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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is The Sustained Concussion Associated With The Tingling In The Toes?

An 8 ladder fell directly on top of my head, I sustained a concussion and 3 toes on right foot starting tingling and then over months went numb and then left foot toes starting going numb and now 3 years later, experiencing many blood tests-all coming back normal...nerve conduction studies (2) showing that I m experiencing loss of proper messages going down my legs and feet. Now left and right feet are going numb and right arm muscles aren t getting proper messages. Neurologist is sending me to a muscular neurologist specialist. Should I be going to someone else also for evaluation? So far no one connects ladder hitting me directly on top of head with neck and back issues resulting and numbness starting in toes. How can they not be related since it happened on same day?
Sat, 24 Nov 2018
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Neurologist,  's  Response
Hi,

While I would not entirely discount the ladder incident causing a concussion the strict localization of your sensations to the toes which now appear to be "ascending" is inconsistent with the presentation or progression would be in someone suffering from something such as postconcussive syndrome or sequelae to TBI.

There are many more common problems to look at and for example, you've not said much about what an MRI of the neck or back have shown.

Electrical studies done in the lower extremities are usually very sensitive for telling whether the "proper messages" that are not getting to the feet have an origin which is outside the spinal cord, inside the spinal cord, or above the level of the spinal cord (i.e. brain).

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi,
Neurologist

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Is The Sustained Concussion Associated With The Tingling In The Toes?

Hi, While I would not entirely discount the ladder incident causing a concussion the strict localization of your sensations to the toes which now appear to be ascending is inconsistent with the presentation or progression would be in someone suffering from something such as postconcussive syndrome or sequelae to TBI. There are many more common problems to look at and for example, you ve not said much about what an MRI of the neck or back have shown. Electrical studies done in the lower extremities are usually very sensitive for telling whether the proper messages that are not getting to the feet have an origin which is outside the spinal cord, inside the spinal cord, or above the level of the spinal cord (i.e. brain). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist