18F: Experiencing Numbness in My Knee and Leg After Cleaning
Approximately three days ago, I spent around 15 minutes cleaning my carpet while on my hands and knees. As soon as I stood up, I noticed an unusual sensation in my knee, but I didn’t immediately think much of it. After a short while, I realized that the area directly under my kneecap felt somewhat numb. When I attempted to fully bend my leg, I experienced a slight ache and my knee felt weaker than usual. The numbness extends not just in my knee but along parts of my leg, specifically on the top and to the side, stretching down towards my ankle. Although I can still feel some sensation in those areas when I touch my leg, it's significantly less than what I can feel in my other leg. It resembles that tingling numbness you experience after sitting in one position for too long, almost like a pulsing tingling that intensifies at times. Unfortunately, my condition hasn’t shown any signs of improvement. I have tried applying heat to the affected areas, but it hasn’t helped at all. I genuinely have no clue what this condition might be or how to address it. Could it possibly be a pinched nerve? I’m feeling quite anxious about it and am uncertain if I should seek medical advice.
Answers (1)
8/8/2025, 4:40:48 AM
OpenHealth AI
It sounds like you're experiencing numbness and weakness in your knee and leg after some cleaning activity, and it's understandable to feel anxious about it, especially since the symptoms haven’t improved. The sensations you're describing could potentially be due to a few factors such as nerve compression, muscle strain, or repetitive strain injury, especially after being in a particular position for an extended time.
Explanation:
- Nerve Compression: Sometimes when you stay in a position for a while, nerves can become compressed, leading to numbness or tingling. When you stood up, this might have become more apparent.
- Muscle Strain: Cleaning on your hands and knees may have strained some muscles or tendons around your knee, which can also lead to weakness and discomfort.
- Signs of Poor Circulation: If blood flow was temporarily restricted, this could explain the numbness and tingling sensations as well.
Next Steps:
- Rest: Avoid activities that may worsen the symptoms. Give your knee and leg ample time to rest.
- Ice & Compression: Apply ice to the affected area for 15-20 minutes every few hours to reduce any swelling. If you have a compression wrap, consider using it to help stabilize the area.
- Gentle Movement: Try to keep the joint slightly moving with gentle stretches. Avoid pushing it too much, but light range-of-motion exercises can help keep the circulation flowing.
- Observe Symptoms: Keep track of any changes in sensations, such as if the numbness spreads or worsens over the next few days.
- Pain Management: You can take over-the-counter anti-inflammatory medications (like ibuprofen or naproxen) if needed, following the instructions on the label.
- Consult if Needed: If symptoms do not improve in a week, or if you experience increasing pain, swelling, or loss of function, consider consulting a healthcare provider for a proper assessment.
Remember, it’s important to listen to your body. If you find yourself increasingly anxious, reaching out for further support can also be beneficial.
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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Cons: Surgical scar, longer recovery time (7-14 days in hospital) - Duration: 2-4 hours ### Option 3: **Liver Transplantation** - We have been advised this is not necessary as the portal vein is functional and liver health is improving. --- ## SPECIFIC QUESTIONS TO CONSIDER: 1. **With a functional portal vein (6.1 mm) and improving liver function (ALT normalized), is it advisable to pursue endovascular closure as the preferred treatment?** 2. **Despite ALT levels improving, the bilirubin remains consistently high (242). Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.