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What Causes Painful, Tingling, Numbing Sensation On Entire Leg?

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Posted on Wed, 19 Nov 2014
Question: I happened to read up on partial cauda equina syndrome and the symptoms sound very much like mine. What are your thoughts?
doctor
Answered by Dr. Moumita Chakraborty,MD (1 hour later)
Brief Answer:
specify your symptoms

Detailed Answer:
Hello there,
Welcome to healthcaremagic

It would be of great help if you let me know your symptoms. I would be able to guide you properly in that case.

If you have any reports along with it, you can upload those here.

Please mention if you have any pre existing condition and are on any medications because of that.

Awaiting your reply.
Dr.Moumita Chakraborty
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Moumita Chakraborty,MD (45 minutes later)

SYMPTOMS: I have been experiencing a painful, tingling, numbing sensation on my entire left leg and the same symptoms on my right leg below the knee. It starts in my vaginal area and then goes down my left leg and the gets my right leg. I am otherwise healthy. Although, I find it difficult to hold by urine and sometimes cannot hold it. I went to my neurologist and he performed many tests which all came back normal. He did say I had hyperreflexes of my knees. At one point, he was thinking MS but the MRI ruled that out. I am still experiencing the same symptoms and have no idea what's going on. It lasts about 30-45 seconds but occurs many times during the day.

I am frustrated and don't know what I should do next. My MRI findings were: The L5 body is somewhat elongated, with the superior-inferior aspect relatively longer compared to the AP diameter. There is asymmetry in the pedicles with the right-side pedicle of L4 being smaller than the left L4 sided pedicle. No spondylolysis. The conus ends normally at the T12-L1 level. L5-S1 Intervertebral disc rudimentary but hydrated. There is left foraminal encroachment. The left L5 root is better appreciated on parasagittal images but does not appear displaced. The right L5 root is widely demonstrated. L4-L5 - Disc desiccation. Disc osteophyte complet impresses mildly on the ventral aspect of the sac. There is right foraminal encroachment. The right L4 root, although well demonstrated, is not as well seen as the left L4 root. The traversing roots are demonstrated. Everything else in the MRI is normal. I'm afraid the doctor is missing something. He suggested I go to a research hospital to get a better idea of what is going on. What are your thoughts? I happen to read up on partial cauda equina syndrome and the symptoms sound very much like mine. Thank you female 36 yrs.old
doctor
Answered by Dr. Moumita Chakraborty,MD (2 hours later)
Brief Answer:
Sciatica/Alcohol neuropathy

Detailed Answer:
Hello mam,

Welcome back.

I understand your worrisome situation.I read your query and condition carefully.
I would like to say that after reading your symptoms i came to few provisional diagnosis;

1)Sciatica-Because of irritating of nerves in your spine or unknown reason.The underlying cause can diabetes too along with lot many. You should get confirmed if you are diabetic or not.

In some cases, no treatment is required and recovery occurs on its own.Conservative treatment is best in many cases;

Apply heat or ice to the painful area. Try ice for the first 48 to 72 hours, then use heat.
Take over-the-counter pain relievers such as ibuprofen or acetaminophen.
Bed rest is not recommended.
Reduce your activity for the first couple of days. Then, slowly start your usual activities.
Do not do any heavy lifting or twisting of your back for the first 6 weeks after the pain begins.
Start exercising again after 2 to 3 weeks. Include exercises to strengthen your abdomen and improve flexibility of your spine.


2)Alcohol Neuropathy(if you are an alcoholic)- First step to improvement is stop drinking and start taking vitamin supplements which has become deficient in your body because of alcohol.These vitamins includes folate, thiamine, niacin, and vitamins B6, B12, and E.

There is very less chances of cauda equina syndrome , because most likely it is an emergency condition requiring emergency surgery.

Hope my explanation was helpful.Feel free to ask more.
Dr.Moumita Chakraborty
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Moumita Chakraborty,MD

General & Family Physician

Practicing since :2010

Answered : 252 Questions

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What Causes Painful, Tingling, Numbing Sensation On Entire Leg?

Brief Answer: specify your symptoms Detailed Answer: Hello there, Welcome to healthcaremagic It would be of great help if you let me know your symptoms. I would be able to guide you properly in that case. If you have any reports along with it, you can upload those here. Please mention if you have any pre existing condition and are on any medications because of that. Awaiting your reply. Dr.Moumita Chakraborty