down a personal medical history.

  • MAV

    Thanks heaps – got a referral to a neuro from my doctor today. Really appreciate you having this site. Regards MAV

  • koen2005

    my left lrg went numb about a month ago, couple weeks later I started to get a very painful burning sensation on the top of my thigh. three days ago, the burning was still there, but now my thigh is super sensitive-I cant even touch my skin cause it hurts so bad. any cloyhing, (shortd or pants) are impossible to wear. saw my doctor and she gave me some med’s that are supposed to be pain pills for the nerve. nothing has helped or given me any reief – now she said she doesnt know what else to do, and told be to just go to the ER. any help would be appreciated.

    • Jan Modric

      koen2005,

      one likely cause is shingles – a reactivation of Herpes zoster virus in the nerve that suplyies the thigh. Often a rash also appeas along the course of the nerve, but sometimes not. A neurologist can give you a diagnosis.

  • Marianne

    For well over a year I have been experiencing digestive problems with upper abdomen so bloated it was affecting my breathing. I had an upper GI and nothing was found. This is just getting worse but for the last couple of months I also noticed my feet starting to burn but it was just a minor irritation–until about 2 weeks ago when my feet and legs began to feel very cold and painful. In fact, exposure to cold makes them start to ache. When this first got worse the symptoms were so scary I went to the ER. I felt cold all over and my body temperature stayed around 97 for hours even though the room was warm. The people at the ER checked my thyroid and that was OK. Anemia was also ruled out. I am not diabetic but my B12 is on the low side of normal. Why should I suddenly have this horrible neuropathy? I take the same beta blocker for tachycardia and the same calcium channel blocker for hypertension I’ve been on for years. I am 63 years old. Next week I am FINALLY scheduled for a colonoscopy, which I requested last year. Somehow, I think this is all related. BTW, when I came home from the ER with the coldness and leg pain, I had a sudden attack of diarrhea and afterward my body temperature went up to nearly normal right away. However, my normal temperature was always 98.6 but now it never gets up to that anymore. Am I crazy to think my digestive problems could be related to the other symptoms?

    • Jan Modric

      Marianne,

      digestive problems may be related to other symptoms. An important detail is – do you also experience excessive belching. Stomach disorders were probably ruled out (did they test you for Helicobacter pylori?), so upper abdominal bloating may be from gas built in the transverse colon that runs just below the rib cage. Food related causes of bloating include: fructose malabsorption, lactose intolerance, celiac disease and excessive intake of dietary fiber. Inflammation of small or large intestine is also possible. Blocked bile duct, liver or pancreatic disorder my also result in bloating – in this case blood tests would probably reveal abnormal levels of liver enzymes. So, maybe first you wait for results of colonoscopy. Avoiding sugar (sweets), fructose (fruits), lactose (dairy) can lessen bloating no matter what is the cause. Causes of bloating.

  • Marianne

    Thanks for your response. No, I do not have excessive belching. A few years ago I did have heliobacter but it did not affect me this way. I have more recently had breath tests for fructose and lactose but they were negative. More than five years ago I had two very painful attacks of diagnosed pancreatitis [although I do not drink alcohol] but none since. I think there was some blockage there but it went away–unless it’s now manifesting itself in some different way. BTW, when I had the Upper GI some monts back, it took the barium about a week to work itself through me. That didn’t seem right as I have had that test before and that didn’t happen. Regardless, my doctor seems to be ignoring the neuropathy in my feet, legs and hands. When I told him about the episode that sent me to the ER, he said I must have had a virus. I don’t believe it. It’s three weeks later and I still have the same symptoms.

    • Jan Modric

      Marianne,

      if you can recall any other past neurological, circulatory or other problem, it may greatly help to your doctors to fugure out the cause. Here’s a personal and family medical history questionnaire that may help.

      Few thoughts to explain possible causes:
      – Two attacks of acute pancreatitis could leave some consequences, like ress permeable pancreatic duct, resulting in less pancreatic enzims (such as lipase) entering the small intestine, resulting in fat malabsorption. Unabsorbed fats when they reach the colon are broken by bacteria resulting in excessive gas and diarrhea. Fat malabsorption would be confirmed by stool fat test. Stool would be whitish, sticky, foamy and floating (steatorrhea). Pancreatic enzymes in the blood could be elevated.
      – A gallstone trapped in the bile duct would prevent bile flow into intestine, resulting in fat malsbsorption again. Upper right abdominal cramps and itchy skin would be likely symptoms.
      – An inflammation of the small and/or large bowel (Cronh’s disease), ischemic or microscopic colitis could be revealed by colonoscopy. I guess, the biopsy to check for celiac disease was doen during upper endoscopy.

      Symptoms in hands and feet, aggravated by cold could be a Raynaud syndrome or disease (a neurological or circulatory disorder in limbs from an unknown or known cause (like inflammation anywhere in the body). A cardiologist could say, if your medications could be a cause. A systemic disease, like SLE could cause neuropathy and all symptoms you’ve mentioned so far, including urgent bms. So, feet/hands symptoms may be just the result of a bowel disorder — or both bowel and feet/hands symptoms could be from the same systemic disorder, like SLE.

  • Pammylu

    Jan,

    Two weeks ago I wrote on this page re numbness of legs and upper arm and right side of torso. I had suffered all this for 5 wks at that time and now am at the 7 week mark. I just wanted to say that I had a “LifeScreen scan” and got the results today for following scans: Carotid artery disease (left & right), atrial fibrillation, abdominal aortic aneurysm, peripheral arterial disease (PAD, both sides), and osteoporosis. These tests I could afford even though I don’t have insurance. They all came back today as negative.

    I just wanted to update you for your future reference… the numbness in both legs has dissipated to only very slight tingling on the soles of both feet, which I believe will soon be gone. However, the numbness in the right upper arm and right torso has increased to an uncomfortable numbness and slight pain. I am attributing this to a relapse of the shingles I had a year and a half ago because I have located 3-4 rogue breakout spots here and there the size and coloring of a mosquito bite. This is all assumption on my part, but it seems to fit, so I am just continuing to suffer a bit as it runs its course and I’m no longer frightened by the whole event. I’m hoping it, too, shall dissipate as the legs and feet did. That shingles is a bad, bad thing and it might just get me again over the years ahead. Thx for your input…

    • Jan Modric

      Pammylu,

      for shingles, OTC lidocaine cremes are available. A doctor can prescribe an antiviral drug.

  • isha

    hello!my uncle has been suffering from numbness and burning of feet for last 6 or 7 years..numbness also feels going upwards to the legs…he is above 80.he has partially lost the touch feelings and feelings of some mild injuries,like from shoes…sometimes he feels better after a massage..but after sometime again get numb.burning is really uncomfortable and it is almost all the time.because of numbness he can’t walk properly but he does it with a stick for his needs,dragging his feet on the floor.besides this he is quiet normal.he doesn’t has diabetes but sometimes bloating sensation and gas in the abdomen(but this gas problem is from many years before he got the numbness)..most of the time he keeps sitting on the chair..he does not has any pain in the feet.the only problem is that they are are always numb and burning..what should we do?is it a nerve problem or because of some clot?

    • Jan Modric

      isha,

      a doctor of general practise can examine him and decide which investigations would be needed if any. Peripheral neuropathy is posibly, but hard to say more from here.

      Bloating in old people is often from dietary causes. It can be from dairy products (lactose intolerance), excessive intake of dietary fiber (beans, oats, a lot of certain fruits..).

  • isha

    i myself pressed his feet with my finger and i think he might has slight pitting edema also..but he does not has any kidney or heart problem..
    what test should we go for??

  • isha

    thanx for your reply
    my uncle feels the area beneath the toe is very hard as if a stone is placed beneath it..
    and when he walks for some distance he starts feeling pain in his knees..
    he recently had an operation for catarract..
    i’m telling u this if there might be any connection between these two things.thanx

    • Jan Modric

      isha,

      I can’t imagine how a cataract surgery would affect legs. One possibility are pinched nerves in his lumbar spine. This may be due to bulging discs between vertebra or because of spinal arthritis, for example. A neurologist can say what is it.

  • zalay

    hi
    i’m 22 years old female.i have urination problem for the past two and half years.it started in the winter season when i woke up in the night with a strong urge to pass urine.i rush to the bathroom but there was nothing to come out.after sitting for long time and applying force i passed only few drops.i could not pass any more but the feeling did not go away.after applying so much force and pressure i gave up and went back to sleep but the discomfort was still there.when i woke up in the morning it was normal but again started in the evening.it continued to be so on and off for more than 2 months.every time after passing urine i felt some irritating drops that sometimes,after applying some force,came out and sometimes didn’t..after 2 months i took some antibiotics but they didn’t had any effect.after that this condition subsided and gradually it developed into another condition.
    now the problem is that my urinary stream is not forceful but not too weak.it is misdirected also(but very few times it is normal).in the start it has some force but then loses it in the end.urine volume is almost always less than i had before this problem.urination is not continuous .i have to apply some pressure continuously during urination.but even then most of the time it stops in the mid & then i have to wait & apply force again for another small volume of urine& so on for the remaining.even after passing so many small volumes,in the end i still feel incomplete emptying of bladder.somtimes i feel as some urine is left in the urethra or deep in the bladder.this sensation lasts for some minutes & then subsides.sometimes it happens that after short time i again start feeling the bladder full.but it is so distressing for me to go again and again & the main problem starts from here.
    it also happens when i drink more water and suppresses the need rising shortly after it.
    when i go to bathroom after suppressing the need for sometime it is more difficult for me to start urination.it does not start so easily even after applying some pressure.(while this the bladder is full and the need is still there).after sometime when it starts it stops in the mid&the same thing happens again as i told above.
    sometimes i know that bladder is actually full but urine is not coming out.from this i feel there is some obstruction.but sometimes it feels like there is not much urine but still i’m feeling the urge.it makes me think that my muscles are hypersensitive to a small volume.whatever it is the thing is that it is not normal.
    last year in the august i again went to the doctor and she prescribed me “genurin fort & detrusitol” and an antibiotic.but these did not had any effect.and now recently i went through an ultrasound (of kidney and bladder to exlude stones or tumor) and urine test but these were normal.and doctor prescribed me flavoxate hydrochloride 0.2g.he asked me to take it for two weeks and tell him again.today is 8th day and uptil now i could not find any improvement.the only thing i noticed today is slight increase in the frequency.but the volume is not increased.
    very few times,like once in 2 months,it gets normal for one or two days and sometimes only for one time in a day.and very few times i feel mild pain radiating in the labia majora lasting for only few seconds.i never felt pain while urinating.
    sorry for the long post but i was really disturbed because of this problem so i wanted to tell complete details about it.can you tell me please what the main problem is? because there is no infection and detrusitol and genurin are not working as well.are there any chances to get incontinence or any other horrible disease? is it because of any underlying nerve disease??

    • Jan Modric

      zalay,

      one possible cause could be abdominal/pelvic adhesions – strands of scar tisue pulling or pressing to a certain part of the urinary system. This may occur at any time (can be months, years) after abdominal surgery, as you had it. Adhesions can be sometimes detected by an ultrasound, but sometimes a laparoscopy is needed.

      Other possibilities include: a growth/inflammation in mucosal or muscular layer of the urethra/bladder, urinary stones, abdominal mass (endometriosis or a benign tumor…) pressing upon the bladder/urethra, a neurological disorder…I can’t say which of these is more likely. One of possible complications could be urinary infection, which is horrible enough. I strongly suggest you to visit an urologist.

  • zalay

    i forgot to tell that i had appendectomy 3 years before.shortly after the operation i felt the need to urinate.but i could not pass any urine.but after sometime it was normal.
    my problem started about 8 months after the operation.(but the feeling i felt at that time is almost similar as i feel these days when i go to bathroom after suppressing the need).i again say that difficulty in starting occurs only when i suppress it for sometime.otherwise it started itself with a weak stream that stops in the mid…………

  • zalay

    thanx alot!but i’v gone through an ultrasound of bladder and kidneys.is it not enough to rule out the possibility of stones or any growth/inflammation in bladder wall?
    i don’t have any sign of inflammation(dysuria,hematuria) & my urine test is also normal..
    aren’t there any chances of more adhesions after laparoscopy?? and scaring after cystourethrography?
    i don’t want any invasive test :((
    can u suggest me any noninvasive test which is helpful also???
    are CT or MRI of any help in diagnosing growth,inflammation,stones,abdominal masses and adhesions??
    is there any non invasive test to exclude all urethral diseases??
    what kind of tests would be there for neurological disorders??
    should i go through any tests for muscle activity??
    u make me scared :(( every time when i went to any doctor he said; u don’t have any serious problem.just drink more water(but drinking more means more trouble in emptying my bladder so i usually drink less than a litre/day.)and after ultrasound the doctor said; don’t worry, u don’t have stones or tumor.so no big problem for u.so i’m asking u,can US miss some stones(i studied) or tumors in the bladder wall??i really don’t want to through cysturethrography/cystography..:(

    • Jan Modric

      zalay,

      ultrasound could miss some inflammation within the urinary tract, but I’m not expert on this, so hard to tell more. It should detect most stones and tumors, though. MRI could show much more, and would probably exclude most growths and stones, but not functional (muscle/nerves) disorders. Ultrasound can detect OR miss adhesions. MRI can more reliably detect adhesions or endometriosis, but can still miss them, so laparoscopy is a last resort, when other disorders are excluded. It’s true that laparoscopy can result in more adhesions, but various techniques to lessen the posibility of adhesions exist. Eventual existing adhesions can be resolved during laparoscopy.

      Your condition is not normal, and I seriously doubt “you only need to drink more”. Even if your symptoms are completely psychological, this still need to be resolved, since it may result in urinary infection. A neurologist should be able to diagnose eventual muscular or neurological problems, what usually involves measurement of some electric potentials with the help of electrodes connected on certain areas on the body surface.

  • heavyrunner

    Hi,

    I recently started a running/walking program to train for a 5k. I am heavy, over 250lbs, 33 and otherwise healthy (am a smoker.. 6-7 per day). My first week I did 2 min. of walking and 1 min. of running 10 times for a total of 30 minutes. (5 min. warm up and cool down walk). My second week (Monday 6/21) I started doing 75sec runs with 1.45 min walks 10 times (same warm up and cool down). About 25 minutes into my work out, my left foot started to feel heavy and numb. I had been experiencing tightness in my left shin throughout the workout, and thought maybe it was the start of a shin splint, although there was no pain. After my foot went numb, I finished my workout and by the time I was finished with my five minute cool down walk I had most of the feeling back. On Tuesday, I did not run, but walked three miles. No numbness or tightness in my shin or foot. Thursday I ran/walked again (after resting Wed) and about 23 minutes in I started feeling the numbness in my left foot and the tightness in my shin. However, by 30 minutes, I could no longer run because I could barely feel my foot and left leg was numb almost halfway up to the knee. I walked for three minutes and had no alleviation of the symptoms, even after actually removing my shoes. I did not get full feeling back in my foot and leg until about 30 minutes after my workout, and the tightness in my shin hasn’t gone away yet. I have been icing my shin again today and taking Ibuprofen. I don’t notice any swelling, and there is no shooting pain, just a slightly dull, barely there ache. I spend days in an office sitting most of the day. And I do my run/walks 4 times a week, with two days of walking in between and one day of complete rest. I am very frustrated with this numbness and have looked all over for what could be causing this. Most running sites recommend trying new shoes, stretching calves 15-20 minutes into a run, loosening shoe laces, or even just wiggling your toes around to get feeling back. I have tried all of these with no success so far. I am highly motivated to get in shape (and lose weight) for my first 5k in October, and I don’t want anything like this to set me back! Do you have any idea what could be causing this and any recommendations? I would like to try everything I can before going to a Doctor since I do not currently have insurance.
    Thanks!

    • Jan Modric

      heavyrunner,

      a pinched nerve due to a bulging disc in the lumbar spine could cause your symptoms, even if you have no pain in the back. I recommend you to get this diagnosed (neurologist, orthopedist), since continuing running may aggravate the condition. Another possible cause could be inflamed arteries in the leg.

  • Jessica

    Hi Jan,

    I am 23 years old, in Feb I had a microdiscectomy for a herniated disc. The surgery did not help at all…I think that it has actually made me worse.
    I frequently have back pain when sitting which travels down my butt into my leg on both sides of my body but seems to not be there all the time, when it comes however it is very intense. My left foot feels numb and tingles frequently. When I try to walk I limp because when I put weight on either side of my body I get severe back pain in my lower back. If I twist or turn a sharp pain radiates down my side and even when I lie down I feel pain in my back and if I’m lying on my front and move my hips (either side) I have severe pain through my back and my leg instantly goes numb.
    Is this common post surgery? I don’t know what my options are. My doctor recommended a spine fusion…in your opinion would this help?
    I have tried yoga, walking, rest, medication, massage, physiotherapy all which increased my pain or did not work.
    I would really appreciate any advice you could offer,
    Jessica.

    • Jan Modric

      Jessica,

      after successful operation, there should be no pains radiating down the leg. I don’t know what was your original spinal disorder, so I can’t say what would be needed, but another operation is an option – an experienced surgeon should tell what exactly to do.

  • zalay

    hi jan
    thanx for ur help.but its not possible for me to see a doctor so soon as i m preparing for my upcoming exams.
    since last 2 days my feet are burning in the evening(mostly on the medial side of ankle).i also felt such feeling for once or twice during the last two weeks.at that time i thought it was because of summer or i walked too much.but from the last two days the weather is fine and i’v been studying(don’t go for a walk).is it related to my last problem i discussed with u?if not then please could u tell me the reason for such kind of burning sensations in otherwise healthy person?
    and one more thing sometimes my limbs get numb during sleep nearly in the awakening times.and i become disturbed because i cant find relief in any position..its not because of pressure on limbs while sleeping as most of the time my opposite side limbs also get numb..its not that all of the limbs get numb at a time..sometimes one or both arms,sometimes one of the legs(not specifically of right/left)..i dont have anemia(as i thought because of numbness/postural hypotension and sometimes throbbing sensation any where in the body)as my blood report was normal.and i also want to tell u that i live abroad in a hostel so my diet is very poor.i eat only once a day and that too is not quality food.now please tell me are these problems because of some dietary deficiency or something else??thanx

    • Jan Modric

      zalay,

      burning (also any itching or pain?) on the medial side of the ankle could be from walking (shoes) and can persist for days/weeks after you stop walking. If this burning is not present during the day (even when you walk) then this is not the likely cause, though.

      Numbness in limbs could be from mineral imbalance regarding you have a poor diet. Were minerals (potassium, sodium, calcium, magnesium) checked during your blood test? If not, I would recommend you to have such a test, plus a doctor can, on the basis of results, recommend you apropriate diet. See a doctor soon. I simply can’t recommend something what would help, since I don’t know what exactly is wrong. Try to eat enough.

