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Doctor insights on: Lower Extremity Paresthesia

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81/female, both lower extremity paresthesia(symmetric, buttock~sole, not dependent dermatome)-bursting, shooting pain aggravated standing.

81/female, both lower extremity paresthesia(symmetric, buttock~sole, not dependent dermatome)-bursting, shooting pain aggravated standing.

EMG: You will need a thorough exam by either a neurologist or pain physician. Emg study will help determine if it is from the low back or other nerves; sciatic, femoral, poly neuropathy). If possible, an MRI lumbar will help dtermione if the is a disc pushing on the nerves , in you case l5/s1. Also check piriformis muscle for tenderness and reproducible pain down the leg. ...Read more

Dr. Gary Pess
1,036 doctors shared insights

Paresthesia (Definition)

Paresthesia is a symptom in which a person has sensations of tingling or "pins and needles" on some or all of his skin. If a person sleeps on top of his arm, he may have paresthesia in the arm for a short ...Read more


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How is paresthesia (extremity "falling asleep") be caused by a circulatory issue?

How is paresthesia (extremity "falling asleep") be caused by a circulatory issue?

Ischemia: Paresthesiae can be caused by nerve damage. Interruption of circulation can lead to both transient lack of blood supply to the nerves and muscles that causes the tingling. ...Read more

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Severe paresthesia in extremities. Negative for MS (brain and spinal MRIs), negative EMG & NCS. On Lyrica (pregabalin) & Cymbalta but no relief. Recommendations?

Severe paresthesia in extremities. Negative for MS (brain and spinal MRIs), negative EMG & NCS. On Lyrica (pregabalin) & Cymbalta but no relief. Recommendations?

More info req'd: It sounds like you've had a complex Neurological work-up and are intereted in seeking a second opinion. I would be glad to help, yet would need to see more data before throwing a diagnostic assumption at you. Please gather your medical records (labs/imaging/etc) and schedule a virtual consult with me for further details. I'm interested and available. ...Read more

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What is bilateral lower extremity length dependent sensory polyneuropathy? And what causes it?

What is bilateral lower extremity length dependent sensory polyneuropathy? And what causes it?

BLELDSM made simple: In sensory polyneuropathy, sensory nerve fibers that carry info about temperature, touch, pain, & position are damaged & can't transmit signals. Length-dependent means limbs furthest away are 1st to be affected, as in both lower legs. Common causes include diabetes, nutrient deficiency, connective tissues disorders, infectious diseases, or toxins. Blood tests can rule out most of these causes. ...Read more

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Can i bypass lower extremity with fasciotomy?

Can i bypass lower extremity with fasciotomy?

Sometimes: There are occasions where a vascular surgical bypass and fasciotomy are performed at the same time, vascular trauma, acute ischemic leg. There are occasions where bypass and fasciotomy are done separately. They are not the same procedure, so can not be used interchangeably. Fasciotomy allows the leg to swell with less risk for muscle and nerve damage, less risk for amputation. Be well. ...Read more

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I am 40 with unexplained lower extremity parapasesis. I cant move anything waist down. how much muscle loss/ nerve loss to expect.

I am 40 with unexplained lower extremity parapasesis.  I cant move anything waist down.  how much muscle loss/ nerve loss to expect.

Insufficient data: First of all, "paraparesis" MEANS lower extremity weakness. What does "unexplained" mean? That you can't explain it, or your doctors can't? Are you absolutely sure they didn't find a cause? Some patients just don't get it the first time around. - If the weakness is from the CNS (spinal cord), you'll get disuse atrophy. If PNS (lumbosacral plexus), you'll get neurogenic atrophy - much worse. ...Read more

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What type of lower extremity pain is associated with ovarian cancer?

What type of lower extremity pain is associated with ovarian cancer?

Not a common feature: Leg pain is not a usual feature of ovarian cancer. A person with ovarian cancer may develop deep vein thrombosis in the legs and have pain, but that is not common. Unfortunately ovarian cancers do not cause specific symptoms, at least not in early stages. ...Read more

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Extremity (Definition)

Is appendage or body part that extends from the main body, such as arms or ...Read more