Could numbness, from L-5 impingement localize to feet?

Posted by smn1 @smn1, Oct 13, 2024

Does anyone know whether an L-5 nerve impingement. Can cause numbness, pressure and weakness. Localized to the feet without radiating down the entire leg?

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Profile picture for jchet @jchet

Please answer after your surgery recovery to see if it was helping. I’m one of the many with burning swollen feet, especially evening and wakes me when sleeping. Never get a good night’s sleep. I hope it helps you. Please let us know. Thank you.

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I wrap my feet with Velcro compression wraps that really help with sleeping. Maybe will help you sleep too

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Profile picture for jchet @jchet

Please answer after your surgery recovery to see if it was helping. I’m one of the many with burning swollen feet, especially evening and wakes me when sleeping. Never get a good night’s sleep. I hope it helps you. Please let us know. Thank you.

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Thank you for the Velcro suggestion….will try.😊

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Yes / my flare ups have been localized to the insole. Not pain (however the flare up starts with sciatica like pain which heals then localized nerve sensations on foot sometimes shin) last year left foot which resolved - now right foot. It is transient and I can stop it with certain positions. (Standing up straight) I have L4/L5 disc collapse and foraminal stenosis. I have seen many Drs (I think 8 in all across several years) some conflicting opinions. Did X-rays, MRIs and EMGs. Normal except for the MRI revealing disc issues. None recommended surgery and was told live with it unless you have severe pain. The issue must be nerve compression. When I stand up straight and I rub my insole the sensation stops. Both flare ups were the result of too much aggressive exercise and different movements. That and I think natural aging snd some inflammation that will heal over time.

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Profile picture for Joytotheworld @joycaseyrn

Hello
Thank you for posting on this topic. I understand your frustration. I have had lumbar pain and b/l feet pain for years. I had a plantar fasciotomy bi lateral operation several years ago. I was a nurse in the hospital for 20 plus years. My point is I have seen so many neurologists and surgeons, some say the foot pain may be relative to the spine being compressed.
I have been diagnosed with severe spinal stenosis and facet joint arthropathy. L4L5. I am visiting my sons in AZ, I am from NJ. I am meeting with neuro orthopedic surgeon at Mayo to discuss if surgery will help. If I don't sit down after 5-6 min my lower lumbar is so burning and aching the pain will travel straight to my feet. I don't really have leg pain. I am being told I need a fusion as my L4L5 vertebrae have slipped 13mm. The pain is literally crippling me. If I go out I need a cushion and portable chair to sit. I am now getting numbness and tingling in my right leg down to my right foot. I had a laminectomy in 2021 to relieve the left sciatica but was told it wouldn't help with my back pain. There is talk that if I have even 4 hours relief from a facet joint injection procedure then I may have back pain relief from surgery.

15 years ago I must have seen 4 different neurologists who said that back pain has nothing to do with foot pain which is why I had plantar fasciotomy. It can be very confusing to know what to do. I really just want relief so I can feel better.

Thank you to everyone who shares their stories on here. As a nurse I believe each person has a bit of a different situation going on but it does help to share with others those individual experiences in an effort to get to the other side of debilitating pain.

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@joycaseyrn Hi. My husband has the same issues as you report and I wanted to follow up to see how your surgery went and how you are feeling today.

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Yup. Foraminal stenosis at L5-S1 results in exactly the symptoms you describe. My issues are primarily with localized areas of the feet, mainly the balls of the feet and specific toes. Not much pain unless I overdo certain activities, like standing, hiking, walking, and other upright things I used to like to do.

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Profile picture for erinnichole @erinnichole

@joycaseyrn Hi. My husband has the same issues as you report and I wanted to follow up to see how your surgery went and how you are feeling today.

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@erinnichole
I have had pain in my feet for many years, although I do have some numbness down my left leg from L4-5, S1 fusion in 2023, this did not relieve this pain.
I do think the foot pain was so severe I couldn’t walk far without burning pain.
I’ve just had a total of 3 cervical fusions since July 30th- a 3 level, from C4-7, first anterior then after a loose screw, I had another one for removal of that hardware and then a posterior fusion, which in comparison is extremely painful. I’m slowly recovering, but I wanted to let you know that a lot of my residual pain in L4-5 S-1 area, which was still affecting my ability to walk any distance along with the feet being so painful, well that pain in my lumbar is gone for the moment! I pray it stays gone.
Has the surgery in my neck (with 3 disc spacers) removed the pain in my lower back and my feet??
Only time will tell. I am 5 weeks since surgery, and I will post again as I improve.