  • zalay

    i forgot to tell :p my hands also burn after exposure to very cold water.it also started a couple of weeks ago.and sometimes they burn without this cold water(just like feet do)…

  • Julie foot pain

    Hi to anyone out there two months ago I started to get a tight feeling of the skin on the outside of the bottom of my foot. over time as in now, my skin on the outerside of my foot is numb and i am in incredible pain. I have gone to the GP who gave me anti-inflamitorys and I feel absolutely lost with it. The pain appears to be relieved a little when sleeping of a night time however does not take long in the morning to start creeping back. It is now 10 pm and I am in agony with it. I cannot touch my foot as it feels painful to touch it. THANKS Julie

    • Jan Modric

      Julie,

      tightness and tenderness of the foot can be due to an under-skin infection – in this case you would need prescribed oral antibiotics as soon as possible. A doctor should confirm a diagnosis, though.

  • nasesevia

    My left leg suddenly became numb and felt heavy.I was able to walk though and gradually the numbness disappeared. However, it has resurfaced three or four times since the first and all I have been doing is walk to shake it off. May this be an early sign of paralysis. I am gout/ arthritis patient and I have pain on my lower back (upper butocks)…it`s not a bothering pain though. After, walking for a long time, my back gets so stiff and I guesse it may have something to do with the numbness. Please advise me on what to do. Am I on my way to paralysis?

    • Jan Modric

      nasesevia,

      pain in the lower back and numbness in the leg suggests a pinched nerve in the lumbar spine. A neurologist or orthopedist can rder appropriate investigations (CT or MRI) to confirm a diagnosis. Other causes are possible, I’ve mentioned a likly one. Pinched nerves are not associated with paralysis, at least not in early stages.

  • nicfree13

    Last week, I spent a few days scraping dried glue off a concrete slab to be stained. And noticed later that the top of my foot, up the front of my ankle all the way up to the middle of my tibialis anterior has been completely numb. No pain, sometimes I get the pins and needles feeling, but mostly my foot and leg feels “asleep”. I did find myself putting most of my weight on my left leg (the leg that is affected) while I was working. I was crouching the whole time too. It’s been this way for about a week now, and starting to worry me. No signs of it getting better or going away.

    • Jan Modric

      nicfree13,

      I recommend you to visit a neurologist. It’s possible a nerve was compressed during crouching, but a pinched nerve in the lumbar spine (from a bulging disc, for example) is also possible.

  • urcrazee2004

    I had a microdiscectomy and a hemilaminectomy about 5 months ago on my L4 L5 disc. I also had a herniation on my L5 S1 that was not operated on. Right after surgery my Dr told me that I would reherniate my disc within a week to a year and that I would have to have a fusion. I went and did my 16 sessions of PT and during so I notices numbness in my feet going from my akeles tendon along the outside of my foot to the toes and pad. I also was experiencing bone on bone clicking at the site that was operated on which cause pain. I informed my dr of this and he stated that until my leg went completely numb I don’t have to see him again. A month and a half later I am still experiencing back pain daily (not debilitating) and numbness in calves and feet on both legs more intense or left side and a little pain on back of left leg under buttock. I am meeting with my dr in 2 weeks and I want to be clear that I am concerned about this. What are some options on what it may be? I don’t know if I reherniated L4-5 or if the herniation on L5-S1 became worse, or I read about FBSS or possible permanent nerve damage. I just don’t want to be rushed out of the office again after 5 mins. I want to be able to ask question and find a solution. I drive to long of a way to see him and wait even longer to get an apt to be rushed out with no solution other than time will heal it, it’s been 5 months. Please help with any information possible or questions I should ask. I know I should not be intimidates by my neorosurgon but he makes me feel dumb when I ask any questions and answers only with give it time and it will be better. Please help. I am under work comp and they want to settle but I dont want to yet until I know whats going on and if another surgery might be in the future.

  • zalay

    hello jan! i went through cystography the day before yesterday and every thing came out normal except for a very mild inflammation in the bladder wall(i think i recently got it and it has nothing to do with my problem.the doctor also said it is very mild.he gave me cefuroxime both for it and prophylaxis of infection)..
    now the possibilities of stones,inflammation,growth, etc in the bladder/urethra are excluded.and i dont think i have ENDOMETRIOSIS as i dont have any of symptoms of it.and about ADHESIONS when i asked doctor,he said we usually diagnose it from the set of symptoms(in case of those after appendectomy they might be related to GI tract and i also dont have these).
    he said there might be something wrong with nerves.but the test for this is not available in our city and it is very difficult for me to go to some other city(as i told i live abroad).doctor said try some exercises like “try to hold urine for longer in your bladder”…i m not satisfied with it because i usually do this(not for exercise purpose:)) and after this i face more difficulty in emptying my bladder 🙁
    he didn’t give me any medicine as i was expecting and i m not going to do this kind of exercise 🙁
    now i want to ask you that after these normal results of US,urinalysis and cystography HOW MANY CHANCES ARE THERE FOR NERVES DISORDER????
    and if there are then, according to my symptoms WHICH INNERVATION SEEMS TO BE WRONG???SENSORY OR MOTOR????
    during the last two years i have been taking antibiotics and drugs for muscle control so what if now i take some medication for nerves on “trial basis”? 🙂

    • Jan Modric

      zalay,

      I’ve read all your comments again, so, yes, a problem could be neurological (I’m not claiming this, though).

      Weak urine stream could be from:
      – weakness of the bladder wall muscles (innervated by parasymphatetic motor nerves arising from the S1-S3 segments of the spinal cord),
      – tightness of the internal urerthral sphincter (innervated by sympathetic nerves arising from Th11-L2 segments)

      Pain in the labia majora could arise from a disorder in L1-L2, and burning feet from L4/L5 or L5/S1 segment.

      An MRI of the lumbar and sacral spinal cord could reveal bulging discs or other spinal disorder resulting in pinched nerves mentioned above. Bladder emptying could be also affected by stress or certain medications, or deficiency of certain minerals, and vitamins from B complex (which is possible regarding your poor diet, like said). Blood tests would reveal this.

      I DO NOT recommend you any “trials” with antibiotics or other prescribed drugs.

      Kegel exercises (constricting pelvic muscles in the way, like you want to interupt the flow of the urine) are actually recommended in certain types of urinary incontinence affecting the external ureteral sphincter, but they do not help to increase the strenght of the bladder wall muscles.

      When speaking with doctors, always have your complete medical history in factual manner written on the paper – this should include all symptoms, tests and treatments and their effect.

  • zalay

    for the last one or two weeks my urinary frequency has been slightly increased..don’t know why??

  • Jan Modric

    urcrazee,

    symptoms appearing on the back of the leg speak for a pinched spinal root L5/S1. I can’t say, if the condition at L4/L5 has worsened and if it is due to Failed Back Surgery Syndrome, and what clicking bones could mean. A surgeon should be able to tell more. Waiting that a whole leg would become numb does not sound appropriate to me. If symptoms are not lessening and if even a physiotherapy does not help, it’s not likely that the condition will heal on its own. I don’t think you have a permanent nerve damage at this moment, but with continuibig pressure upon the nerve, this may happen. I believe, you have enough of reasons to discuss about the surgery (at L5/S1) with the surgeon. The question I can’t answer is, would the L4/L5 segment need to be checked again.

  • Stelle

    Hi Dr…me again! I have been back to my orthopedic surgeon and he’s sent me for another facet block. This time the pain relief was only temporary. I have been on 3 different types of painkillers (NSAIDs and something to sleep too). The pain is unfortunately not letting up.

    Something worrying for me at the moment, is that I have been experiencing similar pain and weakness in my left arm, from my shoulder to my fingers. Not a lot of pins and needles, that comes and goes. But the pain and weakness in my arm is constant. My eyes are also worrying me – they’re “fuzzy”…I can’t seem to focus quite as clearly as I used to – I find myself squinting quite a lot. I am not sure if these symptoms are related at all…

    I am seeing my orthopedic surgeon again tomorrow, for a follow up visit. Shall I tell him a about these “new” symptoms, or are they just related to my perceived sciatica?

    • Jan Modric

      Stelle,

      of course you tell the orthopedist about your new symptoms. Also, be sure he’s aware of ally your symptoms you’ve ever had.

  • zalay

    thanx alot jan for your kind help!
    now it means i need to go for MRI:(
    isn’t there any medicine that strenghtens the nerves??or exercises??the doctor was saying that muscle contraction is normal..i don’t know how he checked it only by cystography…
    these days as i told i m suffering from frequency also..and my doctor advised me to drink almost 2l per day to avoid infection.but as soon as i start drinking water in the morning my frequency gets worse(even after drinking a half of litre)..my bladder gets full again and again but i can not empty it in one time.the interesting thing is that if i go soon after starting feeling, it starts normally and sometimes it seems that it has ended normally(with forced stream in the start that gradually slows down in the end)but even after this the feeling rises again and i have to sit for some more small volumes..in order to avoid awakening in the night/early morning i usually drink only a small amount(100/200ml) during the last 6 or 7 hours before going to bed,but most of the times i wake up in the morning with the feeling of some urine(not full)in the bladder..i don’t know whether it is a side effect of flavoxate hydrochloride(i took during the last week) or is due to cystograpy???i m also feeling dysuria these days.today is the 4th day after cystography..is it normal??how long it will last??
    can u please tell me the reason for frequency????
    it is getting on my nerves these days..i can’t drink more,can’t sleep properly,cant concentrate on studies……….
    is it also a nerve disorder??is my bladder converting to hypersensitive type??
    if there would not be any buldging disc or pinched nerve then what kind of treatment there would be???isn’t there any medicine that can turn my bladder to what exactly it was???

    • Jan Modric

      zalay,

      first, try to eat enough to get enough calories and vitamins. Without this it may happen that doctors will blame your diet for all symptoms you have. At the first occasion you can ask for blood tests for vitamins and minerals. You could have vitamin B deficiency, for example, which can affects nerves. In this case, taking “multivatimanins” would probably not be enough, but hard to say more without tests. It is vitamin B that may “strenghten” the nerves, but please note, I’m not telling you here to take these vitamins – the doctor should decide (small doses probaly won’t help, and high doses can be taken only by prescription).

      There are more specific tests for bladder emptying than cystography. They are called “urodynamic tests”. Nerve damage would be reflected in inappropriate bladder muscle or urethral sphincter contraction and this can be measured by electromyography (EMG). When this test is positive, other investigations to find the cause of nerve damage (including MRI) can be done. Spinal nerves arising from the lumbar or sacral area innervate not only the bladder, but also anal sphincter, muscles and skin in the groin and legs, so a pressure upon these nerves would likely cause symptoms in these areas.

      Frequent urination can be due to increased inflammation you’ve mentioned, cystography (can’t provide more details myself), urinary infection, certain medications…Flavoxate hydrochloride is actually meant to treat frequent urination, so I’m not sure if this could be the cause.

      What you can do is to eat regularly and write down your complete medical history revealing the time course of your symptoms and the exact pattern of urine excretion (more problems emptying the full bladder). Then, if a doctor agrees, to have blood tests for vitamins and minerals. Then mentioned urodynamic tests or EMG could follow which can officially confirm or exclude urinary retention (this is the condition you seem to have). Excetpt cystography, an endoscopic investigation of the bladder (cystoscopy) exist. Besides bladder or nerves disorder, there could be something on the outside of the bladder what could interfere with bladder emptying, like already mentioned adhesions or a benign tumor for example – these can be found by MRI or laparoscopy. I know, all this may be overwhelming, so it is important to go step by step and exclude some possibly banal causes first, starting with appropriate diet. You should drink enough, otherwise dehydration may develop with additional symptoms, like fatigue and dizziness. Water should be ok.

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  • angialis

    I have a healthy six year old. Both sides of his big toes tingle. (Side closest to second toe). He keeps the two toes clenched together to get relief. What could this be? He wears flip flops most the time (not between the toe kind) the rest of the time he wears running shoes. Should I take him to the dr?

    • Jan Modric

      angialis,

      a pediatric neurologist can give him a diagnosis. Here’s a personal medical history questionnaire that may help to prepare for the appointment. The doctor will likely ask about exact areas where tingling appears, eventual pain, lower back or leg pain, any relieving or triggering factors, any rash or redness in the past…

  • coollamps

    I have numbness on my outer legs between my hips and knees. It does not seem to go away, and sometimes, especially at night, it can turn into some mild but annoying pain. what could be the cause of that? I am quite overweight… could that be causing this?

    • Jan Modric

      collamps,

      one possible cause is a pinched nerve in the lumbar spine, even if you don’t have any lower back pain. Symptoms worsening at night are quite characteristic for a pinched nerve. The disorder is called sciatica. Or it could be related to the hip or knee joint, for example.

  • V.K.MALHOTRA

    I am a young man of 61 years and an old patient of lumbar spondolittis. For the last about 4/5 months I have been feeling numbness, tingling and if keep standing for more than 30 minutes continuously, the right leg stiffens and there is pain underneath the knee. If I dont sit, the leg becomes heavy. I got my MRI done and it has shown L5- S1 degenrated. I have consulted some doctors and they have differnt opinions like surgery/ medication and some back exercises. I have tried the medicines and also doing Yoga, but so far no relief. I may kindly be guided as to how I should proceed so that I may get relief of this problem.

    • Jan Modric

      V.K.MALHOTRA,

      in general, surgery of lumbar spondylitis, if done completely, can give permanent or at least long-term relief. An experienced orthopedist can tell (on the basis of the MRI) what outcome you can expect. Medications don’t seem a long-term solution to me, since, even if they work, they often have side effects. Excercises should be done by orthopedist’s or physiotherapist’s recommendation – I mean not all exercises are good for the back.

  • KitKatKitty

    Hello,

    Is it possible to have a herniated disc, sciatica, tarsal (and carpal) tunnel syndrome, Spondylolisthesis, all at the same time?

    I’m a 30 year old female, with a history of several ankle sprains as a kid, a torn ligament in 1 knee; adulthood: lower back pains with sudden “cracking” at the last vertebrae’s (often leading to leg numbness/momentary paralysis).
    Drug history: Cortisone steroid (oral) over 10 months due to liver auto-immune Disease) with Calcium & Vitamin D. to counterbalance the osteoporosis side-effects of Cortisone).Treatment over 5 years ago***
    Recently: unbalanced sensations, leaning on 1 side due to muscle pain in legs, numbness, and/or tingling in ankles, knees, legs, swollen behind both knees, ankles, toes red & throbbing to point of burning/electricity sensation. This throbbing has also begun in my arms (wrists) and sometimes behind my ear in my neck.
    Broken toe – 6 months ago: Has not healed correctly (I suspect crookedly)
    increased burning/electricity red & throbbing in THAT toe. Afterwards numbness may be present.
    I cannot sit still for more than a few minutes: I feel “stuck” in positions when I use my hands, or bend my knees and/or back.
    Everything hurts; my breathing is forced: sometimes to the point of dizziness and nausea/trembling.

    Seriously man, am I gonna die?
    What is wrong with me?

    • Jan Modric

      KitKatKitty,

      a swollen lymph node in the armpit can be a symptom of a serious disease, so I recommend you to get that checked by a doctor. You might also have swollen lymph nodes in other areas, like behind the knees and ears. Tarsal and carpal tunnel syndrome could be a result of swelling (?). Sciatica is a symptom, and can be caused by various disorders in the lumbar spine, including herniated disc, spondylolisthesis, spondylitis, osteoporosis…

  • KitKatKitty

    Also forgot to mention a sore & Swollen Lymph node in my left arm pit, subsiding a week later. During some days, I can feel swell slighly again.

  • kev

    I have a slight numbness in my left thigh and sometimes I get a tingling sensation with it. And the past week it has been getting more pronounced and I get sleepy, I take a nap and when I wake up, it is not as bad with the tingling part. But the slight numbness is always there and has been for years.

    • Jan Modric

      kev,

      numbness and tingling in the thigh that change with a body position are probably caused by a disorder in the lumbar spine, like a bulging disc or spinal arthritis. A neurologist can make a diagnosis.

  • dusttrail

    Nearly three months ago, I had a mass appear above my right knee toward the outer side. My knee will be numb and I have pain, aching to burning pain in my thigh. I had xrays and MRI’s. MRI stated possible lipoma hidden in subcutaneous fat. Also had MRI of lumbar spine with some bulging discs but nothing noteworthy to cause the problem. Had two EMG’s with normal results and ultrasound to test for blood clot-nothing. Doctor is puzzled. He is thinking about a bone scan next. Don’t know what to do next.

    • Jan Modric

      dusttrail,

      important info is, did the lump appear suddenly or was developing through a long period? Also is it soft or hard? An orthopedist should know all possible causes of the lump and does it press on any big nerve which could cause numbness and pain.

  • JMT

    Hi,

    I don’t normally post on online threads, but I seem to be at a dead end here, and any insight could help. I have disk bulges in my lumbar and cervical spine, with some arthritis. I am 26 and am a triathlete. My symptoms started about a year ago – I was stretching my calves when the top of my ankle started tingling. But, it usually only tingled when I walked and moved my leg forward. THen, it went into my right leg. It lasted on and off for a couple months. Then, on a 10 mile run, my foot started to burn so bad. It felt like my foot wouldn’t fit into my shoe and when I removed my shoes, it got 90% better. This happened a couple times in a year’s span. At night after this happened, I could not wear socks, as my feet still felt like they burned, but my feet were freezing! So, I wore socks only around my toes. But, it wasn’t enough for me to seek medical attention. Then, about 6 months ago, my hands started tingling, but only during things like driving, holding my phone, or bending forward, and even then, not all the time. Again, not enough for me to seek medical attention. THen, a couple months ago, I was spending long hours hunched over textbooks studying for state certification exams, and the tingling spread into my arms and legs. Then a few days later, my neck and face. Tingling never stayed long – sometimes 30 seconds, sometimes a couple minutes, and it was usually helped by laying on my back, but only for a bit. THen, symptoms were worse in heat – electric shocks, or just feeling like my skin was electrically charged, parts of a toe would tingle or go numb or it felt like parts of my skin had cold water running down it. Eventually, I could not wear shoes or socks because it would cause tingling and burning. My feet (mostly the right) tingles sometimes in hot showers. Then, my lower arms hurt so bad and got weak- I could hardly put my hair in a ponytail. Sitting on my bike causes tingling and my groin, even on the inside (TMI, I know) is numb. I would assume this was all related to my my disk issues, except for the fact that my face is involved. I went to a neurologist, who found nothing abnormal in a brain MRI, no worsening of the lumbar vertebrae, and only slight worsening of the neck. But, since there is no pain (except for the month of the low arm pain), he did not recommend surgery (and I’m trying to find the least invasive way to find out what is wrong). Blood tests of thyroid, vitamins, and toxins came back normal, tested negative for transverse myelitis, and went to a Rheumatologist who said it did not sound like a rheumatology issue. It’s almost like my nerves are “too sensitive” and the neurologist said it just doesn’t sound like anything he’s ever heard of. I’ve also noticed that my toenails and fingernails would turn blue, but not the fingers or toes, so they said that was not indicitive of Raynaud’s.

    ANy insight? THank you for your time.

    • Jan Modric

      JMT,

      was it the inner or outer ankle and which side, which started to tingle after calves stretching? Symptoms around the inner ankle and burning foot could be a tarsal tunnel syndrome (read above in the article).

