The sensitivity of the ear disappeared after the operation. Damage to the nerves of the hand. The problem of restoring the sensitivity of the fingers in particularly difficult situations Numbness of the body after surgery

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Particularly complex problems of hand nerve surgery include plastic surgery of nerves in a scar tissue bed, as well as irreparable lesions of the central or (and) peripheral end of the nerve. Depending on the characteristics of the damage and the condition of the tissues in the area of the defect, two main situations can be distinguished: 1) when nerve plasty is possible and 2) when the problem of restoring finger sensitivity should be solved in other ways (Scheme 27.3.1).

Scheme 27.3.1. The choice of method for restoring the sensitivity of the skin of the finger, depending on the condition of the ends of the nerves and tissues of the hand.

Nerve plasty is possible. If a previous operation on the nerves did not lead to the restoration of skin sensitivity on the fingers, then in most cases the surgeon chooses one of four options for nerve plasty: 1) repeated conventional plasty; 2) nerve plasty with non-vascularized neural grafts with their placement outside the scarred area of tissues; 3) plasty with blood-supplied neural grafts; and 4) placement of non-blood-supplied neural grafts in a flap specially transplanted into the defect zone, which plays the role of a full-fledged biological environment.

Repeated nerve plasty is performed in a satisfactory condition of the soft tissues, the absence of significant scars in the area of the tissue defect and a relatively small amount of diastasis between its ends. The chances of good results increase to the maximum if the extent of the damage allows the excision of scar tissue in the area of the nerve defect.

Nerve plasty with transposition of neural grafts. With a significant size of the nerve defect (several centimeters) and pronounced cicatricial changes in the tissues, the blockade of axon growth through grafts by the resulting scars becomes a real danger. If the cicatricial cuff around the area of nerve damage cannot be excised, then the chances of success increase significantly when longer neural grafts are used for nerve plasty, placed around the scarred area.

Transplantation of blood-supplied neural grafts is indicated in cases where simple plasty options are not applicable due to the high probability of cicatricial blockade of grafts. Most often, this situation occurs with defects in the median nerve at the level of the carpal tunnel and proximal hand.

Operation technique. As a blood-supplied neural graft, a radial vascular bundle from the contralateral forearm is used, if necessary, including a muscle fragment and (or) a skin area.

The graft is transferred to the defect area and laid so that the length of the intermediate sections of the donor nerve corresponds to the size of the diastasis between the refreshed ends of the median nerve (Fig. 27.3.16, b). Then the neural graft is divided into sections, keeping the adjacent vessels intact (Fig. 27.3.16, c). After connecting the ends of the neural grafts with the ends of the median nerve, the artery and one of the veins of the transplanted tissue complex are connected to the corresponding elements of the vessels of the receiving bed (radial or ulnar vascular bundle - Fig. 27.3.16, d).

Rice. 27.3.16. Scheme of plasty of the median nerve (SN) defect with a blood-supplying neural graft from the radial neurovascular bundle.
a - the location of the ends of the median nerve before surgery; b, c — laying and formation of fragments of the neural part of the graft; d - after the operation. A, V - artery and vein; N - nerve (explanation in the text).

Creation of a complete biological environment around neural grafts. With widespread cicatricial changes in tissues in the area of a nerve defect, the surgeon often has to solve problems not only of nerve plasty, but also of restoration of damaged tendons and skin. A radical solution to this complex of problems can be the transplantation of a complex of tissues into the defect and the insertion of both neural grafts (not supplied with blood) and tendon grafts in it.

When the defect is located in the zone of the carpal tunnel and the base of the hand, radial or ulnar flaps (muscle or musculoskeletal) can be used as a donor source. However, the least complex and traumatic is transplantation of a muscle flap from the flexor wrist ulnaris on a peripheral pedicle.

Operation technique. A flap from the ulnar flexor of the hand is formed from the center to the periphery, separating the muscle tissue from the tendon in such a way as to preserve the anatomically constant and fairly large branches of the ulnar vascular bundle entering the peripheral part of the muscles (Fig. 27.3.17, a). The length of the flap is determined taking into account the size of the defect between the refreshed ends of the nerve and the arc of rotation of the tissue complex.

The muscle flap is moved into the carpal tunnel and sutured to the surrounding tissues. Neural grafts are passed through the transplanted muscle, and their ends are anastomosed with the ends of the median nerve (Fig. 27.3.17, b).

