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Bilateral Leg Quadricep Weakness, No Pain
Spine Health | Last Active: Mar 1 8:09pm | Replies (10)Comment receiving replies
Neurologist said he doesn’t have an explanation for why I have the weakness, asked about the cervical MRI he said I had some things going on but not that would explain the leg weakness and doesn’t know what he can do for me and is putting me in for a referral for a neuromuscular clinic, now I just have to hope that my military insurance will approve it.
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@divedoc94 Your neurologist is missing your diagnosis. This happened to me. Cervical spine issues can absolutely cause leg weakness. The para central disc herniations that you have are pressing on your spinal cord. I know it says without compression, but just touching the spinal cord can cause malfunction. The spinal cord has to move and shift as it floats in the fluid of the central canal. Imagine a rope inside a garden hose. If you bend the hose, that rope needs to move, and it can get tethered and compressed. That big bundle of nerve cells that is the spinal cord is like a giant cable of wires, and if you damage one wire in it, you aren't sure which one, it could be any of them. All of the nerves have to travel from your brain down the entire length of the cord to get to your legs.
I think a neuro muscular clinic is going to waste your time because they are guessing and don't know the cause. Often they do physical therapy, and if it fails to help, it demonstrates a need for surgery. You need a proper diagnosis and link to your symptoms.
Here is some medical literature that changed my medical journey. What I did with this, was to contact a surgeon with the literature and my imaging and ask if my case was like this. That lets them figure it out with all of that information, but make sure to ask it as a question because their job is to evaluate and diagnose. This is easily missed by many spine surgeons, but the good ones will recognize it. My recommendation is find a good spine surgeon for an opinion. They may have you see another neurologist because they like to work with certain ones, but a spine surgeon is who you need.
Eur Spine J
. 2010 Oct 13;20(Suppl 2):217–221. doi: 10.1007/s00586-010-1585-5
Cervical cord compression presenting with sciatica-like leg pain
https://pmc.ncbi.nlm.nih.gov/articles/PMC3111492/
If they can't figure out the cause of the malfunction, and link it to your imaging, they probably won't help you. I had to waste 2 years seeing 5 surgeons for opinions before I found this literature and with it, I found a good surgeon who helped me. He was at Mayo.