[55F] Experiencing numbness in thigh and heel pain

Patient Description

A 55-year-old female presents with numbness in the front of her thigh, described as a lessened sensation to touch, occurring on and off for a week. Movement appears to alleviate the numbness slightly. Additionally, she reports sharp pain under her heel when walking, particularly noted in the morning, persisting for over a month. The patient has a past medical history of anxiety, depression, and high cholesterol, and is currently taking Venlafexine, Escitalopram, Lamictal, and Xanax. There are no reported allergies or adverse reactions to medications, and no recent injuries or trauma to the affected areas. No other symptoms such as swelling, redness, or burning sensation are present.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Meralgia Paresthetica: This condition is characterized by numbness or pain in the outer thigh. It's caused by compression of the lateral femoral cutaneous nerve, which supplies sensation to your upper leg. The numbness you're experiencing in the front of your thigh is consistent with this condition.

    • Treatment typically involves managing the underlying cause of the nerve compression, such as losing weight or wearing looser clothing. In some cases, medications or injections may be recommended.
  • Plantar Fasciitis: This is a common cause of heel pain that involves inflammation of a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes (plantar fascia). The sharp pain you're experiencing in your heel, especially in the morning, is a typical symptom of this condition.

    • Treatment often includes physical therapy, night splints, orthotics, and in some cases, steroid injections or surgery.

Please note that these are only possibilities and not a definitive diagnosis. It's important to consult a healthcare professional who can evaluate your symptoms and medical history to provide an accurate diagnosis.

What you can do

In the meantime, here are some steps you can take to manage your symptoms:

  1. Try over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB, others), to help reduce pain and inflammation.
  2. Apply ice to your heel to help reduce inflammation.
  3. Stretch and strengthen your foot muscles. A physical therapist can show you how to do these exercises.
  4. Avoid wearing tight clothing around your waist, which can contribute to nerve compression.
  5. Maintain a healthy weight to reduce pressure on your feet and nerves.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms worsen or do not improve with self-care measures.
  • You experience sudden, severe pain in your foot or leg.
  • You have difficulty walking or performing daily activities due to pain or numbness.
  • You notice redness, swelling, or warmth in your foot or leg.

Remember, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What is meralgia paresthetica and what causes it?

Meralgia paresthetica is a condition characterized by numbness, tingling, or pain in the outer thigh due to compression of the lateral femoral cutaneous nerve. It can be caused by factors such as tight clothing, obesity, or prolonged standing or walking.


How can plantar fasciitis be treated at home?

Plantar fasciitis can be managed at home by using over-the-counter pain relievers, applying ice to the heel, performing stretching exercises, and using supportive footwear or orthotics. Night splints can also help stretch the plantar fascia while you sleep.


Can anxiety and depression medications affect nerve sensations or pain?

While anxiety and depression medications are not typically known to directly cause nerve sensations or pain, they can have side effects that might indirectly affect how pain is perceived. It's important to discuss any new or worsening symptoms with a healthcare provider.


When should I see a doctor for numbness or heel pain?

You should see a doctor if your numbness or heel pain worsens, does not improve with self-care, or if you experience severe pain, difficulty walking, or notice redness, swelling, or warmth in the affected area.


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