Rice. 27.3.17. Scheme of plastic surgery of the median nerve using a flap from the ulnar flexor of the hand on a peripheral pedicle as a complete biomedium.
CH - median nerve; LSK - ulnar flexor of the hand; L - muscle flap from the ulnar flexor of the hand; Tr — neural grafts passed through a mixed muscle flap; LA — ulnar vascular bundle (explanation in the text).

Use for plasty of sensitive branches of intact nerves. In rare cases, as a result of trauma, the central end of the nerve trunk is affected over a considerable extent. Most often, the median nerve at the level of the forearm suffers with ischemic necrosis of the tissues of the anterior surface of the segment. In this case, the peripheral part of the nerve can be used for reinnervation, and the dorsal cutaneous branch of the ulnar nerve or the superficial branch of the radial nerve is used as the central end.

Nerve plastic surgery is not possible. Implantation plastic surgery of nerves. A special situation arises in cases where the peripheral ends of the median and (or) ulnar nerves are excised. This may be the result of an illiterately performed operation for Dupuytren's contracture, a consequence of an injury, or the result of transplanting a denervated flap with a significant tissue thickness to the hand.

If the condition of the skin of the finger is satisfactory, then the reinnervation of the working surfaces of the hand can be achieved by implantation of the nerves.

Operation technique. The central end of the median (ulnar) nerve is isolated and refreshed. The neural graft (usually the sural nerve) is carried out under the skin in the direction of the denervated zone so that the end of the donor nerve goes into the smallest incision in the functionally significant zone of the finger (hand) (Fig. 27.3.18, a). Then the central end of the neural graft is sutured to the central end of the main nerve, and the distal end is divided into separate bundles (Fig. 27.3.18, b). Each bundle is brought out with a thin thread and a needle to a separate point, and, having removed the excess of the bundle with scissors, its end is immersed with microtweezers to the subdermal level (Fig. 27.3.18, c). This method allows to obtain a sufficiently high level of reinnervation of complex flaps transplanted to the fingers.

Rice. 27.3.18. Scheme of the stages of implantation of the own palmar digital nerve (SPN) for reinnervation of the palmar surface of the distal phalanx.
a — neural graft (Tr) brought into the wound of the distal phalanx; b - the end of the graft is divided into separate bundles; c — implantation of the neural graft bundle is completed (explanation in the text).
Transplantation of sensitive flaps. Transplantation of sensitive flaps on the denervated surface of the fingers is possible in various vari-affiax and in many cases is an alternative to complex options for plastic surgery of nerves and tissue defects. The following methods of transferring sensitivity to the hand can be used.

S-shaped plasty with opposite flaps. Indicated for transferring sensitive skin from the secondary to the dominant surface of the finger in elderly patients or after unsuccessful nerve plasty.

Operation technique. The operation is performed in two stages (Fig. 27.3.19). During the first stage, two flaps are formed on the proximal pedicle (sensitive) and on the distal pedicle (denervated - Fig. 27.3.19, b, c). The flaps are interchanged and sutured to the edges of the defect (Fig. 27.3.19, d). In this case, there is an excess of skin and both flaps protrude somewhat. After 6-8 weeks, the edema subsides and the flaps heal.

During the second stage of the operation, the superficial layer of the skin for about two-thirds of the insensitive flap is excised. When determining the size of the excised area, it is advisable to first remove about half of the skin of the flap, then try to move the distal edge of the proximal flap and, only by evaluating this distance, finally determine the boundaries of the excision. In this case, the contours of the distal phalanx only slightly change (Fig. 27.3.19, e, f). This method allows to obtain near-normal sensitivity of the distal phalanx, despite the 2-month period of hyperesthesia of the flap.

Rice. 27.3.19. Stages of soft tissue reconstruction of the distal phalanx of the finger to improve the sensitivity of its denervated surface (according to I. Niechajev, 1987).
a - d - 1st operation; e - f - 2nd operation. Points - denervated half of the finger; dark shading - sensitive half of the finger (explanation in the text).

Islet flap grafting from non-dominant finger surface. This operation is possible in two ways. In the first variant, a flap is cut out on a wide base, in which the neurovascular bundle is included (Fig. 27.3.20, a). After transposition of the flap onto the dominant surface of the finger, the donor defect is closed with a skin graft. The method was proposed by J. Littler in 1964.

In the second variant, proposed by BJoshi in 1974, a flap from the non-dominant surface of the finger is isolated and transplanted onto the denervated surface of the finger as an island (Fig. 27.3.20, b).