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I had general left leg weakness but numbness in foot only. No pain. I had L4/L5 Lumbar decompression surgery about 5 months ago. - I think the decompression was L5. Numbness disappeared on day one. Working and exercising my way through the weakness in muscles as nerves and muscles very slowly recover.

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Hello. On Friday 10/31 Halloween 🎃. I had the following.
PROCEDURES PERFORMED:
1. lumbar decompression including central canal and bilateral medial facetectomy at L4-L5.
2. Lumbar decompression including central canal and bilateral medial facetectomy at L5-S1
3. Microdissection

I copied the above directly from my surgeon notes. He was able to do this without doing a fusion. I am an ACTIVE 65 yo woman with a brand new grandson. Our first. Prior to surgery last week I was UNABLE to stand or walk for more than a minute without severe nerve pain in my left glute, thigh, calf, ankle, top of my foot and no feeling in my big toe. I couldn’t sleep at night due to the pain. My skin would become sensitive to the touch on my glute and especially on the top of my foot. My understanding is that the top of the foot is from nerve impingement of the nerve exiting at S1 and my foraminal stenosis was probably causing this and it usually involves a fusion to take care of. This came on quickly for me 4 months ago. It started with both glutes/legs and I couldn’t walk at all. Had to crawl to the bathroom. Prior to that I had been exercising (walking Or biking) every day. After a couple of weeks the right side improved tremendously but the left side continued to get worse. After my PT told me there was no more she could do for me (and she never says that) and a neurosurgeon friend in CA thought I needed surgery, I felt like I had explored all of my options and this was really effecting my husbands and my quality of life. So we reluctantly agreed to the surgery. I am now on day 5 post surgery and I just walked half way down my street, which I could NOT do last week! I know it is really too soon to tell. But I feel optimistic. I still have some numbness in my foot/toes. And the foot/calf area is still a bit painful at night BUT it is a 100 times better than it was. I hope that helps with what you are trying to decide what to do.

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Profile picture for cjr14 @cjr14

Hello. On Friday 10/31 Halloween 🎃. I had the following.
PROCEDURES PERFORMED:
1. lumbar decompression including central canal and bilateral medial facetectomy at L4-L5.
2. Lumbar decompression including central canal and bilateral medial facetectomy at L5-S1
3. Microdissection

I copied the above directly from my surgeon notes. He was able to do this without doing a fusion. I am an ACTIVE 65 yo woman with a brand new grandson. Our first. Prior to surgery last week I was UNABLE to stand or walk for more than a minute without severe nerve pain in my left glute, thigh, calf, ankle, top of my foot and no feeling in my big toe. I couldn’t sleep at night due to the pain. My skin would become sensitive to the touch on my glute and especially on the top of my foot. My understanding is that the top of the foot is from nerve impingement of the nerve exiting at S1 and my foraminal stenosis was probably causing this and it usually involves a fusion to take care of. This came on quickly for me 4 months ago. It started with both glutes/legs and I couldn’t walk at all. Had to crawl to the bathroom. Prior to that I had been exercising (walking Or biking) every day. After a couple of weeks the right side improved tremendously but the left side continued to get worse. After my PT told me there was no more she could do for me (and she never says that) and a neurosurgeon friend in CA thought I needed surgery, I felt like I had explored all of my options and this was really effecting my husbands and my quality of life. So we reluctantly agreed to the surgery. I am now on day 5 post surgery and I just walked half way down my street, which I could NOT do last week! I know it is really too soon to tell. But I feel optimistic. I still have some numbness in my foot/toes. And the foot/calf area is still a bit painful at night BUT it is a 100 times better than it was. I hope that helps with what you are trying to decide what to do.

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@cjr14
I wish you a swift recovery !
Having similar issues and waiting to see a neurosurgeon, the process is sooo slow here is Canada. I have been suffering since July and will be lucky to see someone by spring! In the meantime I am having a guided image spinal pain injection.

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