      Symptoms appearing in the arms and legs and groin changing with body/limbs positions speak for pinched nerves in the cervical and lumbar spine. Symptoms in brain disorders, like multiple sclerosis, are not usually related to body movements. Extent of disc bulging does not always correlate with symptoms – a mild bulge can cause symptoms and a big bulge can cause no symptoms. Prolonged periods of sitting or standing typically aggravate symptoms. Bluish nails speak for poor oxygenation from poor blood delivery; they are nerves that control vessels’ diameter, but I would not exclude Raynaud’s syndrome… Symptoms from heat would likely include some rash or hives…

      Muscle cramps and facial tingling could be from vitamin B deficiency (you say vitamins were normal…), or blood potassium/calcium/magnesium/sodium imbalance. A comprehensive blood check including blood cells, hemoglobin, minerals, glucose, tumor markers (like for carcinoid)…could reveal the cause.

  • JMT

    I forgot to mention that when I took 4 Aleves in a day (high, I know, but I was testing a theory), the everyday shocks and things falling asleep stopped. But the groin numbness and foot sensitivity in shoes (which I’m pretty sure it some weird sensitivity to heat somehow) got better. But, not, I’m taking Mobic once a day and it does not seem to help.

  • JMT

    Dang – I forgot to also mention that I get a lot of muscle spasm and random spams of pain – there seems to be no pattern. I also had increase in spasms when I got angry this last week – which was new.

  • JMT

    Hi,

    THe tingling started on the top of the ankle, not to either side.

    I figured the disc bulges could account for most of the body symptoms, but since it’s in my face, I don’t know what to think. I also have these random blurred spots in my left eye that come and ago – never for more than a few seconds, but they are increasing in frequency. This also went away with Aleve.

    And, all that blood stuff has already been checked, except for cancer markers and magnesium. Wouldn’t a high white cell count show up if it were cancer, or something show up on the brain MRI if something were there? Thanks, again.

    • Jan Modric

      JMT,

      if foot symptoms are obviously aggravated by moving the foot or touching it, this speaks for a localized disorder, possibly caused by shoes.

      Yes, bulging discs should not cause facial tingling. You’ve mentioned how tingling has spread from arms to neck and proceded to face – if you think the facial numbness came in a packet with arm and neck tingling, then probably none of these areas were likely affected by bulging discs. So it is important to say, if arm and facial tingling appear and disappear at the same time. Yes, MRI of the brain should detect most organic disorders. It would not detect seizures, though.

      It is important you put all symptoms in a timeline, and say in which exact areas they appear, what triggers them and what relieve them.

      Cancer does not necessary result in increased white blood cells, but certain cancers secrete substances that can cause varios abnormal skin sensations. Great physical or psychological stress or strict diet or certain medications couild also cause your symptoms.

  • dusttrail

    Yes, the mass came on suddenly. I guess it is soft in nature. It will cause more pain and aching when you press on the area of the mass. It feels tight in the area and at times will seem to be emanating heat from within. I have more aching and pain in the mass and thigh area when I am on my feet more. I have a hard time bearing weight on that leg without causing discomfort. My knee will give at times. I have seen two orthopedics and they have both said they are not sure what it could be since the MRI did not show anything other than possible lipoma hidden in subcutaneous fat. I am not obese although I could probably lose about 30 pounds but am dealing with insulin resistance with pcos. My doctor also does not think it is related to the fibromyalgia because it is only the one leg. I wonder if it could be Dercum’s since it might be in the fat and since it is also painful but it is only the one mass. Also it is very sensitive to any type of pressure. I have to wear very loose pants so the fabric doesn’t irritate it. Any restriction bothers it. I am ready for some relief. Summer vacation had to be cancelled as I can’t walk without alot of discomfort. I am grasping at any straw.

    • Jan Modric

      dusttrail,

      if a mass came on suddenly, it could be a cyst or a collection of fluid, including hematoma…An exact diagnosis could be made by an aspiration biopsy with a needle, and if there is a fluid, it could be removed this way….Are you aware of any recent injury? I’m not sure why a bone scan was proposed as an optional investigation. Also, I’m not sure if a lipoma could developed suddenly. An oil cyst, like in cystic acne, would not grow deep in the muscles, but beneath the skin.

  • dusttrail

    There was not any injury to the area. Two of the doctors I have seen think the mass/lump and the pain in the thigh and numbness in knee is unrelated. None have suggested a biopsy at all.

    • Jan Modric

      dusttrail,

      I’m not sure which exact investigation can estimate the density/consistecy of such lumps from the outside, but, if not already done, you can ask about ultrasound. Aspiration biopsy would determine the mass content exactly, though. I don’t know if the lump is related to your knee/thigh pain (these could be from a pinched sciatic nerve for example), but you said you have the problem with the lump itself.

  • maffy1983

    Hi there,

    I am really hoping you can help me. I started with a pain of which i thought was in my groin area in January. After internal/external examinations and various swabs and tests i was told there was nothing wrong with my womb/cervix etc. This pain has continued and has no pattern. It has now occurred to me that my road running may be causing it and am i confusing a lower back pain with what i initially thought?! During the last 4 weeks i have increased my miles and the pain is getting worse. It is mostly on my right side, lower back although not painful to touch – just a dull ache all the time. This pain is also in my right leg and during long runs im suffering from pins and needles in both my feet. I am getting really frustrated – i am 27 and have no back problem history in the family. i do hope you can help.

    Thanks

    Emma

    • Jan Modric

      Emma,

      a disorder in the lumbar spine (like a bulging disc or spinal arthritis) can cause numbness, tingling (pins and needles), burning, pain, cramps – one, more or all of these symptoms, regardless of your family history. Diagnosis can be made by a CT/MRI of the lumbar spine, but I’m not sure if you need this for now. I guess your symptoms should disappear after limiting your physical exercise.

  • GBS

    If the numbness and tingling is ascending, it could be Guillain Barre Syndrome.

    • Jan Modric

      GBS,

      yes, and it typically follow a gastrointestinal infection (food poisoning) or other infection. Other patterns, besides ascending one exist: numbness may start in hands, for example.

  • garey

    I have small red blister like bumps on both legs and thought it was posion oak but it doesnt itch and i have never had it in my life..I am 59 years old and this is the first time i have had anything like this..It burns and the skin feels tight and tingly and it isnt a sun burn..Any ideas..I was told in 2000 that I have MS but this doesnt seem to be a symptom…

    • Jan Modric

      garey,

      if some bumps have white centers, it can be staphylococcal folliculitis – a bacterial infection (it is a skin-to-skin infection, which can be contracted by sharing towels or sport equipment…Threatment is with antibacterial ointments. If there are no white centers, it can be bumpy hives – an allergic reaction to something. In this case bumps would disappear in some hours. Rash can be also associated by some gastrointestinal disorders. If it persist, a dermatologist can give you a diagnosis.

  • dusttrail

    The nuclear bone scan was normal. What type of doctor would do the biopsy because none of them have suggested one. I have been to 2 orthos, 1 physio, and 1 neuro. I feel a tightness and pressure emanating from the area of the mass that I feel is why I feel pain in my thigh/leg. I do not know where to go next. I saw a program about endometriosis of the sciatic nerve in the thigh and wondered if I could have this rare condition.

    • Jan Modric

      dusttrail,

      a needle biopsy (if appropriate) can be done by any surgeon, including orthopedist, traumatologist, neurosurgeon…at an outpatient level. I recommend you to discuss about biopsy with some of your current doctors; they should be able to tell you where to turn. To differ among suspeted causes, it seems important to tell, in what time (days, weeks…) the lump has developed. Sciatic endometriosis is aggravated by menstruation, and can appear as a mass within the muscle.

  • kimberly

    i am feeling tingling and sleepyness in my right leg no matter what position im in what could be causing this??

    • Jan Modric

      kimberly,

      it couldd be, for example, a disorder in your lumbar spine causing sciatica – a neurologist or orthopedist can give you a diagnosis.

  • aries86

    I have been experiencing tingling in the back of my head, in my back, left arm, and both legs for awhile now. My left arm and leg have also been aching on and off along with the tingling. There has also been pain shooting in my left hand and left foot. A few times I have experienced both of my legs aching at the same time along with tingling. When this happens my legs feel weak. My lab results came back fine and a CAT scan was also fine. I am now waiting on my MRI results. Anyone know what this could be?

    • Jan Modric

      aries86,

      one possible cause is a spinal disorder in your neck and lower back resulting in pinched spinal nerves.

  • Simone Byrd

    Years ago I took a long step down from a very high window sill. I wear glasses and didn’t realize the step down was as far as it was. After I stepped down, my back hurt really bad, I couldn’t even sneeze without holding my upper body for a while, years passed, my back felt better and I developed an ache in my left butt cheek, went to a chropractor who referred me to a pain management doctor who admistered several cortisone shots, after the shots I developed numbness in the calf of m left leg and tingeling in my toes. I also developed extreme leg cramps especially at night, and my toes separate on their on, sometimes I lay in bed watching my toes move and my foot jump automatally.

    Please give me some suggestions as to what I need to do to stop the involuntary movement in my legs and toes

    • Jan Modric

      Simone Byrd,

      I recommend you to reveal all this to a neurologist who can make appropriate investigations to find out, do you maybe have bulging disc(s) or other disorder in your lumbar spine, and was a sciatic nerve damaged during injection. I don’t know for any “remedy” that would cure your condition.

  • Name (Required)

    I get constant pain in my lower back if I walk or stand a little. What is this caused from & what can i do to treat it?

    • Jan Modric

      Name Required 🙂

      lower back pain during standing and walking can arise from a bulging disc or related disorder in the lumbar spine. An orthopedist can determine the exact cause.

  • dlgallian

    About a year ago, I gained 20 pounds due to illness and have not been able to take it off yet. About the same time, I started experiencing tingling and light numbness in my upper/outer hip when I sleep on my side – but always on the opposite side of the one I’m lying on. It seems to be getting more noticeable. I just chalked it up to the weight gain, but it it making it more and more uncomfortable to get to sleep at night (I’m a side sleeper). Should I be concerned?

    • Jan Modric

      dlgallian,

      abnormal sensations could be from a bulging disc in the lumbar spine, to emphasize one possible cause. A neurologist or orthopedist can give you a diagnosis.

  • Too Young For Back Pain?

    Recently, I’ve been experiencing back pain. It’s gotten severe very quickly. I’m not having a hard time walking. I’m experiencing swelling and heat in my lower back and top of the buttocks area. I’ve had to have help getting up from a chair! Sometimes I sit and its resolved or by laying down. Now sitting is a problem. I’ve got a strange tightness in the back of both thighs. I’ve done the leg lift test and failed before getting them up even half way. I have naproxen but it’s not working..

    I’m 29 and I had to be cut out of a car 5 years ago due to a car accident. Could this be latent effect due the accident? i haven’t fallen or lifted anything extremely heavy in a while.

    any suggestions are welcome.
    Thanks!

  • dtm

    Hi, a few weeks ago I woke up one morning and when I got out of bed and went to walk I had a tingling feeling in two of my toes. It disappeared after walking on it but this happens every morning now. It doesn’t last for long – do you know what the problem might be? Many thanks.

    • Jan Modric

      dtm,

      one likely cause is a bulging disc in the lumbar spine resulting in a pinched nerve that innervates the toes. I recommend you to visit a neurologist to get a proper diagnosis.

  • deetee857

    After a piraformis issue (dx’d by chiro) With continued discomfort in legs and nothing but DDD showing up on mri’s what is the treatment if any. Somedays my legs ache so bad down the backs I cant stand it and other days it might be one leg or the other. Somedays they feel so so but never as they used to be. Some days they feel tight. Is this just how it is when something like this happens and is it then ongoing for the rest of your life? I am only early 50’s and never had any back or leg problems. This has really changed my life! Is there any treatment at all?? Thanks for any input. Dee

    • Jan Modric

      Dee,

      surgical correction of bulging/herniated discs (DDD) is considered as safe, effective and often permanent solution. You may partially prevent the pains with finding a semi-hard matress and appropriate sleeping position, avoiding prolonged sitting or standing. Walking or swimming usually helps (temporarily). An experienced physiotherapist may show you some exercises. I’m not aware of any other final solution except surgery, though,
      and I know quite few people with DDD. I know people with DDD, who had surgery at their twenties or thirties.

  • deetee857

    Another question Jan, being that I have been dealing with DDD for months now I was wondering…..Could a blood clot cause achiness in both legs and low back without any swelling? And can a blood clot be present for months or years going unnoticed? Since I use bioidentical hormone creams I am always concerned about that. I know it is probably just the DDD but I hate not having a definite answer for my leg/back problems. I see the doctor next wed and am just not sure what other ?’s to ask. I am afraid I am doomed to a life of back and leg pain. Dee

    • Jan Modric

      Dee,

      thrombosis or blood clot does not likely cause lower back pain according to my knowledge. You’ve mentioned piriformis syndrome and DDD, so these are probably the causes. To confirm DDD, a CT or MRI will be needed.

  • deetee857

    Thanks. Yes I have had an mri and an mri with contrast and mild DDD is seen. Dee

  • lindaj

    Last summer I had an MRI of the lumbar spine and EMG & nerve conduction studies of the lower limbs due to slight weakness and the inability to flex digits 4 and 5 in the left foot. The MRI showed L5-S1 degenerative disk disease with a superimposed herniation. I have occasional back pain, but not often. The EMG was abnormal – on the left side. “The worst findings with spontaneous activity involve predominantly peroneal innervated muscles. The clinical weakness would be more consistent with a tibial nerve problem”. Next, I was referred to a neurologist, who in addition to a full exam, performed an EMG on the bottom of my feet. This showed the nerves were normal, but weren’t receiving the signals when I wanted to flex the 4 and 5 digits. Noone can tell me why I’m unable to flex these toes and now my great toe is becoming more difficult to flex, and often feels numb. I also notice my lower leg feeling numb and tingly on occasion. I do not feel this in my right leg or foot. Next, I saw an orthopedic doctor who was perplexed with my symptoms as well. At my yearly physical in May, I mentioned to my primary doctor the increase in symptoms to which he replied, “Well, we already checked everything out and nothing was found.” I have been tested for auto-immune diseases over the years, as symptoms arise but nothing really shows up in tests. No one has been able to give me any answers as to what is going on, so I’m wondering do I get a second neurological opinion, or just wait until more symptoms appear?

    • Jan Modric

      lindaj,

      herniated disc at L5/S1 can cause one-side symptoms in one leg and foot you-ve described. Physiotherapy sometimes helps, but a spinal surgery is often needed. I can’t exclude other possible causes, but asking for a second opinion sounds as a reasonable next step.

  • stevenfmarks

    Hi Jan,
    I have posted before. I have DDD at the L5-S1 area. I am getting weakness in the right leg and muscle fasciculations at the instep in the same leg(my right). I have numbness and tinglingin the leg in the same dermatome distribution. Nothing has helped-chiropractic, traction, acupuncture, epidurals…when I talk to surgeons they say they cannot promise fixing the numbness and weakness…How do you decide whether to try surgery? One of my nuerologists tells me not to have surgery as does a back surgeon. They tell you to just live with it? Your thoughts..

    • Jan Modric

      stevenfmarks,

      if disc(s) press upon nerves, and if this is the cause of your pains, then surgical release of the pressure should result in pain relief. I personally know 4 persons who had operations of bulging discs and it helped in three cases completely and permanently, and in one case it half-worked since the additional problem (narrowed spinal canal) was not corrected. An experienced neurologist/orthopedist can tell you from what exact cause (if any) the operation in your case could not be completely successful, like an eventual irreversible nerves damage. Sciatic pain is NOT necessary something you need to live with, so I encourage you to ask for a second (or third..) opinion from an experienced and serious neurologist or orthopedist. When multiple discs cause problems, all of them should be corrected, and neurologists just want to be careful when discussing the possible outcome, since they might not be sure if they will be able to correct the problem completely. I had a feeling your doctors can’t *promise* you 100% cure, but this can happen, or at least you can expect a considerable improvement.

  • kikix5

    I have been having outer hip pain (the orth thought this was bursitis of the greater trochanter)started with a steroid pack, and had 2 cortisone shots since april. the last shot I had was in May, I don’t have any back pain, and now I’m getting pain now on the top of my foot and it goes numb instantly now with crossing. and I can’t sit indian style on the ground or do butterflies as the pain is so great. It hurts to walk, go up and down stairs, anything really. I can’t see this being sciatica as there is no pain in my back, I can’t get back into the ortho till October. So I am stuck with the pain until then.

    Anyone else with this??

    • Jan Modric

      kikix5,
      in sciatica, buttock, hip, leg or foot pain can occur without back pain. Besides that, X-ray cannot reliably exclude bulging disc(s) or spinal arthritis, which are main causes of sciatica. I can’t say if your pain originates from the hip or back, though. One possibility is asking a physiotherapist, if certain exercise would help, until you can see an orthopedist again.

  • kikix5

    and nothing was seen on my xrays either and old ortho didn’t seem to find it necessary to do a mri 🙁

  • mike anderson

    Hi
    my mother is 57 years old she has numbness in her feet for the past two months.what should she do?, what can cause this?

  • kim

    Jan,
    Hi. I am at my wits end. I had ALIF surgery in 07, it failed, I lived with it, life went on. This past Jan I went on a long car ride and when I came home, my back hurt like never before. I went on my therapy bike and over did it. Since then I have been suffering so bad. It started out in my back with awful spasms, which are coming back, then to my buttock, now my whole left leg is numb with pins and needles, even the bottom of my foot. The doctors are at a loss. The last one said I may never find out what is wrong with me and have to live like this. I am severely suffering and cannot. There has to be a diagnosis..I feel as if I am dying. I have no quality of life.. Pain med’s don’t even work on me..Not even hard core one’s. ( They have tried from percoset to methadone on me) I am suffering just getting to the computer today to see if I can find any help. Anything would be helpful..Thank you..
    Hurting..and hopeful.

    • Jan Modric

      kim,

      your symptoms are very likely sciatica and very likely arise from the failed fusion site or adjacent spinal segment. You have tried meds…a physiotherapist may give you some educated advice about sleeping body position, but the solution is probably in another surgery. I strongly suggest you to find a reliable, experienced neurosurgeon or orthopedist, who can firstly made an exact diagnosis and tell you what can be done.

  • Jason L.

    Dr. Jan,
    I had plantar fasciitis in January 2010. I feel better from that but it went from that pain in my heel with plantar fasciitis to what feels like a nerve pain in my left foot, just below my outer ankle. If i massage that area it gives me a little relief. I’m a martial art instructor for a living but i really take care of myself but i’m out of shoes on the mat between 2-4 hours a day. I was teaching more before i had this pain.
    Thank you for your help!!

    • Jan Modric

      Jason L.,

      I’m not a doctor. If plantar fascitis was caused by shoes, walking, exercise or injury, foot rest would likely help. Some OTC antiinflammatory medication may provide some relief, but this is not a long-term solution, and would hardly be efficient without foot rest.

  • FancyKats

    56 years old. had knee replacement in 2007. Chronic stomach issues. Severe pain in left buttocks, mostly when laying down. Cant sleep AT ALL… buzzing down left leg all the time. Better when up and moving. Pain horrible at night in buttocks and back of leg. No pill seems to work. had two injections that didn’t work, one in piriformis. Going for epidural. If that doesn’t let me sleep, I swear I will be suicidal. What do I have??????