Rice. 27.3.20. The use of flaps to restore the sensitivity of the working surface of the finger due to the skin of the sensitive non-dominant surface.
1 - transposition of the flap from the opposite surface of the finger (according to JXittler, 1964); 2 - transplantation of the islet flap (according to BJoshi. 1974) (explanation in the text).

The transplantation of the flap from the dorsal-beam surface of the II finger is advisable in case of a defect in the tissues of the I finger. The flap on a wide base includes the terminal branches of the 1st dorsal artery of the wrist, as well as the superficial branch of the radial nerve (Fig. 27.3.21). The donor defect is closed with a dermatome flap.

Rice. 27.3.21. Scheme of transplantation of the flap from the dorsal surface of the second finger to the palmar surface of the first finger: before (a) and after (b) the operation.

Transplantation of the insular flap from the IV finger to the I finger. Irreparable damage to the branches of the median nerve with a violation of the sensitivity of the palmar surface of the first finger became the basis for the development of an operation for transferring sensitive skin from the zone of innervation of the ulnar nerve.

Operation technique. On the ulnar surface of the fourth finger of the hand, an island flap is cut out and isolated on its own palmar digital neurovascular bundle in the proximal direction to the level of the common palmar digital artery branching off from the superficial palmar arch (Fig. 27.3.22, a, b). The vascular pedicle is isolated with a layer of loose adipose tissue, keeping the thin veins accompanying the arteries. If necessary, the radial part of the palmar arch can be crossed and mobilized. The common palmar digital nerve is split to the point of rotation of the flap using a microsurgical technique. The flap is carried out in the subcutaneous canal, making additional accesses if necessary, and sutured into the tissue defect of the first finger (27.3.22, c). For the success of the operation, it is important to prevent torsion and compression of the vascular pedicle.

Rice. 27.3.22. Stages of transplantation (a, b, c) of the islet flap from the ulnar surface of the fourth finger to the palmar surface of the first finger (explanation in the text).

Engraftment of the flap leads to the restoration of the sensitivity of the working surface of the first finger. At the same time, many authors note hyperesthesia of transplanted tissues, sometimes reaching hyperpathy, which reduces the value of this method.

Transplantation of a sensitive insular radiation lobe. The radial skin-fascial flap on the peripheral vascular pedicle can be transplanted to the area of the eminence of the first finger and reinnervated (Fig. 27.3.23).

Rice. 27.3.23. Scheme of transplantation of a radial flap on a peripheral vascular pedicle and its reinnervation due to the palmar cutaneous branch of the median nerve.
LuA - radial artery; LoA - ulnar artery; LCN, lateral cutaneous nerve of the forearm; LVSN - palmar branch of the median nerve; CT — skin graft covering the donor defect, a — before surgery; b - after the operation.

Free transplantation of tissue complexes. To restore a full-fledged sensitive skin of the hand, various donor sources can be used, most often the pool of the 1st dorsal metatarsal artery. The advantages of flaps taken from the area of the first interdigital space of the foot include the possibility of transplanting various in shape and relatively large flaps that can be placed on the working surface of the hand. Reinnervation of transplanted tissues can be carried out by means of a deep branch of the peroneal nerve (flap nerve), which is sutured to one of the sensory nerves of the bone (Fig. 27.3.24).

Rice. 27.3.24. Scheme of isolation and transplantation of the flap, including the tissues of the first interdigital space of the foot (a), on the denervated surface of the stump of the fingers (b).
Ta - dorsal artery of the foot; B - accompanying vein arteries; H - deep branch of the peroneal nerve; T — graft, NA — neural anastomosis area; SA — area of vascular anastomosis.

IN AND. Arkhangelsky, V.F. Kirillov

Numbness after surgery can be expressed in a decrease or complete loss of skin sensitivity of some part of the body, which may even be far from the operating area. The sensations are very unpleasant, especially if part of the face or the postoperative suture becomes numb. What causes numbness, and how to deal with this complication?

How does skin numbness manifest itself?

Loss of skin sensitivity may occur immediately after the operation, but the patient, due to the general weakness caused by the intervention and anesthesia, does not always feel it. Symptoms begin to appear after a day, when a person gets used to his condition, tries to move, feel himself. At the same time, some parts of the body may not be sensitive, which indicates numbness.

Another type of partial loss of sensation in the skin or muscles is called paresthesia and occurs spontaneously. Those. a person does not even touch the numb place, but in that area there is a burning or tingling sensation from time to time. Patients say that these sensations are similar to goosebumps that occur after the numbness of a part of the body, for example, when an arm or leg is laid down in a dream.

