[22M] With numbness and restless leg feeling post prolonged sitting

Patient Description

A 22-year-old male with a history of type 1 diabetes and hypertension experienced sudden onset of numbness in both legs after sitting with elbows resting on thighs for an extended period. The numbness lasted 5-10 minutes, with the left leg taking longer to regain sensation. Since then, the left leg has intermittently felt weird, with symptoms of numbness and a restless leg feeling. Slight swelling is noted, possibly related to prolonged standing at work. Pressing on the left leg leaves indents that take a minute to disappear. No significant redness, warmth, or temperature difference is observed. The patient manages diabetes with Humalog and Tresiba insulin and takes Lisinopril for hypertension. No recent medication changes, injuries, or long travels reported. The patient tested positive for COVID-19 about a month and a half ago. No other recent infections or illnesses noted.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  1. Nerve Compression or Entrapment: Sitting in a position that compresses nerves in your legs can lead to temporary numbness and tingling. This is often referred to as "falling asleep" and usually resolves once the pressure is relieved. However, if the sensation persists, it might indicate prolonged nerve compression or irritation.

    • Treatment typically involves avoiding positions that compress the nerves and using ergonomic seating. Physical therapy may be recommended if symptoms persist.
  2. Peripheral Neuropathy: Given your history of type 1 diabetes, peripheral neuropathy is a possibility. This condition occurs when high blood sugar levels damage the nerves, leading to symptoms like numbness, tingling, and a "restless leg" feeling.

    • Management includes maintaining good blood sugar control, taking medications to manage symptoms, and possibly using supplements like alpha-lipoic acid after consulting with a healthcare provider.
  3. Circulatory Issues: The indents left by pressing on your leg could suggest fluid retention, which might be related to circulation issues. This can sometimes occur in people with diabetes or high blood pressure.

    • Treatment involves managing underlying conditions, staying active, and possibly using compression stockings.

What you can do

  1. Monitor Your Symptoms: Keep track of when the numbness and restless leg feeling occur, and note any activities or positions that might trigger them. Use MDandMe to journal your symptoms and track your progress.

  2. Maintain Good Blood Sugar Control: Continue managing your diabetes as you have been, as this can help prevent complications like neuropathy.

  3. Stay Active: Regular physical activity can improve circulation and help alleviate symptoms. Gentle exercises like walking or stretching can be beneficial.

  4. Consult a Healthcare Provider: It's important to discuss these symptoms with your doctor, especially given your diabetes. They may recommend tests to rule out neuropathy or other conditions.

What you should look out for

  • Seek Medical Attention If:
    • The numbness or restless leg feeling worsens or becomes constant.
    • You notice significant swelling, redness, or warmth in your leg.
    • You experience any new symptoms, such as pain or weakness.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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8 mo ago

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People Also Ask


What causes numbness in the legs after sitting for a long time?

Numbness in the legs after sitting for a long time is often caused by nerve compression or entrapment. This happens when pressure is applied to the nerves, usually due to a specific sitting position, and typically resolves once the pressure is relieved.


How can diabetes lead to peripheral neuropathy?

Diabetes can lead to peripheral neuropathy because high blood sugar levels over time can damage the nerves, particularly in the extremities. This damage can cause symptoms like numbness, tingling, and a restless leg feeling.


What are the signs of circulatory issues in the legs?

Signs of circulatory issues in the legs include swelling, indents that remain after pressing on the skin (pitting edema), and sometimes changes in skin color or temperature. These symptoms can be related to fluid retention and poor circulation.


How can I manage symptoms of restless leg syndrome?

Managing symptoms of restless leg syndrome can involve maintaining good blood sugar control, staying active, and possibly using medications or supplements as advised by a healthcare provider. Regular physical activity and avoiding positions that compress nerves can also help alleviate symptoms.


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