    • Jan Modric

      FancyKats,

      pain in buttocks and back of the leg aggravated by lying down and relieved by walking may very well be sciatica, which is usually caused by a pinched sciatic nerve due to a bulging/herniated disc or arthritis in the lumbar spine. I recommend you to discuss with an orthopedist or neurologist about MRI or CT of the lumbar spine.

  • FancyKats

    Please help me! desperate… what do I have and what can I do about severe pain in left buttocks and pain in back of leg and buzzing all day long. can’t sleep at all. better when up and moving . when I am horizontal, horrible pain. HELP ME!!

    • Jan Modric

      FancyKats,

      I answered you in the above comment.

  • FancyKats

    have already had 3 injections in back, one in piriformis, which did nothing. Had pt, deep tissue massage which hurt but didn’t help, mri, x ray, nerve conduction study, but no one will say for sure what I have!! Please help. I have severe pain when I lay down. During day, not so bad except exhausted cuz I can’t sleep cuz of pain. I take a sleeping pill, hydrocodine, advil pm and the pain still breaks through. Up all night and I am a teacher. Who should I see and what is it???? The mris show some problems, like buliging disc andnarrow spinal area, but nothing definitive. I don’t know if it is piriformis, sciatica or something else… I just need pain to be stopped or I don’t know how much longer I can go without sleep.

    • Jan Modric

      FancyKats,

      if the problem with sleeping is becomeing severe, I recommend you to visit an orthopedist or neurologist and ask to be admitted to hospital. Pain worsened by lying down and reduced by walking around typically arises from the lumbar spine. Bulging discs are a likely cause; surgical treatment after exact diagnosis should help.

  • CHrissyB

    i have almost like a burning tingle in the left upper part of my foot and left side of my shin and in my 3 middle toes, what could cause this?

    • Jan Modric

      CHrissyB,

      one possible cause is a pinched nerve in the lumbar spine. A neurologist or orthopedist may give you an exact diagnosis.

  • deetee857

    Hi Jan…Would achey legs be a symptom of DDD. Sometimes one leg will ache and not the other sometimes both, sometimes the lower back will be involved but mri only showed mild ddd but I am suffering. My aches move around. Somedays one leg feel tight and and not the other…it is so weird…not sure what to make of it. I have seen primary care, ortho, and neuro, chiro…none can pinpoint a cause. Someone mentioned it could be anxiety. Do you think there could be any truth to that? I dont know who to see next all I know is that I need an answer! I am so afraid someone missed something! DT

    • Jan Modric

      deetee857,

      extent of disorder detected by MRI does not necessary correlate with extent of symptoms you have. An experienced neurologist or orthopedist should know that mild DDD can cause a lot of pain. DDD in the lumbar spine can cause pain in the lower back, buttocks or any part of one or both legs or feet. Pain is often aggravated at night, and by prolonged sitting or standing or carrying or lifting something. Pain is often relieved by walking. On the other hand, inflammation of psoas muscle can also cause lower back and *hip* (especially during bending the leg in the hip) and leg pain. One cause of psoas inflammation is tuberculosis of vertebra in the lower spine. Tests for tuberculosis exist. Try to discuss these options with a neurologist or orthopedist you trust. You can also ask some physiotherapist to show you some exercises that might help. Stress, due to more tense muscles could aggravate your symptoms, but I’m not sure if it could cause them without any underlying disorder being present.

  • laollis

    I do not have medical insurance. I finally went to a Dr. about my feet being numb and burning as they were getting worse. Without doing any tests, he said it was neropathy (sp) and charged me $193.00 cash and gave me a prescription for gabapentin $21.00. Told me to see a neurologist. I went and talked to him, he just said to keep taking the pills and go get a blood test. He charged me $260.00 cash. I took the paper he gave me and went for the blood tests. They took 3 small viles of blood and charged me $460.00 cash. Tests are suppose to be back in 5 days. Neurologist called and said to come in for an ultra sound. I can’t afford it. I’m flat broke. There is no Dr. on earth that gives a damn how I feel or what is wrong. They only want money and don’t care how they get it. I believe in Karma, so when I die this will fall back onto them.

    • Jan Modric

      laollis,

      if you want my comment about your symptoms, I would need to know your medical history in details. Here’s a personal medical history questionnaire that can help you recall all symptoms and put them in the time line.

  • mmsweeney

    I have had tingling and numbness in my lower right leg for about 2 weeks now. It’s never severe or painful, but usually there. I have no back pain or problems anywhere else and am healthy. Went to the doctor and he suggested I’d hurt it somehow or slept on it funny, but that doesn’t’ seem to be the case. Tried heating and stretching it…provides very temporary relief. There is a spot in my mid calf that if I rub really deeply, it hurts…I’m guessing this is the source of the numbness and tingling? Any suggestions on what I may be dealing with or what I need to do? Could this be a blood clot? My leg isn’t red or swollen. Thanks for your help.

    • Jan Modric

      mmsweeney,

      tingling or numbness in the lower leg may arise from a pinched nerve in the lumbar spine, even if you don’t have any back pain. There are other possible causes, probably neurological, so I recommend you to visit a neurologist.

  • Frustrated

    Dr. Jan,

    I am so very frustrated and have been searching the internet for an answer as I do not seem to get any from the doctors that I am seeing. I was injured at work about 2 1/2 months ago and diagnosed with planters fasciitis. I was put in a cast 2 months ago and put on light duty at work, the pain didn’t get any better and my foot would swell so much it would go numb inside of the cast, and my second toe would turn purple. When I went back to the doctor to get my cast off, he replaced it with another and pulled me out of work for a month. Well the month is almost up, the swelling has greatly improved, I am still get numbness and tingling and my second toe is still turning purple. I have been staying off it but I still get sharp shooting and aching pains in my foot. I really fear what will happen when I go to the doctors next. Any advice on what I can expect would be appreciated. Also the doc has not been able to explain the numbness and my toe turning purple. Why would this happen?

    • Jan Modric

      Frustrated,

      I’m not a doctor. The toe going purple speaks for a circulating problem or a blood clot, and I strongly recommend you to discuss this with a doctor **as soon as possible**, to prevent any permanent damage. Do not wait for your regular appointment, just go to the doctor and ask him which specialist to see. You may ask this by phone.

  • limo

    I’ve driven limos for the past 8 years, and that means a lot of setting in car seats while both driving and waiting. Six months ago I began to experience a numbness in the heel of my right driving foot. Now I tend to get that numbness and tingling in both heels and feet. I’m also experiencing some very slight swelling in left angle area. This numbness and tinkling in both feet seems to be increasing, particularly when I set working on the computer, I’m 67 years old and in pretty good health and not really overweight (215 at 6’4″). I touch my toes each morning and afternoon as a stretching exercise and have no noticeable back problems. However I was just recently diagnosed with the very beginnings of diabetes about a month and a half ago. I’ve read where these leg/foot problems can result from diabetes, but can it come on so suddenly and really appearing to get worst?? I’ve started a walking plan, and trying to pay attention to my diet, but I have yet to begin taking the Metformin HCL that was prescribed, hoping I might be able to control my diabetes with exercise and diet. My fasting blood test in the mornings before breakfast range from 100-127. Should I go ahead and start this medication?? I resist all medications if I can. I do take a fair dose of Vitamins, C.B,D,E, baby aspirin. And is this Metformin HCL ER 500 the best choice for me?? I see it is a glucose suppressant rather than insulin activator. Thanks for your advice.

    • Jan Modric

      limo,

      feet problems in diabetes usually result from long-term (years) uncontrolled blood sugar levels, so your heals/ankle symptoms more likely arise from a local inflammation of nerves, tendons or other tissues in your feet, possibly from an “overuse”.

      If you want to avoid medications as much as possible, learn about diet in diabetes. I can’t mess with your prescribed diabetes medications here, but I’m sure you can find more experience-based info on diabetes forums. Many vitamins, when ingested in “fair amount” may be simply excreted in the urine, if there is no vitamin deficiences. If not prescribed by a doctor from some specific reason (digestive problem), vitamin supplements are not necessary, since you can get all of them from the food in sufficient amount.

  • soodles

    Hi,
    I have had numbness down my outer right thigh, to my feet and to my middle right toes for about 3 days now. It is constant, and I feel like it may be getting worse. I did wear shoes that were too tight, but that was 5 days ago.. and if that was it, wouldn’t I be okay by now? Any ideas? I am 34 year old female, stay at home mom.
    Thanks

    • Jan Modric

      soodles,

      I’m not sure if tight shoes could cause symptoms spreading toward the thigh. Anyway, 3 days is not a long time for shoes-related problems. If symptoms won’t go away within a week, the pain could arise from the knee (injury?) or lower back (a pinched nerve in the lumbar spine).

  • jmacat

    I have a like a sore spot when i press inbetween my breast. It almost seems like it goes towards my back. At times, if feels like i have a “catch in my back”. If i lie on my stomach and get up it is even difficult to walk,because my back feels tight or sore. Underneath by toes even go numb and also the heal of my left foot. What could all this be? I’m not sure if this is from my chest soreness or back. I am 52 yrs ood

    • Jan Modric

      jmacat,

      back pains and numbness in the toes speak for a disorder in the spine – from a pinched nerve, due to a bulging disc or arthritis, for example. I recommend you to visit an orthopedist.

  • Jasmin

    I’ve been having numbness, tingling in my right leg and arm from the knee down and from the elbow down. Numbness is accompanied by pain in the leg and tremor in the arm. It feels better when Iam resting (sometimes). Somedays the pain comes with hot spots on the skin of the arm and the foot feels on fire. Went to a neurologist(neuromuscular diseases) and did an EMG, nerve conduction study, mri of the brain, back, checked for lupus, rhumatoid arthritis, calcium, magnesuim, liver and kidney function, cbc, vitamin D, malignancy in the bone and everything came back normal. I also did a visual evoked test and it came back normal……………..what do I do?

    • Jan Modric

      Jasmin,

      this may be difficult for me to answer. Was your neck and lumbar spine checked for arthritis or bulging/herniated discs? Do your symptoms depend on body position and movements (sleeping, sitting, standing, walking)? Is your knee or elbow swollen, or have you injured them? When and how (slowly, suddenly) did the symptoms start? How old are you? Was your wrist checked for a carpal tunnel syndrome? Any other symptoms outside the arm and leg?

  • Captclam

    I made a questionnaire for my wife to describe the pain she is experiencing in her lower body as an MRI came back negative for nerve impingement in the spine or pelvic area

    Pain in the hip sockets- every day. Seems to be the Worst in the morning. Times of the worst pain in the hips lasts on average approx one hour.

    Left socket worse than right. On rare occasions patient is pain free in both hip sockets, but this is rare, and never lasts more than 8 hours.

    Pain in other areas noted below do not go away during periods of lack of pain in the hips sockets.

    On the left side of your body:

    Distal Anterior of thigh- Tingling and buzzing sensation in deep tissue. No skin or bone sensations noted.
    Right front of thigh- asymptomatic

    Posterior thigh- deep bone and muscle pain, no tingling or numbness. Muscle is not affected by pressure applied to it, patient describes it

    more like a burning pain, not like after exercise, but more like a needing to be stretched pain. When patient attempts to stretch the muscle, it

    has no affect on relieving the pain or making it worse.

    Knee- Anterior
    asymptomatic

    Knee- Posterior
    Constricted feeling like the circulation is being cut off within this area the knee.

    Left lower leg-
    Patient complains of 360 degree loss of sensation that is skin deep. Numbness is described as not being able to feel a hand placed on the leg.

    Patient is able to feel poking and sharp objects when dragged against skin. Buzzing and tingling, in addition to numbness, is felt from the

    midpoint distally on both the anterior and posterior sides.

    Ankle
    360 topical numbness, buzzing and tingling… more pronounced on the medial side. Important note: Pain described later in this report on

    patients medial ankle not present on left side.

    Foot-
    Topical loss of sensation in all areas. Buzzing/ Tingling in all areas of the foot with the exception of the plantar and lateral areas of the

    calcaneus.
    Patient notes (unlike other areas) pain when pressure is applied to the \ proximal phalanges.
    The lateral blade of the foot has much more pronounced numbness.
    Complete loss of all sensation is noted laterally from the styloid process back to the calcaneus.

    History of Left Leg-
    March 2010 (six months ago)- Symptoms began as feelings such as a fly being on the calf, or hair tickling leg.
    April 2010 (five months ago)- Prior symptoms ceased and were replaced with a feeling of cold water dripping on the middle of posterior lower leg.
    May 2010 (four months ago)- same as current symptoms, although not nearly as severe.

    On the right side of your body:
    Patient states that symptoms on the right side of the lower body are identical to the sensations she experienced six months ago on the left side.

    Symptoms are described as minor yet annoying. Patient gave example of feeling as though a fly had landed on her calf, or the feeling that a hair was tickling her leg.

    Any ideas would be greatly appreciated. Our doctors are pretty clueless.

    • Jan Modric

      Captclam,

      blood test for common types of arthritis and CT or MRI of the hip joint and knee could reveal the cause. An inflammation of the psoas muscle (running from the lumbar vertebra to the upper leg would be also possible. They are an orthopedist or rheumatologist who can deal with these issues.

  • veronica

    I have had numbness in both feet, mainly the toes, for over a year. Visited neurologist, was diagnosed with B12 deficiency. Now getting monthly shots. Numbness led to pain, burning, tingling, shooting sharp pains. Was prescribed gabapentin which helps with pain. No diabetes. Do have high blood pressure and am overweight by 50 pounds. Have now started to feel more numbness in feet which is worse when lying down and can be relieved somewhat by changing positions. I had lumber MRI done 12 months ago, showed nothing. Don’t think the new numbness is related to B12 as it can be relieved by position change when sleeping and am getting shots for the B12. I’ve also started having left hip pain, usually upon awakening that lasts for hours. I do have cervical disc problems, ruptured c5 and c6, received chiropractic care for over 8 months and symptoms are now only occasional. Could the new symptoms be something other than B12 related?

    • Jan Modric

      veronica,

      pain changing by body position speaks for a pinched nerve or, for example, an inflammation of the psoas muscle (running from the lower vertebra to the leg). Having disc problems in the neck increases possibility of disc problems in the lumbar area. An extent of changes seen on MRI does not necessary reflect the extent of the actual disorder. I believe, an experienced orthopedist could find some answer after re-checking your lumbar MRI and eventual other tests.

  • katherine

    Good day!
    I’m a post-graduate student, and I’m having difficulty of providing significant findings for a patient with numbness on both leg due to prolonged sitting and squatting. What would be the diagnosis for this? Please help…

    Thank you.

    • Jan Modric

      katherine,

      numbness in both legs after prolonged sitting or squatting would be likely caused by pressure upon the sciatic nerves (or other nerves [branches of sciatic nerves] down the legs). Blood flow through the arteries could be also temporarily compromised. Symptoms would be confirmed by the test of sensitivity (a aprt of a neurological examination). Without evidence of any nerve damage or a disorder (confirmed by investigations) that would affect the nerve, you can’t say more than bilateral hypostesia in (upper, lower?) legs.

  • Jasmin

    well Iam 37 years old, my symptoms started last April, we did an emg to check for carpal tunnel and it came back negative. I have a bulging disk in my neck but the doctor did not say anything about it. I don’t know if rhumatoid arthritis check for arthritis too but that came back as negative too. I did a balancing test today where you stand on one foot and left the other and after 10 seconds my leg that was bending started bouncing up and down and shaking really fast without stopping, I switched legs and the same thing happened to the other leg so does that mean anything? Then the PT checked my reflexes and I did not have any? any idea????

    • Jan Modric

      Jasmin,

      a neurologist can explain absent reflexes and bouncing legs. A bulging disc in the neck can cause symptoms in one or both arms.

  • tony

    I don’t recall any injury or anyhing. What would cause this? … Three days ago I started experiencing a feeling in my foot on the outside of my …. presses on the nerve(s) and causes numbness. Constant pressure on the nerve damages it …

    • Jan Modric

      tony,

      it can be a tarsal tunnel syndrome possibly caused by a pressure of shoes or foot “overuse”. he man measure is a foot rest.

  • Marisa

    For the last few months, I have had gotten tingling sensation in my arms(from the elbow to my fingers) and my legs (from my knees to my toes), but it only happens when I sit in a chair for a few minutes. If I sit for an extended period of time, my feet and calves begin to become noticably swollen. I have very tiny feet and toes, and when they swell, they look like a hobbits foot. Also, every once in awhile, I will wake up in the middle of the night and one or both arms will be tingling from the shoulder down to my fingers (I mainly sleep on my back or side). Then the last few days I have experienced sharp burning pain that only lasts for about 20-30 seconds in my inner thigh, and on the knuckle of of my ring and middle finger on my left hand. I have seen my doctor, but am waiting for some blood work to come back. My doctor is focusing on checking for metabolic issues, but could my symptoms be anything else?

    • Jan Modric

      Marisa,

      few other possible causes: rheumatoid arthritis or related disorder, like SLE… (Dx with blood tests), bulging/herniated discs in the cervical ad lumbar spine, problem with vessels (vasculitis).

  • 10USNUT

    I have had a tender tail bone for some time. Possibly caused by poor posture (setting with my feet on my desk) Now it is sore most of the time even when setting correctly. What type of doctor is best to see about this situation. I go to a chiropractor regularly, and also have a spine doctor treating my slightly bulging L4-L5 discs.

    Thanks

    • Jan Modric

      10USNUT,

      sitting with feet on the desk can aggravate bulging discs, and even usual sitting position can aggravate it. Short walking periods or careful stretching of the back during prolonged siting periods may help you. If no relief, an experienced physiotherapist or registered chiropractor may be able to help you and show you some exercises.

  • lou3680

    i am 30 years old, i have been hospitalised with a CORONARY SPONTANEOUS DISSECTION. i am resting, and on 5 different medications such as clopidogrel and simvastatin. i have had a numb feeling in my right side, leg and foot, for weeks now. i actually had a very mild numb feeling before i had a heart attack, but now its quite severe.any idea’s what it could be? or how i can cure it??? xx

    • Jan Modric

      lou3680,

      one possible cause of numbness in the leg, which can be agravated by prolonged rest in bed or sitting, may be a pinched nerve(s) in the lumbar spine (the so called “sciatica”). Diagnosis is made by a CT or MRI of the lumbar spine. Hard matress and finding appropriate sleeping position are two preventative measures. I don’t know how much walking you can afford, your doctor who can tell. Numbness could also aggravated by certain medications you take (should be mentioned in the information leaflet).

  • Dig22

    Hiya
    Im a 25 year old male. I have noticed a cramp liek sensation in all but my big toes on my left foot that doesn’t seem to go away. Its been like that for about a month now. I’ve now started to nitice the same feeling a few fingers on both my hands. Any ideas?
    Thanks Dig

    • Jan Modric

      Dig22,

      it could be a neurological problem, possibly arising from the spinal cord, maybe due to pinched nerves. I recommend you to visit a neurologist.