The areas of the body most commonly affected by numbness include:

arms and legs (completely or their individual parts: fingers, entire hand, foot, etc.);
tongue, upper and lower lip, part of the cheek (after dental operations). Also, sometimes the chin goes numb, which causes particular discomfort to men during shaving;
the skin in the perineal region often becomes numb (after operations in the abdominal cavity, after caesarean section, appendectomy).

Numbness after surgery is often temporary. If it does not go away, and a partial loss of sensitivity turns into a complete one, you should consult a doctor.

Important! The help of a specialist is also required in the case when numbness is accompanied by dizziness, impaired coordination and problems with speech. This may be a signal of nerve paresis (paralysis).

Causes of numbness after surgery

It is sometimes possible to establish the causes of loss of sensitivity by the symptoms experienced by the patient, as well as after examination and palpation of the numb area. If this is not enough, an additional examination is carried out.

Nerve damage

Temporary paresthesia is most often associated with nerve compression. In this case, it will take several days to restore sensitivity. If the numbness does not go away, the suture may have been incorrectly applied - with touching the nerve endings that come close to the outer layer of the epidermis. This often happens even after ordinary operations, for example, removal of the appendix. If the numb place does not bother the patient, and he just does not feel touched, it is not necessary to carry out special treatment.

It is much more serious when, due to a medical error, the facial nerves are damaged. They lie close enough to the surface, so even during a simple operation you can damage them. It is important to inform the doctor about the loss of sensation as soon as possible, because delay is fraught with the development of paralysis of the facial muscles.

nutritional deficiency

Also, paresthesia of a part of the body is explained by a violation of its blood supply during surgery. Indeed, the same thing happens if you stay in one position for a long time and lie down or sit out your arm or leg. Physiotherapy and massage will help you recover.

Hernia

A hernia is another cause of numbness. And it is after such an operation (as well as before it) that the patient may lose sensitivity of the skin and muscles in remote areas of the body. For example, with an intervertebral hernia, the legs often go numb, with the inguinal - the pubic zone and the inner parts of the thigh, etc. The patient must necessarily inform the surgeon about this particular symptom, so that during the operation the doctor will try to eliminate the compression of the herniated nerve root and restore sensitivity.

How to restore sensitivity?

The treatment of numbness of the body should be handled by a doctor. First, he determines the cause of the disease and its nature (temporary or permanent, partial or complete), and then makes appointments. For treatment, traditional and non-traditional therapeutic methods can be used.

Physiotherapy

In order for the numbness caused by circulatory disorders to pass more quickly, massage sessions are prescribed. Local rubbing will help improve blood flow and restore sensitivity. In more complex cases, additional reflexology, magnetotherapy, electrophoresis, manual therapy and osteopathy may be prescribed. Therapeutic gymnastics will not interfere either.

Medical therapy

Trental and Piracetam will help reduce blood viscosity and increase its fluidity. They also make up for the deficiency of useful minerals. Also, patients with numbness after surgery are shown neuromultivitamin agents, for example, Dibazol and Galantamine. Homeopathy is also not excluded, which will eliminate the unpleasant symptoms of paresthesia.

ethnoscience

If the doctor does not mind, you can prepare a healthy vitamin infusion from celery root (100 g), valerian (5 drops), dubrovnik (50 g) at home. Pour half a liter of boiling water, insist a couple of hours. Drink instead of tea with honey.

Restoring the General State

Chronic diseases increase the signs of numbness, so restorative therapy is also aimed at treating them. Diabetics suffer the most from postoperative paresthesia. They need a consultation with an endocrinologist who will prescribe a diet and possibly adjust the insulin injection regimen.

People suffering from cardiovascular diseases also need additional treatment. To get rid of numbness as soon as possible, you need to follow a diet, avoid weight gain, and exercise. And be sure to visit a cardiologist who will prescribe the necessary heart medications.

Radical measures

With complete numbness - paralysis, one has to resort to surgical intervention. But after the last operation, at least 6-8 months should pass. Nerve plasty or suturing (restoration of nerve endings) is a complex intervention that should be performed by professional neurosurgeons.

To reduce the risk of numbness and associated sensations after surgery, you should always keep your blood vessels in good condition. The absence of circulatory problems will increase the chances of the absence of not only paresthesia, but also other complications. Although, the human factor cannot be ruled out, so you need to operate only in trusted hospitals.

Video on the topic "How to restore sensitivity."

Numbness of the extremities is a complete or partial loss of skin sensitivity. There is a feeling of goosebumps, tingling, heaviness, tightness. The causes are associated with the development of osteochondrosis and require medical attention.

