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 January 2002, Practical Neurology strives to enhance quality of care and improve the daily operation of neurology practices. Each month, our experts explain the real-world significance of recent advances in neurologic science and offer step-by-step advice on how to overcome the clinical and business challenges neurologists face. Our straightforward, how-to articles give neurologists tools they can put into practice right away.