  • TinglingToes

    Dear Jan,
    I am a 40 year old female. For the past 3-4 weeks, I have woken up with numbness in my third toe on my right leg. This progressed to numbness on the top of my foot/same leg. Usually it goes away when I walk around for awhile. Last night I couldn’t get to sleep because my right leg felt numb from my toes to my back. I kept waking up to stretch it out but it still had a creepy crawly feeling like I had lost circulation. Today, my right leg is feeling numb from my hip to my foot. I have had bouts of sciatica before, but this feels different. Any advice?

    • Jan Modric

      Tingling Toes,

      symptoms extending from the hip to toes, aggravated by lying down and relieved by walking speak for sciatica. Maybe certain exercise (as instructed by a physiotherapist) may help you. If not, you may visit a neurologist or orthopedist and ask about CT or MRI of the lumbar spine (from where the symptoms probably originate.

  • Kaelitiff

    I had a back fusion in 2007 NEVER had problems since then. June of this year (2010) I reinjured my back at work, I had surgery on 9/1/2010 the Nuerosurgen explained that parts of thebone that grew back after the fusion had fractured and many piececs “pearced” thru the nerves in my back which was causing the pain in my lower back down the front of my right leg. On 9/20/2010 the surgeon performed another surgery because there was fluid build up under my incesion and he stated he removed more bone piences from my nerve. I am not experiencing TERRIBLE pain radiating down the back of my right leg(my pain was LAWYAS in the front of my right leg) the Dr said to give it a month. well it has been 2 weeks and i cant even stand sit or walk for more than 2 minutes at a time i have to lay on my left side taking pressure off my right? what can the problem be can it really be just post op pain? also the past week i have expereinced numbness in my LEFT hand i can be sitting/laying watching tv doing nothing and my hand gets numb it does not matter what position i am in my hand is numb. i just want answers please help i hate being on all these pain meds i just want to live a normal life i am only 32 years old and cant even relly walk rite now.

    • Jan Modric

      Kaelitiff,

      there could be still something pressing on some spinal nerves that innervate your leg: pieces of bone, bulging/herniated disc or inflamed psoas muscle (psoas syndrome). The front of the leg is innervated by the femoral nerve arising from the L1-L4 lumbar segments of the spinal cord, and the back of the leg by the sciatic nerve arising from the L5-S3 lumbar and sacral segments (picture) The arms are innervated by nerves arising from the cervical and thoracic segments (C4-T1) of the spinal cord. Numbness in the arm could be from a bulging disc(s), which could be aggravated by a forced sleeping position…Postoperative pain is expected on the site of the surgery but not down the leg. I recommend you to speak with your doctor.

  • janet

    Hi,
    This morning after waking up and coming downstairs my legs (both) seemed to give way and feel very weak. I had to quickly sit down so I would not fall. After about 10-15 minutes the weakness passed and my legs were back to normal. I had a very slight lower back pain after my legs went weak. What could this be?

    • Jan Modric

      janet,

      a disorder in the lumbar spine could pinch the sciatic nerves (that supply the legs) on both sides. If this happens again, you may ask an orthopedist or neurologist to give you a diagnosis.

  • Kelly

    I have extreme pain in my feet (both) all the time. They were throbbing when I went to bed every night. I am now getting what feels like a vibrating or tingling feeling in my legs & feet, even behind the knees.
    Every morning when I get out of bed I walk like I am 100 years old. Once I am up & moving it becomes easier to walk although the feet still hurt. I am 48 years old & have always been in good health.
    When I do a lot of walking pain goes up my legs into my low back. My feet dont seem to be swelling & I am also feeling pain in the back of my ankles.
    I had 2 herniated discs in my neck that were operated on 2 years ago. I do have extremely high arches & have always had minor foot pain my whole life but nothing to this extreme.
    Thank you for your time.

    • Jan Modric

      Kelly,

      an orthopedist or neurologist can make appropriate investigations to find out, if your pains arise from bulging discs or other disorder) in the lumbar spine or/and from anatomical condition in your feet.

  • AJ

    Hi, i’m desperate for an answer. My 4 year old son has been having pain in his feet for as long as he has been able to talk. I suspect since he was an infant. Pain is quite severe to the point that he kicks and cries and screams and nothing helps. He says its in his toes. he will have it for weeks and then it will go away for a few months. Keeps him and me up at nights. Tried painkillers, massage, ice, heat, creams – nothing helps. His pediatrician totally disregarded my concerns saying its growing pains. I took him to a podiatrist and he said his feet look normal and had no answers for me.. He just got a flu and as he starting having fever pain came back again. i don’t know what to do or which doctor to take him to. Please please advise

    • Jan Modric

      AJ,

      there could be an inflammation of some nerve or tendon in his feet. I believe an orthopedist should know, after examination, which eventual investigations to perform.

  • AJ

    PS when he was 3 days old we ended up being sent to ER because his pediatrician thought he had fever. they did tests including drawing spinal fluid for menigitis test and blood from his feet. they couldnt find the veins and poked top of his feet repetedly. i am convince that had something to do with his pain now. when he was an infant he would wake up crying inconsolebly for no apparent reason and pattern continued and when he got older and could explain – it was his toes.

  • tmgl1968

    This is hard to ask, but my feet have had a tingly sensation, almost like they are asleep, but more tingly, not like needles though. My legs, just a little, not much at all, but my vaginal area is numb also. I noticed this with my feet Wed. morning, and the rest about Wed. night or Thursday morning. It is Friday morning now. I had intercourse Tuesday afternoon. Could this have caused this.

    • Jan Modric

      tmgl1968,

      tingling at any part of the legs and groin could be caused by a bulging disc or related disorder in the lumbar spine (lower back) resulting in pinched spinal nerves, or by the pressure of certain pelvic muscles on the same nerves, and, yes, I believe, it could be triggered by an intercourse. In this case, it will likely wean off in few days. If not, I recommend you to visit an orthopedist.

  • tasha

    I have a long history of pain issues due to an auto accident, Fibromyalgia and now a fall down the stairs which has caused a comressed fracture in my L1 disc. Today the inside of my legs were getting sharp pains and not has gone all the way down my legs to my feet along with tingling in my feet and upper legs. My lower back has been hurting a lot today as well. Not sure if this is cause to worry or just part of the compressed fracture of Fibromyalgia. Either way, it hurts badly and I can’t sleep at all. Have a Dr appointment on the 27th but hoping I can get some ideas before then.
    Thanks

    • Jan Modric

      tasha,

      distribution of the pain, as you’ve described it, speaks for a compression of the nerves arising from the lumbar spine. I don’t know if any additional imaging investigation will be needed. If there are one or more bulging or herniated discs resulting in pinched nerves, the operation will likely be required to lessen the pain and prevent further nerve damage.

  • maisy

    Please help!!! i have the most severe pain in my right leg its unbearable, it has been nearly going on for 2 years. it shoots around the calve area and its gets a burning sensation and ringling as well. i also have a red rash on my both lowwer legs and my feet. have been to a dermatologist 4 times where i have had a biopsy but no explanation for rash. i have fainted 6 times from the pain where ive been brought to hospital and had x-rays and ultrasounds and still nothing. my blood tests have came back all clear apart from my white blood cells they are either really high or really low so i have now been referred to an immunologist. im on waiting list but dont think i can wait any longer as i fainted again a couple of days again and i dont think i can go on with this pain. any ideas on what it could be??

    • Jan Modric

      maisy,

      an immunologist can give you a diagnosis – it can be an infection, or some other disorder resulting in abnormal white blood cells. It may help to the doctor if you tell him how and when did the problem start and all symptoms you’ve had until then. This questionnaire may help you recall additional details. If you can’t wait you can go to emergency and ask to be accepted to hospital or try to arrange your appointment at an earlier date.

  • Shannon

    28 year old female, normal weight, normal BP, normal cholesterol, not diabetic. Doesn’t work on feet or lift heavy things. I’m a nursing student.

    5 days ago I noticed my feet were very numb for no apparent reason; this has worsened since then. Now my feet and lower legs are numb, tingle, and burn. It gets worse (to a dead numb and severe burn) when standing or walking, but is still felt (slightly) even at sitting. It is in both legs & feet and doesn’t rise above the knee. There is NO lower back pain and rising either leg doesn’t cause pain.

    I have been sleeping on a couch, could this have caused spinal compression?…Or do I need to assume this could be MS and get the MRI & lumbar puncture? I can’t even begin to imagine how I’d pay for either.

    • Jan Modric

      Shannon,

      if symptoms appeared suddenly, the day after sleeping on the couch, it’s quite possible they arise from pinched spinal nerves or spinal compression arising from the lumbar spine. A narrow spinal canal would make you more prone for such events. Back pain does not necessary occur in pinched nerves. In multiple sclerosis, symptoms usually do not occur so suddenly and symmetrically. Vein thrombosis also does not usually causes so symmetrical symptoms. An orthopedist or neurologist should be able to make some conclusion after examining you, even without an MRI. If symptoms do not go away in a short time, I strongly recommend you to visit a doctor, to prevent eventual complications. Certain drugs (?) could possibly cause narrowing of the leg arteries, resulting in numbness and pain.

  • Louisa’smummy

    For the last 5 days I have had upper back pain. I don’t remember hurting my back, but it suddendly appeared! The pain seems to worse in the evening.

    I’m in a clerical role for my job and don’t do any heaving lifting. I’m 38 with a 3 year old daughter.

    The strange thing is, in the morning I seem to have sore a legs. Do you think the 2 things are related?
    I’ve know further issues, apart from a history of low blood pressure.

    Thanks

    • Jan Modric

      Loisa’smummy,

      a degenerating disc disease (DDD) or arthritis in the upper spine could cause the upper back pain, and the same changes in the lower spine could cause sore legs in the morning (with or without lower back pain). A CT or MRI of the spine would bee needed for diagnosis. In mild case, special exercises shown by an orthopedist or physiotherapist could help.

  • WVUstudent

    I have been experiencing numbness of the bottom of my feet and toes for over a week now, it is constant and does not go away. I am a typical college student and drink on occassion. it is starting to worry me because it isn’t going away. what should I do?

    • Jan Modric

      WVUstudent,

      I recommend you to visit a doctor, who can perform a basic neurological examination.

  • 10USNUT

    I have been having pain in my tail bone for some time. It hurts anytime I set on anything soft, or when I lie on my back trying to sleep. My Chiroprator did not help. Any suggestions? Should I see my spine specialist?
    Thanks

    • Jan Modric

      10USNUT,

      It is an orthopedist who deals with pain in the coccyx.

  • Mark

    Few days ago, after sitting with crossed legs for about 1 hour my entire left leg get numb. I had to wait for half hour before I was able to walk. Since my entire leg is partially numb especially around foot and tombs hurts,. I can’t rid of it. Exercises, walking or rest do not help. Any sugestions.

    • Jan Modric

      Mark,

      try to have regular walks and avoid prolonged sitting. If this does not help in few days, you may visit a neurologist or orthopedist, who can evaluate what has happened, do you have a bulging in the lumbar spine or such. The pressure upon the nerve lasting for an hour can affect the nerve for few days.

  • Carrie

    I have had problems with my right hip for quite a few years now. I used to do alot of heavy lifting with my children, but haven’t for about 6 years. Yesterday I was walking normally when suddenly a pain shot through my hip and down my leg, almost causing me to fall to the ground and now my foot and up to my knee are completely numb. My foot doesn’t flex when I walk and so I’m limping. I find it feels better if I sit for a little while, but as soon as I start to walk around again, it starts to go numb and then start to burn horribly. Is there something I can do to aleviate the pain besides sitting? I am on my feet for 8 hours a day for work, plus I have kids and a house to keep. Thank you 🙂

    • Jan Modric

      Carrie,

      I don’t know what has happened, so I can’t say anything other like – visit an orthopedist, since it sounds like a quite serious condition to me. It could be a pinched nerve in the lumbar spine due to a bulging disc…or an inflammation of the psoas muscle, which runs from the spine through the pelvic cavity toward the upper leg.

  • caramellodream

    I have spina bifida, and when I was very young I developed a patch of hair on my lower back. I have just recently started laser treatment to get it removed, but yesterday have noticed a strange pins and needles/burning sensation in my thighs, strongest in my right thigh. Do you think this could be associated with the laser treatment? Not sure whether to see a Dr, or the laser treatment company.

    • Jan Modric

      caramellodream,

      I recommend you to visit a doctor, a neurologist. The hair could arise from a “pilonidal cyst” under the skin, which may not be visible from the outside. Yes, the sensations in the legs can be related to laser treatment.

  • Mark

    Thanks for your input. No, I never had such problems in the past. Also, I’m not aware of any spinal issue like bulging or so. Pain is still present however now is more related to muscle of the calf (possibly due to difficulties to walking). Tingling still present, however not as painful like before.

    • Jan Modric

      Mark,

      a bulging disc may develop without being aware of it, and then at some point, when it presses upon the spinal nerve, it may result in the leg pain (with or without back pain). But, even without any bulging, the nerve that supplies your lower leg could be damaged (probably temporarily). If no obvious improvement in few days, I recommend you to see a neurologist. I don’t recommend you to do anything forcefully, massage or the like.

  • caramellodream

    Thanks Jan, the hair appeared when I was 4 years old, I’m now 32 and had an operation when I was 4 so I’ve been dealing with the hair since I was 4 years old but have now decided to get it removed. Thank you for replying.

    • Jan Modric

      caramellodream,

      I guess an eventual cyst under the skin would be detected by an ultrasound , and then surgically removed (which is often a “small” procedure, but this may vary from case to case).

  • nursetreid

    im having numbness,tingling and coldness to my leg arm it just started tonight. what is that?

    • Jan Modric

      nursetreid,

      how old are you? Are symptoms one- or both-sided? Is there a history of neurological disorders or thrombosis in your family?

  • candle2001

    I’ve had a rash behind my knees for several month now. They look like lot a of little reddish/brown spots (like broken blood vessles). It doesn’t hurt or itch and they’re flat like discolored skin, not bumps. But now, my legs from my knee to my feet tingle and feel like they’re asleep. The sensation won’t go away. When I kneel down, even for just 5 seconds, I can barely get up and walk. My hips lock up, and my legs feel like I’ve been kneeling for a hour. Also, I recently found out I have retinal micro-aneurysms in my eyes, and that these micro-aneurysms could be happening throughout my entire body. I tested negative for diabetes and high blood pressure. Any idea what could be causing this? Thanks!

  • Sal

    Mid June – Early July: Whenever I stood up and walked, I would get a very distinct buzzing feeling in the upper left leg only, just as if a cell phone was in my pocket, and would vibrate (I had kept my cell phone there for years off and on, but when the buzzing started, it wasn’t there; and I stopped putting it there altogether, and the buzzing continued). Just to clarify – if I would touch the area when it happened, there was no tangible vibration of any sort – I just experienced the sensation of a phone buzz. This sensation would always start right when I got out of bed, and would happen throughout the day, though usually with less frequency as the day went on (maybe several times during an hour). I would feel a buzz-buzz in that area, then a pause for several seconds, then another buzz-buzz. Then it would go away for a number of minutes, and then start again. I had carried a thick wallet in my back left pocket for years, so I thought that perhaps it had hurt a nerve from always sitting on it. I stopped carrying my wallet in my back pocket. I did not have the sensation when in bed or when sitting.

    Early July – End of August: No more buzzing feeling. One day it stopped.

    Start of September – Start of October: The cell phone sensation was back in my upper left leg, but oddly enough, it happened only when I was sitting (couch, desk). It would not happen when in bed or when standing up. I started to worry a great deal about this issue.

    Start of October: My right foot started to buzz (again – nothing that was visible or tangible if I tried to feel for it) slightly when at work, though not like a cell phone buzz – just like a random pulse of buzzing at misc times; sometimes I would get the same sensation in my groin, and sometimes, though rarely in my left foot. I had these sensations only when sitting (couch, desk). They usually were not present when I was standing up or in bed (though, on a couple of occasions, I could feel a little faint twitching feeling on the soles of both my feet). I do cross my legs a lot. If my legs are crossed, and I get a buzz in my foot the sensation disappears/diminishes when I uncross them; and if they are uncrossed, and I have the buzz, crossing them, or shifting them, or standing up causes the sensation to disappear/diminish. Gradually, during this period, the cell phone sensation in my left leg stopped (though on a couple of occasions, when I have pressed up again something, e.g. a table, and the keys in my pocket jab into my upper left leg, I have felt the phantom phone buzz sensation). The sensation in my right foot is sometimes more prevalent in my heel, sometimes on the sole, and sometimes closer to my toes. Over the past week, I have felt warmth (not a hot sensation) in my upper left leg once or twice a day – a very pleasant feeling, just like the warmth of the sun hitting that location for a couple seconds.

    Needless to say, I am very attuned to any sensation in my legs/feet, and obsess over them whenever I notice something that seems to be new. I went to my physician in mid October – no sign of anything unusual in my blood tests. Blood pressure was high normal, no problems with blood sugar. On follow-up after one month (Nov 16), he asked me if I still had problems with the buzzing – I indicated that I still had the problem, and he scheduled me for a lower spinal MRI with contrast.

    Also:

    1. I am male, age 42
    2. No family history of neurological disorders/spinal issues (aside from a half uncle who developed Parkinson’s at age 70).
    3. No blurred vision/slurred speech
    4. No muscle weakness/pain
    5. No back pain
    6. No vertigo
    7. No unusual fatigue
    8. No sexual problems
    9. No depression

    Any ideas? Thanks in advance

    • Jan Modric

      Sal,

      it’s possible that a spinal disorder, such as bulging or herniated disc(s) presses upon one or more nerves that supply your left leg. Symptoms changing with the body position is quite typical in spinal disorders. An MRI can usually reveal the cause.

  • Sal

    Jan,

    Thanks. My concern would then be whether it is possible to have a single cause for problems in both legs/feet, based upon how the issue has evolved. My problem started in my left leg, and is primarily in my right foot now.

    • Jan Modric

      Sal,

      there are actually more possibilities:
      – some process in the pelvis, like something (inflamed psoas muscle(s), for example) pressing upon the left and right iliac artery causing a turbulent flow of the blood in the leg arteries resulting in a buzz feeling; a hot feeling could be explained by a transient blood overflow or build up in the area
      – dissection of the lower part of the abdominal aorta and/or iliac arteries
      – affected autonomic nerves supplying the leg arteries could maybe cause vibrating feeling by random arteries dilating and constricting
      – pinched spinal nerves (their sensory fibers) arising from the lumbar spine would maybe be able to trigger such symptoms, as mentioned before

      So, symptoms could originate from a disorder in the lumbar spine, pelvic muscles or arteries or some other process in the pelvis affecting either the nerves or vessels. A neurologist or maybe a specialist for blood vessels should be able to narrow down the possible causes. Vessels can be checked by a Doppler ultrasound, pelvis with a regular ultrasound and the lower spine with a CT or MRI.

      Regarding symptoms changing with the body position, it is less likely that a disorder would be in the spinal cord or brain. Symptoms caused by obviously increased or decreased blood levels of certain minerals (sodium potassium, calcium…) would be hardly limited to legs.

      I strongly recommend you to discuss about these possibilities with a doctor, maybe a neurologist or a specialist for blood vessels.

