Toes numbness related to cervical stenosis?

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Lili_Inu
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Toes numbness related to cervical stenosis?

I'm 11 days post-op from an ACDF at C5-C6 for foraminal stenosis and spinal stenosis. Prior to surgery I had the following symptoms: neck, upper back, arm pain radiating to thumb and index finger; headaches and dizziness; numbness in toes. Now that I'm starting to heal, I get tingling sensations (which I'm assuming is nerve regeneration) in the muscles that used to give me pain, but the numbness in the toes are still there. Can cervical spinal stenosis present with symptoms in my toes, or do you think I might have spinal problems in the lumbar area? The numbness went away the first 10 days after surgery, but is back. Any one with the same issues? Worried

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tamtam
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Many conditions

Lil,

There are many issues other than spine issues that could be causing the issues with your toes. I would think that your going to need to go to your primary and let them investigate the issue further. Of course on your follow-up with your surgeon you should also discuss it with them. My fear is always that another condition is blamed on the spine and in reality it is coming from another part of the body. For example you could have tarsell tunnel syndrome or a issue with blood flow, not that I am saying any of these you have, but why it is important for it to be diagnosed. Typically the lumbar would supply the lower legs. Although cervical spinal stenosis can cause issues with the legs, not really sure about it just residing in your toes, usually a gaiting issue.

Lili_Inu
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tamtam

Thanks for your reply! I know that it does seem strange that I don't have lower back pain or muscle weakness in the legs only numbness in the toes. I'll definitely mention it to my NS at the follow up. Smile

2011 ACDF C5-6 for Spondylosis with Myleopathy
2012 L4-5 herniated disc and hernated disc at C4/5
2013 Diagnosed with leg length discrepancy of 9mm (right tibia shorter) and wearing heel lift with mild scoliosis
2013 Taking Amitriptyline for headaches

painfree at last
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Hi Lili Inu

Funny that you posted this - I am almost 2 1/2 months post ACDF surgery and doing well neck wise - still muscle pain and weakness that PT is working thru but recently I have noticed that my left foot and toes tingling. Now a week or so ago I pushes my self and went for a 45 minute walk - I am the type of person who goes goes goes and does nothing slow. I was walking too fast and developed shin splints. Have had calf pain for over a week and was thinking my left foot and toe tingling was due to my shin splints since my left front calf still is sore. I do plan on getting it checked out if it persists.
I have not heard that cervical issues presents in toes but I guess you never know. I do remember my lower back being achy during the 1st few weeks after my surgery because of lying on back too much - maybe you are not feeling that in your back but in your toes - just a thought. I would get it checked if it persists! Good luck as you continue to recover!
Mary

Lili_Inu
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Mary

I've been researching online and found that cervical spinal stenosis can affect the limbs including legs/feet. I'm just not sure if in my case it's related.

I agree with you that it could have something to do with inactivity, since I've not been able to walk as much as I want - my two girls have been at home with me this past week. Yes, I was lounging around a lot more than normal. I'm not going to worry too much about it for now. Hopefully when I start to walk more, it will just disappear! Wink

2011 ACDF C5-6 for Spondylosis with Myleopathy
2012 L4-5 herniated disc and hernated disc at C4/5
2013 Diagnosed with leg length discrepancy of 9mm (right tibia shorter) and wearing heel lift with mild scoliosis
2013 Taking Amitriptyline for headaches

painfree at last
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Hey Lili Inu

I also did some research as my calf pain and foot tingling actually got worse today and found that lower back issues particularly sciatica can cause tingling in foot and toes .. I actually realized while sitting I have pain in left side of my butt that occasionally radiates down my leg and now putting it all together. I remember the 1st few weeks post op my lower back was bothering me from lying around too much on my back or in a reclined position. I bought a wedge pillow and piled pillows under my knees for support which helped but I think now not enough! Anyway Good luck again in your recovery and hope your toe numbness does not get worse.. I have PT on Monday and actually have my 3 month post-op appt next week so I plan to ask about it... For me I really think I have some lower back issues hoping just need to stretch and be mindful of so that it does not get worse!
Take care again!
Mary

Lili_Inu
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Hope not!

Let's hope you don't have a lower back issue causing sciatica! Is your PT working with you on the lower back as well as gaining strength in your upper body? I can't wait to start PT! My arms feel like they are wasting away. Recovery has been good except my 6 year old has been home with me for the last 6 days recovering from a cold. I got it from her but have been very careful about eating right and trying to rest in between servicing her! She's been on the couch almost the entire time. Last night was the first night she slept: prior 2 nights consisted of coughing and crying and waking DH and I up every half an hour. Sleepy

Good luck with the 3 month visit and let me know how it goes! Hug

2011 ACDF C5-6 for Spondylosis with Myleopathy
2012 L4-5 herniated disc and hernated disc at C4/5
2013 Diagnosed with leg length discrepancy of 9mm (right tibia shorter) and wearing heel lift with mild scoliosis
2013 Taking Amitriptyline for headaches

jellyhall
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Did you find out ...

Hi Lili,
Did you find out what was causing your toe numbness?

I have been finding that my toes get numb an increasing amount of time.
I did a search on Spine Health and found your post.

Are your toes still numb?

As I have problems in my lumbar spine, thoracic spine and cervical spine, I am not sure what could be causing my numb toes. As I have had lumbar fusion, I hope it is not that level. My neck is really playing up, so perhaps that is it.

They are not numb all the time. Standing for very long makes them go numb and some positions also cause it.

I HOpe that you are feeling the benefit of your surgery now.

Lili_Inu
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Hi jelly!

I have not revisited this thread in a long time and glad to hear from you! My toe numbness has disappeared after about a month or so after the surgery. But since then, I realized that I have lumbar issues. Nevertheless, I do think my toe numbness was from the cervical stenosis.

My lumbar issues are under control now since I started to do stretches every day. I just pray that I can prevent having surgery in the lumbar spine.

I am exactly 11 months post-op and will tell you that I am doing much, much better than before surgery. I do still experience pain, but not on any meds except for an occasional muscle relaxant to help me sleep.

How are you doing? How long do your flare ups last? It's really hard to know where the pain is originating from, but I really wish you much luck in finding it! Smile

2011 ACDF C5-6 for Spondylosis with Myleopathy
2012 L4-5 herniated disc and hernated disc at C4/5
2013 Diagnosed with leg length discrepancy of 9mm (right tibia shorter) and wearing heel lift with mild scoliosis
2013 Taking Amitriptyline for headaches

jellyhall
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Hi Lili ...

I am so please to hear how well you are doing. =D>

My lumbar spine and bilateral sciatica is very much better now. However, I am having increasing pain and symptoms in and from my neck. No plans for surgery at the moment, but the neurosurgeon is seeing me in April to see how I am. I think because I am managing quite well, they are leaving me until some undisclosed point when I suspect I will have surgery.

I do have some signs of myelopathy; brisk reflexes, spastic spasms in my feet, legs and around my back and abdomen. I don't have Hoffman's or Babinski's reflex, so I wonder if that is what they are looking for.

As for the pain, I have it all over the place but only in either sharp 'zaps' of pain or it will last for a minute of so. Occassionally it will last a couple of hours. The frequent headaches are what lasts the longest, and sometimes they last for days - even at night - they sometimes wake me up.

I have started getting a strange vibrating buzz in my right leg and foot. It feels just like I have a mobile phone going off in my leg. It has a rhythem to it - buzzes for a couple of seconds and then stops for a couple of seconds. No pain - just very strange. I also get a 'cold wet' feeling as if someone has splashed me with water. I get that in my arms and legs. I have also had some electric shock type pains in the right side of my head and also my left arm. Did you have any of these symptoms before surgery?

I am still walking a couple of miles a day to try to keep things as good as possible. I see my physiotherapist every week for treatment and I do neck exercises at home a couple of times a day, most days.

I do recommend stretches, exercises and walking to try to stave off surgery. I managed with that for a long time. It was only because I had a slipped vertebra that I had to have surgery. That and the fact that I was almost bone on bone.

Keep working to avoid surgery and take care.
Hug >:D< Hug

BrokebackBob
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To see how bad things get...

Iwas told 7 years ago to have lumbar surgery for sciatic and now I wish I had it then as nerve compression has made calf muscle atrophy. MRI shows severe bilateral stenosis, DDD, spondlyloliethesis. I had ASDF July 2012 for stenosis.When neck started hurting one year prior to surgery, I said NO to surgery and by June 2012 both arms could not be lifted due to pain and were basically useless. When the nerve was free of compression it had been damaged. My left arm is just now regaining 20% of function and it will take a full year before we know extent of damage. If I had surgery at onset of pain it may have been avoided.
Now same condition in lumbar has caused, silently and slowly, muscle loss in calf. Of three calf muscles, one is 95% atrophy and the other two around 50% with some pain. I have laminectomy Jan 24,2012 and hopefully I have not waited too long and I will regain 100% of my calf. I dont want to wake up one morning to find I am losing control of bladder because I was "hero" and didnt take advice of 5 different surgeons since 2004. Just my store in the city where there are a million other stories. Good luck and keep smiling and the whole world smiles with you. Peace out. Bob