General Discussion Triathlon Talk » Lower leg nerve issue Rss Feed  
Moderators: k9car363, alicefoeller Reply
2012-04-02 6:13 PM

User image

Extreme Veteran
492
100100100100252525
NW Arkansas
Subject: Lower leg nerve issue

I'll try to be brief as possible.

I've been fighting quite a battle since last October. I initially injured my lower left leg trying to do kick drills while swimming (kick drills with no fins). I apparently over-kicked and strained something. Being 40, I tried to work through this like any other 40-year old calf injury. I figured it would go away and it never did.

I took a month off late last year/early this year and then started back up slowly. Pains came back. I fought through it but slowly but pains returned. Finally saw a specialist a couple of weeks ago. Got an MRI with results today. No signs of any muscular, tendon or bone damage or inflammation whatsoever.

Doc says issue is possibly some sort of nerve entrapment but that is extremely difficult to diagnose. The good thing is that I can resume running as there is no damage and seemingly no threat to damage. All of my discomfort is post-run/ride and is mostly a burning/tingling sensation after sitting - which leads to a nerve diagnosis, given everything that's been reviewed to this point.

I guess my question here is: has anyone gone through something similar who can provide some feedback or does anyone have some opinion(s) on the issue?

My leg actually feels much better than it did a month ago. I feel some tightness in my Achilles/soleus area but it does loosen after 10-20 minutes of activity. I don't have sharp pains but rather some burning/tingling after sitting for a while after activity.

 



2012-04-03 8:16 AM
in reply to: #4125730

User image

Master
2411
2000100100100100
Goodyear, AZ
Subject: RE: Lower leg nerve issue

I had something similar a few years ago. I injured my ankle and even after it healed I had numbness and tingling in my lower leg. I tried chiro adjustments incase it was related to my back but it didn't help. I also tried Astym but it actually made the tingling worse. I had a nerve test done (horrible test) that didn't reveal a major entrapment and a few other scans. Everything came back normal.

Finally I just stopped all activity and rested for a few weeks. I tried a different chiro that specializes in ART, he worked on my leg and it really helped. I'd say that I had it for 3 months all together before it went away. Funny thing happened last Fall though, I had the same thing happen in my other leg. I mentioned it to my doctor and she ran some bloodwork, the only thing that came back was some of my electrolytes were low. I focused on rehydrating for a few days and it went right away.   

I know it's frustrating. If it persists, you could ask for the nerve test. I think you have to go to a neurologist and it's not a pleasant test but it would tell you if it is something major.

2012-04-03 8:21 AM
in reply to: #4126527

User image

Extreme Veteran
492
100100100100252525
NW Arkansas
Subject: RE: Lower leg nerve issue

Thanks for the response. Sounds very similar. The specialist did mention a nerve test would be a possible next step if it doesn't improve. He also said it's very unpleasant. I think he called it a EMG and it sounds painful.

I have access to an ART guy, so that's probably a good next step. 

Thanks again!

2012-04-04 10:23 AM
in reply to: #4126538

User image

Regular
105
100
Downingtown, Pennsylvania
Silver member
Subject: RE: Lower leg nerve issue
First off, its tough being 40, just wait till you hit 50..there is a reason they call it "down hill"
Twinges and longer recovery times... definitely not uncommon.

The symptoms you describe certainly pretend a nerve issue. Your recovery time has been much longer than a musculoskeletal problem would seem to require. It's great that it is getting better.

Did they describe a term called: Entrapment Neuropathy?

Although there were no signs of inflammation on the MRI, it is likely that there is an inflammatory response after a workout (especially hard workouts).

Have you considered ice therapy after workouts (even if it doesn't hurt at the time)?

Another thing, and this is important, have you noticed any weakness associated with the leg?

Nerve conduction tests are not fun, but you shouldn't be afraid of it. At this point I would say you don't need a nerve conduction test..unless you feel that there is weakness.

sar
2012-04-04 10:42 AM
in reply to: #4129497

User image

Extreme Veteran
492
100100100100252525
NW Arkansas
Subject: RE: Lower leg nerve issue

Thank you for the response. 

He didn't mention the specific term Entrapment Neuropathy, but I just looked at the definition and it fits with what he described as a possibility.

I have used an ice pack after workouts but haven't been as diligent as I should. My coach mentioned this yesterday (she's studying medicine of some sort), but she said I should do more than just an ice pack by using a bucket or something similar to dunk my entire lower leg in ice water. Makes sense that it would be more comprehensive. How long should I do this for? I assume something like 10-15 minutes?

I've not noticed any weakness or numbness either. I definitely don't want to do the test unless I have to. My coach is going to give some more stretches to do that will focus on the sciatic and psoas. Given all the diagnosis to this point it would not surprise me at all for the problem to originate in one of those areas.

Getting older sucks Cry

2012-04-04 2:00 PM
in reply to: #4125730

User image

Master
1534
100050025
San Diego, CA
Subject: RE: Lower leg nerve issue

I am going through something similar right now.