  • candle2001

    I’ve had a rash behind my knees for several month now. They look like lot a of little reddish/brown spots (like broken blood vessles). It doesn’t hurt or itch and they’re flat like discolored skin, not bumps. But now, my legs from my knee to my feet tingle and feel like they’re asleep. The sensation won’t go away. When I kneel down, even for just 5 seconds, I can barely get up and walk. My hips lock up, and my legs feel like I’ve been kneeling for a hour. Also, I recently found out I have retinal micro-aneurysms in my eyes, and that these micro-aneurysms could be happening throughout my entire body. I tested negative for diabetes and high blood pressure. Any idea what could be causing this? Thanks!

    • Jan Modric

      candle 2001,

      an ophthalmologist should know which other disorders, except diabetes and high blood pressure, can cause retinal microaneurysms. Spots behind the knees, as you described them, could be also from a vessel disorder. Maybe a biopsy of the spots would be needed to determine the cause.

  • diana

    Hi help needed urgently please
    Well it all began in Aug 2009 33 weeks pregnant had heart failure admitted to hospital had emergancy ceasar at 36 weeks was in icu till the next day when i had to get up to shower well I could not stand up my legs were so heavy it was like some one had poured concrete into them,Its now 14 months later and I still can not walk very well at all My legs are still so heavy/weak I cant stand up long enough to even have a shower or dry my hair i have to sit down,The pain is unbearable. I have to drag my feet when I walk as they are so heavy to lift and I feel like my ankles are going to snap off. I have been for a MRI, a nerve conduction study,blood tests,brain scan and all my tests are coming back clear. I am taking very strong pain killers at the moment to try and get through my days as now my daughter is 14 months old . Any suggestions on what I can do, I dont think I can cope like this any longer
    Please help me
    Thanks.

    • Jan Modric

      diana,

      to help you narrow down the possible causes you should tell:
      – are your legs swollen, pale or red/bluish at any part (like around ankles)?
      – where exactly do you feel pains, and what aggravates or relieves the pain?
      – would you say your arms are also weak or heavy?
      – any other symptoms, like tiredness, chest or back pain, fainting, tingling, muscle cramps anywhere in the body…?
      – which exact drugs are you taking (painkillers, diuretics, heart medications…)
      – what was said to be the cause of the hart failure and was it treated?
      – what is your diet in general?

      Leg heaviness can be caused by leg swelling (due to a heart or kidney or hormonal disorder…), certain medications (diuretics…), lack or excess of minerals (sodium, potasium, calcium, magnesium…) or vitamins (vitamins B or C…), a disorder in the lumbar/sacral spine resulting in pinched spinal nerves

  • Cassie-

    Here’s the problem:
    it began with my index and ring finger swelling up four nights in a row. They started swelling up, became red, then itchy. This went on for four nights, and every morning,(the next day)it wouldn’t be there anymore. Now, it’s became worser. It happens more often and now it’s down to my toes. I don’t know what’s causing this or what to do. I know for a fact it’s not JUST a rash, it has to definitely be something else. Help?

    • Jan Modric

      Cassie-,

      I strongly recommend you to visit a doctor soon. It can be a blood disorder affecting the blood flow in the fingers/toes veins, for example. It could be also a reaction of blood vessels (Raynoud’s syndrome or disease) to some internal disorder.

  • turtle

    I have a severe inflamation in my inner right thigh, I have tingling/burning sensations in my left leg and sometimes also in my right. they did a ultrasound and found no blood clots. What else can be the cause. It’s getting bigger.

    • Jan Modric

      turtle,

      does inflammation cause any surface changes, like scaling? Was a fungal infection excluded? One possible cause could be inflammation of the leg veins, but hard to say without knowing more history of the problem.

  • latisha

    HELP ME PLEASE!!!!!!!!!!!!
    Ok Im a 40 year old female with previous history of MS. I know when I having a MS attack and I know what Im expericing now is different. It all started in summer 10 after I had surgery to have a mass removed in pelvic area. Along with the mass I had 2nd half of hysterectomy. After surgery it felt like saftey pins were poking me. I was told that it was probably the staples and the would dissovle within a yr. But a week or 2 after surgey I had and have had ever since 4+ pitting edema only in my lower legs with intense pain and heaviness thats all day but worse at night. Some occasional lower back pain. Difficulty urinating, but when I do its golden. Insomnia from the pain im guessing. And the pain is relieved with days of rest. and worse with activity. MRI CAT scans blood test have all showed nothing so my docs diagnosed me with fibromyalgia. Lyrica is not working, elavail, hyrdacodone, cymbalta, prednisone, diuretics, NOTHING! Because of this I cant work, lost my home, car, and life. docs arent helping.ANY HELP IS APPRECIATED THANKS!

    • Jan Modric

      latisha,

      what was said to be the nature of the mass removed? Have you had any surgery before that and why? An urine test can reveal what is the cause of “golden” urine: it could be a side effect of vitamin supplements or a certain drug, or bilirubin due to a liver disorder, or proteins due to a kidney disorder. The pitting edema could be due to a heart or kidney or liver disorder or enlarged lymph nodes in the groin for example, or hypothyroidism.

  • latisha

    I’ve had a partial hysterectomy years prior to the surgery. And after that surgery my doctors told me that my ovary was growing back? But then they said it was another mass. But Im still producing eggs. But the mass has since shrunk so they arent concerned with it anymore. Alot of the drugs Iam taking have many side effects so it could be. But they said nothing is wrong with my liver or heart. And when they removed the mass it was laying on my common bile duct and I do have decreased kidney function because of it. but apperently its not a concern. Its just really hard because I lost my insurance when I lost my job so I have to go to the county hospital now.
    I just know its something else. Now Im getting a MRI and CT of my spinal cord and brain because they keep attributing it to my MS or just saying its Firbromyalgia or neuropathy. But I know its not its more than that

    • Jan Modric

      latisha,

      if understand you right, you have a pitting edema in both lower legs, and this edema gets worse when you lie down? Or is it pain, and not edema, which gets worse at night? You’ve mentioned lowered kidney function and “golden urine”. These both, plus a pitting edema can all speak for a kidney disorder – this can be confirmed by appropriate blood and urine tests.

      You did not say what was the nature of the masses removed? Was it cancer? Theoretically it would be possible that enlarged lymph nodes in the groin would prevent the flow of the lymph from the legs or something in the pelvis would press upon the veins that drain blood from the legs.

      If it is a real edema, this does not sound to me to be due to MS or fibromyalgia (I can’t exclude anything, though), and is also not something normal. If your heart and liver were tested and were OK, then probably a kidney should be tested next. What you can do is to explain all your symptoms exactly to the doctor and discuss about the kidney tests, doses of medications you take, eventual cancer, and enlarged lymph nodes in the groin.

  • latisha

    They refuse to do blood work for kidney, cardiac, or liver function because they say its MS and Fibromyalgia and they both cause chronic pain. A bunch of bologna. And they keep saying that lyrica is the reason for the edema and i just gotta learn to cope with living with chronic pain. They refers to my obgyn, neurologist, nephrologist, and primary care. They didint do a biopsy on the mass but removed it cause it was pressing on my kidney and bladder causing pain. But the pain is worse at night. My leg pain has went from the staple in my stomach to needing a stent to the stent not being needed to and ovary growing back and releasing eggs to it being a mass to it being fibromyalgia to it just being my MS all along. When I know its something else. I have an apt on the 24 to get my bun and creat checked. hopefully i’ll get results

    • Jan Modric

      latisha,

      I don’t know. Were your previous MS episodes painful? MS only sometimes causes pain. Have you had fibromyalgia before surgery? Lyrica may have several side effects, so you can discuss with the doctor to change the drug.

  • camilla

    var för gör det ont i
    mina ben och fötter
    när jag är ute och går=
    promenad
    vet du det?

  • Jan Modric

    camilla,

    can you write it in English and describe what exactly triggers and relieves the pain in your legs?

  • Shannon

    This has been a wonderful resource.. maybe you can help me to 🙂 about three weeks ago I started getting this uncomfortable feeling in my left groin area. Sort of like if someone were to put something there, it didn’t hurt, just felt weird. I thought I might have been a lump, but I didn’t feel anything. Fastfoward about a week, my mom passed away suddenly and I sort of went down hill from there. I started with a buzzing feeling in my groin/legs/buttocks area around thanksgiving. Then my leg would go numb and cold and back and forth again. I also started getting back of the knee pain (all this on the left leg). Then my toes and feet joined in on the tingling. I also had some urinary frequency that thanksgiving night into the next day. I went to urgent care on Friday after thanksgiving, they told me they *thought* I had a kidney infection. I had a low grade fever of 100.8. Even though my urine had only trace amounts of blood and white blood cells. I was put on an antibiotic and sent home. Saturday the pains were a bit better, but by sunday my entire leg started to cramp in weird random places, like my outer thigh, almost from “inside” my vagaina, my tailbone, my left abdomen above the groin weirdness. I went back to urgent care on Monday and they again told me I have a kidney infection (clear urine again) and maybe a hernia. I got a transvaginal ultrasound to rule out ovarian cysts. That was all normal. I leave with a new antibiotic and no improvement. Next I go to my PCP on Tuesday and he thinks I have pinched a nerve. Gives me a 6 day treatment of Predinsone. I just finished it yesterday. The groin pressure/strangeness is sitll there, the buzzing/weirdness, etc is still there. I am not getting the cramping quite as much.

    I am loosing my mind needless to say! I have no idea what to try next?

    • Jan Modric

      Shannon,

      answering the following might lead you to the cause of your problems:
      1. Leg going cold – was it actually cold (colder than the right leg when checked by hands)?
      2. Are symptoms in your legs affected by the body position, like they worsen during sitting or lying down?
      3. Was frequent urination accompanied with burning during urination? Have yoe experienced excessive gas at the time?
      4. Do you still have a fever?

  • Shannon

    1. Not acutally cold to the touch, just the sensation of cold.
    2. When I get up in the morning first thing and get in the shower, I have that feeling that something is there, in my groin. The numbness is starting to go away, but the pain in the back of my leg/thigh is still there. That only happens badly on walking.
    3. No burning, don’t really remember about the gas
    4. I do not have a fever any longer.

    Now I am getting random pinching feelings all over my abdomen, but more on the left side. Last night all my muscles felt like they were seizing up and were achy.

    • Jan Modric

      Shannon,

      an intestinal hernia can be suspected if a doctor can feel a lump in the groin – this can be confirmed by an ultrasound. Intestinal hernia would cause pain in the groin and maybe in the upper front side of the thigh, but not in the back of the leg. Your symptoms in the leg(s), back and abdomen sound like neurological symptoms to me, and could arise from a disorder in the lower part of the thoracic and lumbar spine. A CT or MRI of the spine would be needed to confirm that.

  • PA in PA

    Shannon,
    The pain you’re describing are very typical of problems with 2 nerve sets: the Lumbar Splanchnic & Pelvic Splanchnic, extending from about L1-S4. Subsequently, the sciatic nerve arises from this area also therefore, infection or lesion in this area can affect both the groin/thigh area as well as your leg. The absense of trauma, coupled with the fact that women are much less inclined to get inguinal hernias than men, still point to an infection as the culprit. You mentioned a recent death in the family. These types of stresses are shown to decrease the immune response in our bodies. If you had a small infection, it is not unreasonable to think that a lowered immune response may have allowed the infection to spread further. The reason the Urgent Care center “thought” it was a kidney infection as you say – is because confirmation is needed via a variety of blood tests which most Urgent Care facilities do not have, hence the name Urgent Care. Full work-ups should be done at a hospital or PCP. Before you go spending money on MRI’s, CT’s, and specialists, consider finishing your full course of antibiotics and/or giving 10-14 days for relief of symptoms to occur. In fact, it sounds like the symptoms are already lessening. Those 2 nerve areas I mentioned above control everything in that area and below. This includes the innervation to your bladder (urinary frequency), leg pain, loin pain, & groin pain. Although inguinal hernias are uncommon in women, women do get femoral hernias more often than men. Bulging into the femoral ring could aggravate the femoral nerve causing your leg symptoms, but doesn’t explain the other things. It’s possible you have several issues going on – but all of your symptoms can be isolated to the lower 1/2 of your lumbar spine and your sacrum (“tail bone”). Just hang in there and wait a few more days before you give up.

  • whatnow

    I have been experiencing a tingling/numbness sensation in my toes off and on, for the last month. About 4 days ago, I noticed I had red spots on 2 or three of my right toes; the spots are sensitive but don’t appear to be an infection. The tingling and numbness in my toes comes at random times, when I am exercising, sitting (even with my feet up), walking or whatever… my right hand is also constantly cold. Otherwise, I feel fine. I am 40, exercise regularly, in great health and I eat a balanced diet. What are your thoughts? I appreciate any feedback… thank you.

    • Jan Modric

      whatnow,

      symptoms limited to the right feet and right hand could arise from a disorder in the lumbar and cervical spine (arthritis, bulging disc…). An orthopedist or neurologist can give you a diagnosis. Rash on the toes could be shingles..but hard to say from few bumps.

  • AM_24

    Hello, I see you’re actively helping people from some time, which is wonderful to see, so here is my story:

    I’m a 24 yo male, kinda skinny, no smoking, not much exercise (let’s say weekly). It started about ~2 months ago, with a weird feeling of numbness in my left arm and hand for a few days, followed by a weird lightheadedness. This was only happening at work, while sitting at the PC (I do that a lot). When I was at home, I was ok, at work I wasn’t: lightheadedness, a bit dizzy, couldn’t concentrate, etc. After some time it got worse, i got the bad feelings everywhere, didn’t matter much what I did, but they kinda went away when doing some exercises. It even got to some face/scalp tingling followed by nausea-like feeling and fatigue. My doc prescribed some anti-stress pills, which helped with the bad feelings, so I could say it was some sort of anxiety? However the numbness is still there, and now I can feel it in my left leg too. I also feel weak sometimes, constant weakness/numbness on my left arm and leg. Moving helps, when I do some sports it goes away, but comes back shortly after. I’ve been also feeling (from the start) some weird left chest/heart “irregularities”, but nothing serious or painful. Blood pressure, pulse and blood test seem to be okay.

    I have an appointment with a neurologist next weekend, but till then I would like an opinion from another expert. Hope you can help. Thanks a lot!

    • Jan Modric

      AM_24,

      visiting a neurologist sounds like a good idea. If your symptoms worsen considerably , I wouldn’t wait till the next weekend, but would go to ER. On the other hand a combination of heart irregularity and left arm/hand numbness could be from a heart arrhythmia, for example, but then again, left (only?) leg symptoms kinda don’t speak for a heart disease.

  • stevenfmarks

    Jan, I have written before, I have been seeing a nuerologist for a while and I have DDD between my L5-S1. There is a bony element next to my L5 nerve. I had a CT Mylogram. My nuero says it is not bad enough to operate on my back. I have tingling and like a grabbing feeling in my first two toes(big toe and the next one) and muscle fasciculations on the instep of that foot. The inside of my foot feels like it is in a cramp often. I have a bit of weakness in the leg, but not severe. How do I decide to push for surgery if that would help. My neuro does not suggest it. When I hang upside down on an inversion table it makes the symptoms worse. Any advise?

    • Jan Modric

      stevenfmarks,

      it is a severity of symptoms, and not the MRI which should decide if you need an operation or not. I can tell you from people who had DDD that this is an ongoing issue between doctors and patients. I recommend you to read some articles about treatment of DDD to get equipped with more knowledge about it. Than it’s up to you how persistent you will be.

  • Shannon

    thanks for all your suggestions. I went back to my PCP on Friday 12/10 and they think I have a pocket of fluid around my hip bone. I had an Xray of my lower back and my left hip done. Nothing showed up. I have been running on and off low grade fevers 99.5ish since all this started. It is not all the time, only seems to be a problem in the morning and at night. My groin is getting better. To complicate things 🙂 I had three suspicious moles removed on Friday. I did not have a fever upon checkin for the procedure, but I did that morning. I was told my my PCP to ice my hip and come back in a week if my symptoms do not improve. I had a 99 temp this morning. None of my incisions look infected, so I doubt that is the problem. I can not believe that all through this I have not had any blood work done. I am going to insist they do a blood workup to check for infection.

    • Jan Modric

      Shannon,

      pain traveling down your leg speaks for the involvement of the nerves arising from the lumbar and sacral spine. Fever speaks for inflammation or infection. Your lower spinal vertebra or pelvic muscles (like a psoas muscle) could be affected or there could be a pus collection (abscess) in your pelvis). Any of these disorders would be discovered only by some imaging investigation, ultrasound as the first one, I guess. I seriously recommend you to visit a specialist, maybe an orthopedist, who can judge which investigation to perform. Blood test for an inflammation/infection is also a good idea, but the exact location of inflammation has to be determined.

  • LES

    PAIN IN THE SHIN,

    Doc, I know that I have a herniated disc in my lower back, happen in 1985 lifting weights. Now, some 25 years later I pretty much watch how I work out but even so I tweak it once in a while. Lately I’ve had pain in my upper thigh going down to my shin. Do you think I should have surgery or just put up with the pain that comes and goes? Pain pills just mask the pain and worsens the situation, do you have any recommendations? Thanks for what you do and I think having this site is cool.

    • Jan Modric

      LES,

      I’m not a doctor. It’s quite possible your thigh/shin pain results from one or more pinched nerves in your lumbar spine. An orthopedist or neurologist needs to order an MRI or CT of the spine to evaluate the nature and extent of the disorder before any surgery. If pain without pills is unbearable or seriously affects your life, a surgery is a strong option, but first the exact cause has to be found. Pills on a long terms may affect your stomach or kidneys, so I recommend you to visit an appropriate specialist.

  • dinabraun

    I have had intermittent tingling and numbness in both legs upon walking after I have been sitting (even for only brief periods of time). It’s almost painful and then both legs become weak and temporarily paralyzed. After a few seconds and some deap breathing it comes back. Can anyone help me try and figure out the cause? It seems to be getting more frequent.

    • Jan Modric

      dinabraun,

      one possible cause is a disorder in your lumbar spine (bulging disc, spinal arthritis…) affecting the nerves that supply your legs. A neurologist or orthopedist could give you a diagnosis. Some mineral (potassium, calcium..) or vitamin B or folate deficiency can also cause such symptoms.

  • Sam

    Hi,

    I have a tingling, numb sensation down my left side of my body, from the toes to around the front and back of thigh. I have been getting some pins and needles which come and go. But this numb feeling is sore, like burning when I press on my skin, it’s been like this for a week .Four months ago, I had optic neuritis and my eye sights changed, it has improve but not the way it used to be. I am worried, could this be MS?

    • Jan Modric

      Sam,

      optic neuritis is a common starting disorder in MS, so I strongly recommend you to visit a neurologist.

