Recurrent Acute Focal Pain and Persistent Numbness in a Middle-age Woman

A woman in her late forties experienced severe pain and numbness in left anterior knee while kneeling and stretching to tend a fireplace. She had no swelling, but the numbness persisted and the area is now devoid of sensation to pinprick and vibration. Six months later she had acute pain and subsequent numbness of the lateral aspect of right leg. There are no vasomotor changes or discoloration of the skin; the area is devoid of sensation to pinprick and vibration. A similar area of numbness developed overlying the left Achilles tendon, subsequent to stretching. See the case resolution here.


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Launched in 2002, Practical Neurology is a publication uniquely dedicated to presenting current approaches to patient management, synthesis of emerging research and data, and analysis of industry news with a goal to facilitate practical application and improved clinical practice for all neurologists. Our straightforward articles give neurologists tools they can immediately put into practice.