[54M] With severe ankle pain, numbness, and urinary issues

Patient Description

A 54-year-old male presents with severe ankle pain that alternates sides daily, accompanied by numbness and significant swelling. The pain is described as sharp, throbbing, burning, and occasionally numb, with a severity of 10+ on a pain scale. It is exacerbated by movement after rest, particularly when starting to walk. The patient reports difficulty in controlling urination, with painful onset and a persistent kidney infection. Additionally, there is a history of neck hernia deemed inoperable, contributing to chronic pain. The patient also experiences muscle weakness, difficulty walking, and numbness in the inner thigh. No recent trauma or changes in footwear were noted. The symptoms began suddenly two weeks ago, with no prior similar episodes.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few serious conditions that could be causing your symptoms:

  1. Cauda Equina Syndrome: This is a medical emergency that occurs when the nerve roots at the lower end of the spinal cord are compressed. Symptoms include severe lower back pain, numbness in the inner thighs, difficulty urinating, and leg weakness. Immediate medical attention is crucial to prevent permanent damage.

  2. Severe Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause pain, numbness, and weakness, particularly in the legs and feet. It can be caused by various factors, including infections, physical injuries, or chronic conditions like diabetes.

  3. Acute Kidney Issues: Given your history of kidney infection and current urinary symptoms, there might be ongoing kidney issues that need urgent evaluation.

These conditions require prompt medical evaluation and treatment. Diagnostic tests such as MRI, CT scans, or nerve conduction studies may be necessary to determine the exact cause.

What you can do

  1. Seek Immediate Medical Attention: Given the severity of your symptoms, especially the combination of pain, numbness, and urinary difficulties, it's important to seek immediate medical care. Visit an emergency room or contact a healthcare professional as soon as possible.

  2. Monitor Symptoms: Keep track of any changes or worsening of symptoms, such as increased pain, further difficulty in urination, or increased numbness. This information will be helpful for healthcare providers.

  3. Avoid Strain: Try to avoid activities that exacerbate your symptoms, such as heavy lifting or prolonged standing.

  4. Prepare for Your Visit: Make a list of all your symptoms, their duration, and any treatments you've tried. This will help the healthcare provider assess your condition more effectively.

Remember, while I can provide information and guidance, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If your symptoms worsen or you feel unable to manage them, please call 911 or have someone take you to the hospital immediately.

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18 d ago

People Also Ask


What is Cauda Equina Syndrome and why is it considered a medical emergency?

Cauda Equina Syndrome is a condition where the nerve roots at the lower end of the spinal cord are compressed, leading to severe lower back pain, numbness in the inner thighs, difficulty urinating, and leg weakness. It is considered a medical emergency because if not treated promptly, it can lead to permanent nerve damage and loss of function.


What are the common causes and symptoms of severe peripheral neuropathy?

Severe peripheral neuropathy is often caused by damage to the peripheral nerves due to factors like diabetes, infections, physical injuries, or exposure to toxins. Symptoms include pain, numbness, tingling, and muscle weakness, particularly in the legs and feet.


How can a persistent kidney infection affect other parts of the body?

A persistent kidney infection can lead to systemic issues, including fever, fatigue, and pain. It can also cause urinary symptoms like difficulty urinating or painful urination, and if left untreated, it can lead to more severe complications such as kidney damage or sepsis.


What diagnostic tests are typically used to evaluate severe ankle pain and numbness?

Diagnostic tests for severe ankle pain and numbness may include MRI or CT scans to assess for structural issues, and nerve conduction studies to evaluate nerve function. These tests help determine the underlying cause of the symptoms and guide appropriate treatment.


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