  • RG

    i’m 52 year old female. been having “tingling” in feet and hands for quite a while (years possilby and ignore until it recently became quite painful). My PCP diagnosed with as B12 deficient (228 level with norm being 211-946) and has me getting B12 injections, had 7 in the last couple of weeks. (5 daily, then once a week. plan is w more weeklies, then once a month for life). but i’m doubtful about that diagnosis. instead of feeling any relief, i feel almost worse. it’s primarily my left side, especially left foot. and at night, laying in bed it gets real bad. a burning sensation added to the “pins and needles” feeling. i tried your “lay on the floor and raise straightened leg” test and sure enough, when i raised my left leg to a certain point, i could immediatley feel the “tingle” stronger in left foot. tried same with right leg, no extra tingling. I have an appt w/neurologist in early January, but until i can get into see him, was hoping for some sort of “hope”. background on me: 52 YO female, non smoker (quit 18 years ago), exercise infrequently, sit and watch TV a LOT (sitting in recliner actually hurts more than standing up), drink a LOT of wine, have had MRIs for C4-7 disc degenration years ago (10 years maybe?). any good news you can offer? an early christmas gift perhaps? thank you.

    • Jan Modric

      RG,

      on the basis of such a good explanation of symptoms and circumstances a neurologist should be able to give you a correct diagnosis, and decide if you need further vitamin B12 injections. There are several causes for vitamin B12 deficiency, such as excessive alcohol consumption or inappropriate diet, but the doctor can evaluate this better. The level of vit B12 you’ve mentioned is actually quite low, and B12 shots seems to be a reasonable measure.

      A low level of vitamin B12 may contribute to tingling, but, a disorder in the cervical and lumbar spine is quite likely. Symptoms being more pronounced on one side and being aggravated by lifting one leg and by sitting and lying down speak for that. Avoiding prolonged sitting and frequent walking may help you prevent some pain. In ten years the spine can change quite a lot, so you can expect the neurologist will order a new MRI or CT of your spine.

  • princess

    well whenever I try to touch my toes or stretch my hamstrings i get tingling through my calf. what could be the cause of this? should i seek medical attention?

    • Jan Modric

      princess,

      yes, your primary doctor may evaluate is it a circulatory or neurological disorder or something other and arrange you an appointment with a specialist, if necessary.

  • AM_24

    Hello, I’ve wrote here ~2 weeks ago about mild numbness/weakness in my left arm and left leg. These symptoms were accompanied by lightheadedness, fatigue, etc which were later partially relieved by anti-stress pills (so I think those were from anxiety (?)).

    I went to a neurologist, who sent me to a cerebral+cervical MRI. The cerebral was all fine, the cervical spine showed something, but I can’t figure the technical report out. My doctor only said that one of the disks (C5-C6 I think) is a bit moved from its place (it also says something about cervical lordosis, but my doc didn’t mention this). Basically he put all my symptoms on this diagnosis, and said that a nerve is being touched, and that’s where all these are coming from. He also said that I have not much to worry about, try not to force my spine, go swimming once a week, some neuromultivit and a creme called ‘Apireven’ to use on the affected cervical area.

    I’m just confused now how will it fix itself, because I don’t feel much better, and it’s a bit strange for me to magically get better, after all this suffering I’ve been through; it must have had a primal cause which started all this. What’s your opinion?

    Thanks

    • Jan Modric

      AM_24,

      depending on the exact nature of a cervical disc disorder, physical therapy, avoiding prolonged sitting, avoiding carrying heavy bags may ease the pain a bit. Multivitamins and cremes themselves obviously do not treat neurological pain caused by physical pressure of the disc. When these measures do not help, a surgery is usually the next option. A spinal disorder that seems mild on MRI can cause severe symptoms, but neurologists often judge about the severity of spinal disorders from what they can see on MRI – this commonly causes conflicts between neurologists and patients. So, if the conservative measures won’t help and symptoms will greatly affect your daily life, I encourage you to discuss with a doctor about a surgery.

  • AM_24

    Jan

    How would a surgery help? I mean what’s the procedure, what does it affect?
    Personally I would stay as far away from the knife as possible 🙁

    • Jan Modric

      AM_24,

      it depends on the nature of the disc disorder, but a part of the disc can be removed, remodeled, fixed in the way that it would stop pressing upon the nerve(s) that supply your arm. This is a common procedure which is successful in a great percent of cases. It is important you have a neurologist you can trust. Like said some physiotherapy might help (a doctor should tell), but please do not allow just any chiropractor to vigorously manipulate your neck, since your condition can worsen.

  • AM_24

    @Jan

    Okay, thanks for the info 🙂
    Sadly the prolonged sitting can’t be avoided because my work requires it. I will try to take more breaks though. I don’t really trust my neurologist because it’s a “public” one, don’t really know him. However I’ve talked to another specialist and he had the same opinion, that it’s not that serious, and the disk is not actually pressing on the nerve (yet?), just touching it. So I’m all fine with these, but I still don’t know how will it fix itself, but I will follow their advices. And no, I won’t let any chiropractor touch me; although I occasionally used to crack my neck after a sitting period :(. I’ve quit that habit now. I would also do some exercises at home, but I was told not to (on my own), because I might do them incorrectly and only worsen the situation.

  • cpotcpot

    6 years ago, I went out for a walk and my feet got numb, then it started moving up my legs, until it stopped. My legs got very weak and I could hardly walk. It mostly went away, but I still have some numbness and weakness. I went to a neurologist, and she tested my reflexes, and they were good, as they were also good 6 years ago. 6 years ago, they did an mri and thought it was guillian barre syndrome. This neuro thinks it wasn’t guillian barre syndrome, and did another mri, and she said it showed a herniated disk, but she cant figure out what caused the sudden progression up my leg of weakness and numbness. What do you think?

    • Jan Modric

      cpotcpot,

      I don’t know if you had a Guillain-Barre syndrome 6 years ago; anyway recovery after this condition is usually complete, so symptoms you have now are more likely caused by a herniated disc. Specific exercises, as instructed by a neurologist or physiotherapist may sometimes help; if not a surgery is an option.

  • Melody

    Hi
    At the point of age when i learnt to walk i always use to walk on my toes still even to the point of my age now (12yrs old) my feet now get a tingling and aching sensation through them I’ve had this feeling for about 4yrs now and still dont know why i cant relax without the feeling of me needing to walk around what do i do…?

    • Jan Modric

      Melody,

      I think you should speak with your parents, reveal them your problem, and they can then decide, if you need to see an ortopedist, who can check if there is something wrong with muscles, bones or nerves in your legs or feet.

  • Manish

    Hi Sir,

    I am 28 year male, before 8 month ago I had bike accident and I was admitted in hospital. In hospital, Neurology doctor suggest MRI of brain & screening of whole spine because of head injury .
    In my first Brain MRI on May month, MRI report Impression
    -Diffuse axonal injury.
    -Small hemorrhagic contusion in superior vermis.
    -Small subacute extra- axial hematoma in the right anterior temporal & right high frontal region.

    And

    Whole Spine screening Impression:
    -C5-6 and C6-7 discs show mild diffuse bulge indenting the thecal sac.
    -Vertebrae show normal marrow intensity and morphology.
    -Cord show normal signal and morphology.
    -No cord compression is seen.

    After saw my report, doctor recommended medicines & physiotherapy exercise because of my right side numberless, tinglings & heaviness. After taken recommended medicines & physiotherapy continues, my right side work but heaviness not resolve in my right figures & lower right leg due to this difficult in walking & writing smoothly. I am continue taking recommend medicines & doing physiotherapy exercise.

    In my last Brain MRI report on September, report impression
    -No focal cerabral parenchymal lesion is noted. Please correlate Clinically

    Is any advance/effective treatment to resolve my heaviness on my right side or how much time to be taken to resolve heaviness. Please suggest me.

    • Jan Modric

      Manish,

      this is the question for an experienced neurologist. If you think you don’t get enough information from your current doctor, you can ask for a second opinion about your last MRI image and prognosis. You ca also ask a physiotherapist, if you can expect further improvement after 8 months. According to my knowledge, it is the first year after a brain injury, during which you can expect significant improvement. I do encourage you to continue with both medications and physiotherapy.

  • ChrisCan

    Several weeks ago I started getting sporadic occurrences of a sharp stabbing pain in my upper left thigh. It only lasts a few seconds each time. Sometimes having several ‘pains’ back to back – then nothing for days. It is debilitating when it happens. The leg sort of stops working while the pain is there. Residual dull ache follows for a few minutes. Yesterday I was bent over at the hips/waist for a couple of minutes and found that I was unable to stand up after. My lower back was totally numb on both sides (could not feel touch) and there was a heavy dull ache. Forced myself into an upright position (with more pain), numbness subsided after a few minutes. Has not reoccurred with bending since. I’m an active 51 yr old female. Walks long distances daily. Works standing. Had abdominal surgery 16 months ago for stage III colon cancer.

    • Jan Modric

      ChrisCan,

      pains in legs and back could be from affected spinal nerves that arise from the lumbar spine. I strongly recommend you to visit a neurologist to check for a lumbar spine disorder, like a bulging disc, or/and gastroenterologist to check for eventual recurrence of the colon cancer (which could affect the mentioned nerves).

  • footweakness

    L4 L5 disk fragments caused some root nerve damage. Fragments removed but I am left with weak toes, foot & ankle. I have also notices periodic issues with balance. What can I do to regain strength & balance in my foot?

    • Dr. Chris

      Hi Footweakness

      It depends on the extent of the damage. Your should see a neurologist and phsycial therapist who can advise you further on recovery. If the damage to the nerve is extensive and irreversible then your options may be limited.

  • Sal

    This is a follow-up to an earlier post – I’ll restate some of the information, and try to make it succinct.

    For the past six or seven months, I have suffered from intermittent buzzing in miscellaneous parts of my body from the hip down. It seems to be generally associated with movement, and the exact location varies from time to time. For example, since yesterday, when I step on my left foot, I feel a throbbing/buzzing (no pain) in my left toe, and when I move my toe up or down, I feel the same buzzing. However, as I sit here, I feel no buzzing, even (sometimes) when I move it. The day before, I felt a slight buzzing on the side of my hip for an hour or so, and then it stopped; and I have had it before, pretty much with the same level/time frame of buzzing. Typically, any sensation occurs on the left side, but I have had slight buzzing for a an hour or so on some part of my right foot every week or so for a couple of hours – sometimes on top, sometimes on bottom. When I have it, it will be typically be there for a few minutes, disappear for an hour, come back for a couple of minutes, disappear for maybe a few hours, then probably won’t be back the next day. Initially, when this all started, I had the buzzing sensation in my leg over the course of a month, it went away for a couple of months, and then came back.

    Sometimes this buzzing seems to be a very fine twitching, but sometimes just like a very fine vibrating. It comes and goes throughout the day usually. Sometimes, it won’t be there at all in the morning, then later in the afternoon, it will be there for an hour or two, and then disappear, and then re-appear for ten minutes late in the evening. It isn’t a constant problem over the course of the day, but in general, it is there at some point every day.

    There is no loss of feeling or weakness anywhere in my body; no visual problems, etc. I am a male in my early 40’s. I had an occasional warm feeling in my foot, but that has not been present for months.

    My GP ordered me to have an MRI of my lower back with contrasting agent a few months back, after running misc tests, e.g. B12, Lyme, etc (all fine) – the result was that I have “very minor” bulging between L4/L5 and between L5/S1, but no “pinched” nerves. She seems to think that this is the cause of the buzzing, and told me simply that there is very little to do, except for stretching. Typically, I do not have a sore back, but yesterday and today, it feels somewhat sore, which has coincided with this toe buzzing.

    However, I continued to worry about these sensations, and I noticed for a few weeks that I had some very minor muscle twitching (though nothing like buzzing) in other areas of my body – this was a month or so ago. I would feel a small twitch in my left arm, see minor movement under the skin, and then an half hour later, would feel the same on my right shoulder, or on my pinky, or in the palm of my hand. The sensations would last for two or three seconds, and then stop. Again, no weakness or loss of feeling. Haven’t had any of these twitches for a few weeks. My friend suggested that I may have BFS, and that the buzzing in my hip/leg/feel may be the cause of the buzzing as well, instead of the minor bulges in my disks.

    Is it possible that I have BFS? And could minor bulges in my discs cause the symptoms that I have in my hip/feet/legs, especially given the fact that movement seems to make the symptoms worse?

    • Dr. Chris

      Hi Sal

      With bulging, there is often some compression of the nerve root (pinched nerve). It may not be constant but could arise during certain movements/positions resulting in impingement on the nerve. Benign fasiculation syndrome is a possibility but the diagnosis will only be reached upon excluding other neurological and muscular conditions that can contribute to these symptoms. It is however worth discussing it with your doctor. You may have chronic nerve injury unrelated to underlying conditions (Lyme, B12, diabetes) that may be a consequence of other types of injury (chemical- heavy metals, etc, stretch injury) which may also have to be considered in your diagnosis. This should be evaluated by your neurologist and in these cases a history would greatly help your physician in assessing for conditions that with otherwise be overlooked. It is difficult for us to answer your questions conclusively as your doctor is fully aware of your condition/history and therefore it is your doctor who should be able to answer your questions, take your concerns into consideration and consider other investigations based on the current presentation as well as your case history.

  • Randy

    My wife is 50 yrs old and for the past five months has had deep seated pain in her left buttock, pain, tingling and numbness down the inside of her left leg and extending into her foot. We had it diagnosed as Piriformis Syndrome but when she attempted to do the exercises associated with that diagnoses the symptoms got worse. She also has tingling and numbness extending down her left arm and into her hand as well. She has had a CT scan, bone scan, xrays and prescribed medicine for nerve problems and pain .. unfortunately nothing is working and the doctors are baffled.

    Can anyone help please?

    • Dr. Chris

      Hi Randy

      The slight aggravation of the symptoms after starting the exercises are not uncommon. It would only last for a few days and settle and the symptoms will slowly ease with time. However, the concurrent symptoms arising in the upper limb now is a concern. It is difficult to comment further from our side because we are not familiar with your wife’s case and as you said, even her doctors are baffled. But at this point in time your wife should be seeing a neurologist. If this has not already occurred then your doctor can give you a referral. If your wife has seen a neurologist who has given the all clear then you may now need the advice of an orthopedic specialist.

  • Melisa

    My name is Melisa and I’m 17. About 3 days ago my tibia felt like it was numb, the feeling has not gone away but it has grew.the numbess is still on the front side of my leg, but has grew from my ankle to right underneath my knee. I’ve looked online and hAve gotten nothing and my local clinic Is bloody hopeless and would look at me like I’m stupid if I were to try to explain to them the problem. What is it??!! It’s honestly starting to freak me out. Someone… Help?? 🙁

    • Dr. Chris

      Hi Melissa

      It is difficult to say with any level of certainty why this has arise without assessing it and running various investigations. If you had any injury that preceded the onset of these symptoms, even by a week or so before, then this could be the cause. Many of the causes that would be suspected in an older person or with some underlying chronic condition may not be an immediate consideration in your case give your age. So this is why your local clinic may be “ignoring” your complaints.

      Overall it is unlikely to be serious in a person of your age but this should not negate the fact that it may be due to a serious underlying disease. As you can see from the article above, there are various possible causes. The more likely cause in a person of your age, apart from injury, is circulatory problems, especially if you are inactive or overweight. Certain skin diseases and even heavy metal poisoning are also a possibility but you do not mention any other signs and symptoms so it is difficult to comment any further. It may be time to see a private doctor or even consult with a neurologist. If these symptoms started after taking any medication, etc, then you need to report this to your doctor.

  • Sara

    Hi,
    I’m a 17 yr old female, and for the past three months I’ve been experiencing low back pain, followed my tingling and numbness in my both legs but more in the right. I went for an MRI and I have a minor herniated disc at L4-L5. I’ve been going to physio ever since the back pain began, but it doesn’t seem to be helping too much. Now I have on and off numbness in my right arm and hand. I can barely walk after sitting or standing for long periods of time. I saw a neurosurgeon and he said the herniation is too minor to be causing these symptoms. He ordered a MRI for the rest of my spine and brain just incase.
    Do you have any thoughts?
    Thanks

    • Dr. Chris

      Hi Sara

      There are several other possibilities like neurodegenerative diseases and peripheral neuropathies which may not be due to a herniated disc. This is not frequently seen in your age group except in a person who is obese or has suffered a significant back injury. Hopefully autoimmune disorders and nutritional deficiencies have already been excluded. The MRI that your neurosurgeon ordered is the next step and you should wait for the results before considering other possibilities.

  • Abi

    Hello, I am experiencing numbness in my lower right leg. It happens everyday and lasts for maybe a minute. It started 4 days ago when I walked all day in high heels (2 inches only) but my legs were not really that tired. I applied efficascent oil and massaged it but the next day the numbness still happened. I do exercise every morning. I am wondering why this numbness suddenly happened and should I be alarmed and consult a doctor? I am thinking if i just need to do a specific exercise for my leg. Thanks in advance!

    • Dr. Chris

      Hi Abi

      It is always advisable to speak to your family doctor irrespective of how minor the ailment may be. The heels, however, need to go in order for you to exclude possible causes. There is no way to answer your question about the reason for the numbness without knowing the results of further tests and findings upon examination. This has to be done by your doctor.

  • Georgia

    Hey my names georgia
    I’m 16 years old and at school.
    Yesterday morning i walked like a 15 minuite walk and my feet got really weak to the point where i couldnt stand on them!The night i got home i had like a itching tingling feeling at my feet/toes and like my foot was tightening up i though it was something to do with my socks but now i have got i again?! Do you have any explanation of what this could be?? please write back to me at [EMAIL ADDRESS REMOVED].
    Thanks Georgia
    xoxo

    • Dr. Chris

      Hi Georgia

      If this is the first time it occurred and it ease up by today then it may not be too much to be concerned about given your age. If you are not accustomed to walk this distance or undertake any such physical activity then it is possible that this is just muscle strain. However, you should always discuss your symptoms with a parent and possibly see a doctor just to exclude other underlying causes.

  • HELP IT GO AWAY

    i HAVE HAD A BACK INJURY IN 2006 CAUSED BY HEAVY LIFTING.i HAVE HAD NUMBNESS FROM THE RIGHT HIP DOWN TO THE RIGHT TOES.AS TIME WENT BY THE NUMBNESS REDUCED TO ONLY DOWN THE LEFT FOOT.YESTERDAY AFTER LAYING DOWN ON MY COUCH I FELT MY RIGHT TOES AND THE OUTER AND BOTTOM SIDES ON MY RIGHT FOOT ALSO GETTING NUMB.AND IT’S STILL NUMB.wAHT CAN I DO TO GET RID OF THE NUMBNESS IN MY FEET.I AM A 35 YEAR OLD ACTIVE MALE.6 FOOT 5,220LBS AND IN RESONABLE SHAPE.

    • Chris Stanley

      Please learn to turn off your caps lock when you type things

  • Shashank

    Hello,
    I have weird sensations of tingling/numbness in both ny knees an at times radiates to my feet. It happens more when I am sleeping and also have sensations in my hands fingers. I am nit able to sleep well. I also get pain/ strain on my right cheek and back of right ear near the neck.
    Please help me as I am worried about my quality of life being effected. Btw I’m 26 m weighing 136 lbs and 5ft 10.