In my case, I have sciatic symptoms in right leg only (pain, weakness, soreness from right hip joint, glutes, down back of hamstring and IT band, outside of the right calf and top/right of ankle.

I have had a lumbar MRI, a pelvic MRI, and also the dreaded EMG test. 

BTW, the EMG test was not bad at all.  One of the needles is inserted pretty deep in the hip/flank and doesn't feel great, but its not a big deal.

In my case, looks like a combo of L3-L5 issues right near the spine, but also Piriformis Syndrome, possible affecting S1and S2.  When you look at a nerve map, S1 runs everywhere I am having problems.

 http://www.backpain-guide.com/Chapter_Fig_folders/Ch06_Path_Folder/Ch06_Images/06-4%20Radiculopathy.jpg

Have had a cortisone shot on back near L3-L4 which seems to help back issue, but the leg radiculpy may be more relevant to the Piriformis problem.  I am also about to get a cortisone shot in the Piriformis to see if that eliminates the leg symptoms.  Also back in PT targeting the Piriformis specifically.  If that doesn't work, other options exist....

Hope some of this is helpful.

Dan

 

PS - today was the 1st day back in the pool FOREVER.  Trying to resume light activities....



2012-04-04 8:22 PM
in reply to: #4130140

User image

Extreme Veteran
492
100100100100252525
NW Arkansas
Subject: RE: Lower leg nerve issue
This was helpful, Dan. Sounds like you've been through quite an ordeal.

That is an interesting graphic. My symptoms have also all been in S1. Piriformis is also something I should work on. Too many possibilities!

2012-04-12 10:30 AM
in reply to: #4129549

User image

Regular
105
100
Downingtown, Pennsylvania
Silver member
Subject: RE: Lower leg nerve issue
Sorry for the slow response. I hope things are getting better.
10-15min of ice is good, but direct contact between ice and skin for a prolonged period of time isn't good (could risk cold injury). In your case with an entire extremity, I would limit to 10min, then consider a 30min warm up with repeated ice. Of course the work to do this is a disincentive to work out right?
What has been your experience with ibuprofen or other NSAID?
2012-04-19 11:20 PM
in reply to: #4125730

User image

Master
1534
100050025
San Diego, CA
Subject: RE: Lower leg nerve issue

Update:  I had a steroid injection in my piriformis 2 days ago.. My doc said it could take as much as 10 days to see the full benefit.  After 2 days, I think I am seeing improvement - very encouraged.

 

The injection was a piece of cake, small numbing shot, followed by the steroid injection which I didn't even feel.

If it helps, maybe the next question is how long it lasts.  I really don't want to have to periodic injections forever.

I'm thinking a return to normal activities might not be too far away!

Stay tuned.

2012-04-27 4:52 AM
in reply to: #4145776

User image

Extreme Veteran
492
100100100100252525
NW Arkansas
Subject: RE: Lower leg nerve issue
clinicisopen - 2012-04-12 10:30 AMSorry for the slow response. I hope things are getting better. 10-15min of ice is good, but direct contact between ice and skin for a prolonged period of time isn't good (could risk cold injury). In your case with an entire extremity, I would limit to 10min, then consider a 30min warm up with repeated ice. Of course the work to do this is a disincentive to work out right? What has been your experience with ibuprofen or other NSAID?
Thanks for the response on the ice. NSAIDs seem to work okay. Nothing earth shattering. I'm feeling much better now. I ran a 5K race pretty hard last weekend and was sore for a couple of days, but am felling good again. I still get some stinging or burning sensation occasionally when sitting but it's not as bad as it was.
2012-04-27 4:53 AM
in reply to: #4162003

User image

Extreme Veteran
492
100100100100252525
NW Arkansas
Subject: RE: Lower leg nerve issue
dhyte - 2012-04-19 11:20 PM

Update:  I had a steroid injection in my piriformis 2 days ago.. My doc said it could take as much as 10 days to see the full benefit.  After 2 days, I think I am seeing improvement - very encouraged.

 

The injection was a piece of cake, small numbing shot, followed by the steroid injection which I didn't even feel.

If it helps, maybe the next question is how long it lasts.  I really don't want to have to periodic injections forever.

I'm thinking a return to normal activities might not be too far away!

Stay tuned.

That's great! Hope it works out! Pretty amazing what those shots can accomplish sometimes.


2012-05-02 1:50 PM
in reply to: #4125730

Member
35
25
Huntington Beach
Subject: RE: Lower leg nerve issue

Ive talked to people with scar tissue formation in the muscles down in the calf... sometimes can cause spasm with increased training.  From my understanding MRIs dont pick up small tears and scar formation.

 

Heres a video may it can help http://www.p3sportscare.com/pain-relief-huntington-beach-ca/how-can-this-help-my-injury/treatment-for-calf-strains/

New Thread
General Discussion Triathlon Talk » Lower leg nerve issue Rss Feed