  • jo-jo

    I had a c4-6 fusion in jan. Since going back to work I have had pain and spasms in my shoulders again , but my arm pain is now down the back of my arms into my little fingers. I also get pain under my left arm into the breast area. I have a bulging disc at c2-3 but have been told this would not cause that type of pain. Also I have bulging discs at l3-5. I have numbness and weakness in my left leg and some numbness in my right calf and toes. I also get tingling sensations like goosebumps in my thighs, lower back, down my left arm, and up the back of my head. These are concerning me and the dr just seems to be dismissing them. My job has me doing continuous standing( 4 hours), lifting, reaching, twisting, turning and sitting (4hours). I want to go back to my job, but am concerned it will make matters worse

  • BewildredBrunette

    Hi there,

    On September 11, I had a pretty good fall off of an artificial bull and bent my lower back in an unnatural way (ie my back folded so that my heels touched the back of my head) I heard a few cracks and pops…over the next few weeks I did hurt quite a bit but the pain slowly subsided to a more tolerable level.

    I have increased my level of activity/exercise over the past three weeks or so to help manage some stress and anxiety. This includes 3-5 hours of yoga each week as well as aerobic (treadmill) exercise 2-4 times per week for approx. 30 minutes as well as light weight lifting.

    Since this increase, I have noticed that my back pain has become slightly more noticeable. Also, both of my feet tingle for a few seconds upon rising from bed in the morning. Sometimes as well, I find that my left leg in particular feels a sort of dull ache throughout the day accompanied by periodic episodes of pins and needles mostly in the foot but occasionally in my calf. In addition, I’ve also noticed that my legs to feet fall asleep while sitting on a toilet??!

    It appears that I may have injured my back more than I cared to admit in the first place but could my new exercise routine have caused further injury resulting in these new symptoms?? Or is it more likely unrelated?? I have seen my gp about it but she wasn’t really able to offer much help…just said to keep up the exercise/yoga and that if something hurts, don’t do it. Also, if the tingling should continue or get worse she’ll send me for further testing.

    In the meantime I’m left to my own devices and that’s never good! What do you think?? Is it likely related?? An I off my rocker worrying about it?

    Thanks for any advice you can offer!

    P.S. I’m 34 years old and taking a bc pill and a low dose beta blocker (neither of which should affect me this way according to my gp)

  • Markadar

    I am not sure exactly what is going on. I was totally fine (am age 39) and felt in great shape for awhile. then towards the end of summer, my rightr elbow started hurting on a very specific movment serviing a volleyball, but I may have overused it, however I can still hit hard on a spike and it did not hurt. This was back in August. It feels better although hurts at times, Then late September suddenly my lower back hurt bad, I had this a few years ago and I kept stretching it, after a week, it felt fine, and I went back to volleyball around October 12-14 but totally fine otherwise,. then I jumped very high and I landed somewhat hard on my right leg. a few days later my knee started hurting, but not that bad, I tried to go back to runnin long distance and after 1 mile it hurt worse, got better but then last week my knee stil hurt slightly and my back, same spot came back again only it was quikcer to heel. I have been stretching like crazy forward and backwards etc.. but them suddenly just in the past 3-6 days or so, it comes and goes, but I started feeling slight pains/discomfort in these areas: middle of hands, middle of feet bottoms, fingers, toes, sometiems forearms and sometimes lower legs. I also seem to have pain come and go to varying degrees just below the stomach and the left side of either a testicle or scrutom (what ever that is called). I feel ok and can do pretty much everything, takke long walks, or whatever, however, it is inconsitent, sometimes I feel more in certain areas and sometimes it seems to go away but this isn’t right at all. Does anyone have the slightest clue what the hell is wrong with me and how to fix this? or will this just go away if I take it easy and keep stretching my back out properly? Thanks!

    • Hi Markadar. There are several possibilities for some of your symptoms but age and overuse could be a factor here. You obviously lead a very active lifestyle and while this is beneficial for your health, it may not always be as beneficial for the musculosckeletal system (muscles, tendons, ligaments, joints and bones).

      There is no reason to suspect conditions such as arthritis, etc just yet based on what you report. It seems to be that your physical activity is taking its toll and you may not be conditioning your body appropriately before starting you exercise/sport.

      Yes, stretching could help and you should do so before vigorous physical activity. But you also need to realize that age could be a factor here. While stretching or warming-up may not have been necessary for you to avoid these aches and pains in the past, age does start changing your body is several ways.

      By your mid 30s, your bones start to weaken very gradually and you may only feel some of these symptoms of bone loss by 50. Your joints cannot take the same impact it could earlier in life and your joint cartilage may already be eroding.

      This is one possible explanation for your symptoms. The location and nature of the symptoms keep changing from what you report so it is difficult to attribute it to a single condition. Nevertheless you need to see a doctor who can assess you properly and make a diagnosis.

      • Markadar

        Hi healthhype, thanks. Well I felt better this morning in most of those areas although my upper thighgs were slightly tight, but I went for a long walk today, just a walk (as it was warm) kept stretching my back and other muscles, did a couple knee excercises. Went 6 miles felt good, although a copule hours later both knees seemed slightly sore but a few hours later that wok, albiet, I am feeling just a slight something in my hands but no as bad as before. I do believe I have also had quite a bit of anxiety in the past month as well for varoius reasons and I also have a tendency to spend way too much time overthinking every little thing that comes my way, or worrying a lot, and perhaps I am focusing on symtoms so much that I read online that some of it could be phycosamatic or something, is that possible? odd thing is 2 months ago I could run 6 miles, 7 miles witout any pain in the knees, but then it was 70-90 degrees, it has been 30-55 for the past few weeks and I have been doing most of this outside as the air is fresher.

        • Hi Markadar. Of course the psychosomatic component can always play a big part in the perception of symptoms. But it is always good to be be cautious and have it checked up. Yes, change in climatic temperature definitely has a role to play as well. But even if symptoms started now that were not there 2 months ago, it doesn’t mean that it will go away. In many conditions you can be without symptoms for months and even years and then the symptoms arise suddenly. Let your doctor decide on whether it is anything that may be deemed not serious and can be ignored, or just treated symptomatically.

  • Bonnie Faye Cagle

    For about a month now I have a stabbing pain on my ankle area. I only get it when i cross my legs or bring that ankle up and prop it on my other leg . .pain isv ery bad. Feels like something tearing from ankle to my toes . As soon as i move my foot down the pain eases.. does anyone know what this is ?

    • Hi Bonnie. It sounds like a nerve problem where pressure on the nerve, possibly by the position of your legs, triggers the symptoms. It may be causing compression or irritation of the nerve (neuralgia/neuritis). However, there is also the possibility that this could be a circulatory problem (blood clot and so on). Once again the position is just exacerbating the existing problem so you only feel the symptoms then. Your doctor will need to assess it further to make a diagnosis.

      • Bonnie Faye Cagle

        Thank you so much . I will see a dr as soon as possible

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        • todd

          Doing front squats this morning I had a sudden sensation of numbness in my inner quadriceps, arch of my foot and big toe areas on my right leg. This numbness has continued on throughout the day. No pain only numbness.

  • Amber

    I’m a 38 year old female. I weigh around 130 lbs. and am 5’11” tall. I’ve had scoliosis since I was 12 or so. I’ve always had lower back pain. However, for the last month, my knees would start hurting after having them bent for a period of time. Shortly after that, I felt like I had heel spurs, then shin splints. But then, even shaving my legs began to hurt. My ankles hurt, my toes hurt. My joints in my left hand get sore. My feet continue to wake me up 3-4 times a night. My mother has neuropathy, and my sister 41) has MS. I’m not sure what I have as it’s in both sides. Any ideas?

    • Hi Amber. This may not necessarily be a nerve problem. Many of your symptoms seem to be musculoskeletal in nature and very likely to be a joint disorder. Some symptoms can also be explained by circulatory disturbances in the limbs. The fact that your discomfort is affecting your sleep patterns, you should take it seriously and seek medical advice. The condition is obviously progressing. Given your family history it is very important that you see a doctor as soon as possible and undergo further investigation. Early diagnosis and treatment could drastically improve the outcome.

  • Bosne Sin

    Hello.
    I’d like to share some weird and painful feeling that I have these days. I ‘ve had two low back replacement . Right foot is numb, and left bone that holding new disc has a little damage. I was trying to scratch in the morning and as soon as I step on mu toes and i lifted mu hands up in the air, I felt the same pain strike around the area where I had surgery , right around new artificial discs. I am on fentanyl patch 25 and oxy 15. Now I have a feeling that something moving at the disc area . The whole area front where I have a scar from opening area and around my low back and hip is so painful. Does anybody have this kind of feeling or pain. I ‘d appreciate any answer because I have no insurance for this particular area since this is work related injury . Surgery took place five years ago .

    • Hi Bosne. This could definitely be related to your past surgery and the replacement discs. You have to see an orthopedic surgeon/neurosurgeon again. Further investigations will be necessary to see what changes have occurred in this area over time. It may be responsible for your current symptoms. There has been a lot of information in the media over recent years about medical devices/prosthetics that have not been as effective or tough as was initially claimed. Even if it is not a defective disc, the fact is that 5 years is a long time and the condition may have further deteriorated in the surrounding regions. The only way to know for sure is to contact an orthopedic surgeon or neurosurgeon.

  • karthik

    hello
    i am 28, 5.5ft long i have little foot arch, a 6 years back i fell down by moving bike and had minor back injury from that onwards i got flicking of all my left leg fingers, if i get tension my toe starts high fickle movements so kindly suggest treatment for this

  • Janet

    Hello, 2 years ago I had total hip replacement on right side. Going through all recovery and got right side strong and working well. Then just when I was so excited thinking I was well on my way to be back in the swing of things my left leg started to give me problems by getting really weak and tired and toes on left foot going numb. So frustrated cause I can’t walk very far without having to stop and rest so frustrated! Family doctor said it was sciatica, that was almost 1 year ago and had to deal with it. Can anyone help or suggest something?

    • Hi Janet. Hopefully the necessary diagnostic investigations have been done to confirm sciatica and isolate a possible cause of nerve compression. Depending on the cause, there may be several options to remedy the situation like surgery. If you do not want to go down this route then you should be consulting with a physical therapist for treatment and exercises to minimize the symptoms. However, there is also the possibility that this could be some other nerve or muscle condition at play here. It may be a good idea to get a second opinion from an orthopedist (orthopedic specialist).

      • Janet

        Thank you for your answering. The fact that my hip on right was broken at the ball which was pinned and a plate put in for 1 year to see if healing took place, which it didn’t . Just broke down and leg was shorter on right side than left, so had to be fixed along with total hip replacement on right side. Since all this was going on with recovering for another year after that my left leg was the supporting one and it seems the stronger the right leg got the left leg reacted with weakness and numbness in toes. So maybe it was affected by fall abit also but right side was more severe so it went unnoticed till now. Just think that 2 years would be enough time for things to heal up and with this problem with left leg and toes is really frustrating and worrisome. I want to walk normally so bad! Janet

        • Hi Janet. It must be frustrating awaiting your recovery for such a long period. It appears there have been many complications in your treatment and recovery. Many of your concerns are legitimate and understandable. The best person to answer your questions is your orthopedic surgeon who is overseeing your case. Good luck!

  • Cameron

    Yesterday I felt pain starting from under my testicle at first but then the pain move to my left testicle and left side of that area was a little swollen that pain went out through the day and fell asleep woke up without pain but by night fall back starts hurting and wake up from sleep at 2:30am and it was sever throbbing pain straight to my lower back with a burning sensation it’s been almost 5 hours since I’ve been awake from the pain the pain makes my leg numb and a electric type pain to my feet and hands the tip of my fingers are tingly which makes it hard for me to even hold my phone and back pain is worst while laying on my back…. I don’t know what to do or what it is HELP

    Cameron……..

    • Hi Cameron. From what you are describing this appears to be a systemic problem and not just one localized to the groin and back. Given the acute nature of the symptoms it is advisable that you seek medical attention. Hopefully you have done so already. If not then you should consult with your doctor and report this incident even if the symptoms have resolved. The pain alone is difficult to isolate as there is so many possible causes but your doctor will consider further investigations to reach a diagnosis.

  • Karina

    Hello, I fell about two and a half weeks ago on my porch stairs and landed on my back.. Left side on my lower back was mostly impacted and the pain kind of went away for the most part.. A few days ago though my left leg started to feel a bit tingly… So could this be nerve damage ? What treatment does this require ?

  • Cherie A Erison Greenwell

    I have had severe swelling in my feet ankles and lower legs that has caused numbness and tingalling for almost a month as well as cronic heart burn 3 or 4 times a day can someone please tell me why

  • Teresa Mikrut

    I fell in March 2014 and broke the very bottom of my sacrum and tailbone–displaced and fragmented. About a month after that I developed a weird numbness (some muscle weakness in legs) that the doctor treated with caudal injections. It improved greatly, but I did notice residual polyneuropathy that seemed to get progressively worse. About 2 weeks ago (June 2015), my legs (actually just above to hips all the way to my toes) has developed the weird numbness again. It’s happened about 4 or 5 times over the last couple of weeks. When it happens, it tends to last all day and improve after resting overnight. The last time it happened, it did the same thing until eventually it was all day every day, and it made it difficult to walk especially on uneven surfaces. The tops of my feet (at times) fell very cold although they are warm to the touch. My lower back, near the spine causes me moderate pain at times. How worried should I be?

    • Hi Teresa. It is possible that this is related to your previous injury and hopefully you have consulted with an orthopedist and neurologist. It is difficult to say for certain how severe the condition is through an online platform or how worries you should be. It is possible that there is still some nerve compression or irritation as a result of your injury, or these symptoms could be an entirely new condition not related to you fall. The only way to know for sure is to consult with an orthopedist or neurologist and have it assessed further.

  • vc

    I fell on a rock when I went hiking and hurt my coccyx. It will be 2 weeks tomorrow and I do feel better. I still have a bit of pain when I put pressure but I do feel like I’m healing. The thing is that I’m feeling a funny sensation on my toes foot and knee I don’t want to say is numbing but I don’t know what to call it, is this normal?

    • vc

      I feel better now, but now I got stuck with back pain ?

  • Roseann Granger

    I have been experiencing some numbness in the ball of my foot; along with the sensation of having a bunched up sock at the base of the toes when walking. This morning I awake to find that the outer toes and the ball of that foot are semi numb. I am 56 and 5 foot 6 inches weight about 200. I know I am considerably overweight, and am trying to work on this. I have also been placing more stress on this foot; as the other side has Achilles tendonitis that has come around to the outer side of the ankle as well and is extremely painful. My gait is off with limping; and I am experiencing pain in the opposite hip and lower back (the weight bearing side). This is progressively getting worse, and I have been to my family dr. He didn’t even touch my ankle… but said that tendonitis takes a long time to heal.

  • Marcelo Ramos

    In 2010 I experienced a lower back spasm which kept me from working for 2 weeks. I work in an office environment which means I have to spend long hours sitting. Since this initial episode I have always experienced varying amounts of lower back pain but I have been able to manage this most of the time.

    Earlier this year I changed jobs, which meant going through setting up my workstation all over again. The adjustments I made meant I was able to find a position where my back pay finally went away. However, around the same time (about 3 months ago) I started noticing some prickling on my left shoulder. Sometimes this would radiate to the right one but not often.

    Then, early November, I began to feel a very strong tingling sensation on both my legs. At the time this meant I could not sit for more than a couple of minutes as it would become too uncomfortable beyond that. However, there has been no pain or weakness associated with this. I am very active and cycle 20km or more per day. I have had no impact to my lifestyle other than the inability to sit for long periods, and the annoyance of tingling limbs for no apparent good reason.

    I have seen my practitioner and a physio, and none of them have been willing to request some imaging of my back to be done, which is quite frustrating. I am fairly sure I am experiencing this due to a spinal problem, but I find it rather strange that there is almost no pain associated with the tingling. Is this unheard of?

    • Hi Marcelo. Your symptoms could very well be related to your job and the long hours of sitting. As you have correctly pointed out there may be an underlying spinal problem but it is difficult to say for sure without the necessary investigations. It is also possible that your current symptoms may not be related to the incident in 2010. It would be advisable that you get a second opinion from another doctor. You may also need to consult with a neurologist as there are many other conditions that could account for these symptoms and may not be related to occupational strain or obvious spinal conditions like nerve root compression (pinched nerve).

  • Brad

    Hey im 25, When i was 18 i got punched in the back which instantly gave me pins and needles in my legs and feet. I had weakness as well. I went to the doctors but everything seemed fine to them i was able to show full movement without pain however i constantly continued complaining of the tingles. I regained Strength on my own and have pretty much lived with the tingles since. The other day however since doing exercises iv got the tingles in my calves and it is beginning to p me off knowing its always there. Iv had scans however i keep getting the all clear. What do i need to do in order to get something done. Its always there im guessing its a pinched nerve but what next do i do. Just cope with it forever like i have been or is there something that can be done. Its annoying always been knocked back and it makes me feel like im just a hypochondriac.

  • krparkerone

    I am 43 yrs old and have a few extra lbs on me (maybe more like 15-20 extra lbs) and in my effort to be more active over the years, I’ve found that as much as I love to walk (closer to speed walking), I can’t go beyond 1.5-2 miles without my toes on my right foot going numb, tingling & hurting really bad. All but my big toe, actually. It’s so disappointing because if I didn’t have this problem, I would walk more often, further distances. The pain gets to be almost unbearable & I have to stop until it subsides enough to continue on to get back home or to my car. I never damaged my leg or foot that I know of. I’ve tried all kinds of walking shoes, different or no socks, barefoot as well as different methods of walking. I tried focusing on heel first, toe first – you name it. I’ve literally taught myself to walk again in a few different ways. Nothing really helps. Anyone else experience anything similar?

    • Hi Krparkerone. These symptoms could be due to strain when walking but there is also the possibility of conditions like peripheral artery disease. In this condition the flow of blood is limited due to a narrowing in the artery and with increased physical activity like walking the blood flow is insufficient for the increased demands. Another possibility is that there may be compression of the nerve to the leg and walking worsens it. As you can see there are several possibilities and you shoudl follow up with your doctor. Further tests may be needed before a diagnosis can be reached.

  • Hi Ashley. Crossing your legs for long hours on a daily basis as well as a host of other positions and activities can cause nerve compression. However, this may not fully explain the symptoms that you are experiencing. There may be more to it like compression of the nerve root from the spine or various other conditions. The compression by crossing your legs cannot explain this inability to move your toes entirely. You should speak to your family doctor and get a referral to a neurologist for further investigation.

  • Frank Barreto

    Hi,
    My name is Frank. About 3 years ago I had an injury to my right foot, a side frame from a bed that I was attempting to lift fell on my foot. My foot was black and blue for a few weeks and then it went away. I didn’t have any pain after that so I didn’t think about it. About a year ago I started to notice that my right foot, especially my three middle toes were getting numb all of the time. I went to a doctor but he couldn’t find anything wrong with my foot. Now, the situation has gotten worse, it hurts when I walk , the bottom of my feet feel like i’m stepping on marbles when I walk. I don’t know what I have, but I do know that I’m not diabetic. So, what to do? I figure I should try a specialist, a foot doctor and see what they have to say before it gets to the point where I can’t walk at all. I’m 65 years old and it’s frustrating when you can’t get a straight answer from someone. I tried going to emergency and was told that they couldn’t do anything for me, you believe that? It’s very frustrating, I need my feet to get around. Some feedback would be appreciated. Thank you!