The causes of numbness of the lower extremities are associated with impaired blood supply. Temporary impairment of the sensitivity of the lower extremities is associated with the pathology of the lower part of the spine. This leads to compression of the roots of the spinal nerves. The patient feels a feeling of heaviness in the indicated area, the pathology of the spine interferes with normal movement, the patient's two lower limbs, buttocks are involved in the pathological process.

Other causes of occurrence are associated with pathologies in the body:

Protrusion or hernia of the intervertebral canal;
Oncological pathologies of the spine;
Tuberculosis of the spine;
Diabetes;
Polyneuritis;
Arthritis or arthrosis;
Raynaud's syndrome;
Sclerotic changes in blood vessels, nerves;
tunnel syndrome.

A thorough medical diagnosis will help to establish why it happens, prescribe treatment.

The main principles of the treatment of numbness of the legs

Treatment should be based on principles.

Medical treatment. Non-steroidal anti-inflammatory drugs are used, if necessary, steroids. This is necessary for a herniated disc. Muscle relaxants, chondroprotectors, vitamins, minerals are prescribed.
To restore joint mobility and remove muscle blockade in the affected area, manual therapy is used, which is used taking into account the doctor's recommendations.
Physiotherapy starts the regeneration processes - ultrasound, microcurrent, electrophoresis, phonophoresis.
Exercise therapy is a remedy for restoring joint mobility and relieving numbness of the lower extremities. Therapeutic exercise helps to prevent the further development of the disease.
Alternative medicine practices. They use the methods of acupuncture, hirudotherapy, stone therapy.

Treatment of numbness in a herniated disc

Numbness of the leg with a hernia is accompanied by unpleasant symptoms. The main one is severe pain. Seek help immediately if:

Unable to control urination.
Unable to control defecation.
A feeling of numbness extends to the perineal region.
There is weakness in both legs.
You feel how the two lower limbs are paralyzed.

Help in such conditions is necessary immediately! Another treatment of intervertebral hernia is advisable in a hospital setting.

Less intense and dangerous pain symptoms can be relieved at home. Bed rest required. Running, aerobics or shaping is not recommended. Useful swimming and walking.

Improves the patient's condition by taking non-steroidal anti-inflammatory drugs - Ibuprofen, Diclofenac, Meloxicam, Naproxen, Acetaminophen. Coordinate the intake of drugs with the attending physician. Do not take drugs in excess of the daily or single dosage to avoid dangerous side effects.

Leg numbness during pregnancy

Treatment for leg numbness during pregnancy should be started as soon as symptoms appear. Often a pregnant woman does not attach importance to suspicious symptoms. It is urgent to call a doctor if symptoms appear during pregnancy:

Severe pain and immobility in the hand;
Violation of temperature sensitivity during pregnancy;
The appearance of mental disorders during pregnancy;
Violation of vision.

In milder cases, special treatment for leg numbness during pregnancy is not required. The doctor recommends a complete, balanced diet, correction of physical activity. After childbirth, the symptoms go away. During pregnancy, it is important to maintain a healthy lifestyle, monitor weight. Pregnancy is a period when it is necessary to do physical exercises.

Treatment of leg numbness after blockade

Blockade of the spine is an effective way to treat a herniated disc. Gives a long therapeutic effect, quickly relieves pain. After the blockade, the patient has complications - numbness of the lower extremities.

In this case, the treatment of the spine with a blockade should be combined with gymnastics and manual therapy. This must be done under the direction of a doctor. You should not visit traditional healers: they can do harm. Such symptoms after the blockade are rare and indicate the unprofessionalism of the doctor. Blockade is not done in such states:

Severe cardiovascular insufficiency;
Fever;
infections;
Some pathologies of the nervous system;
Individual intolerance to anesthetics;
Insufficiency of the liver and kidneys;
Pregnancy.

Leg numbness after surgery

After removal of the intervertebral hernia, the back may hurt and numbness of the legs can be felt. When choosing the treatment of pathology after surgery, it must be borne in mind that recovery occurs differently in each patient. Before surgery, the death of a sensitive nerve fiber may occur. So the operation should be carried out as soon as possible.

Restoration of nerve fiber sensitivity after surgery does not depend on the age of the patient. It depends on what changes occurred in it before the operation.

The treatment of leg numbness after surgery to remove the intervertebral hernia is carried out using neurostimulators. They improve nerve conduction after removal. Physiotherapy, exercise therapy is prescribed. Numbness of the extremities after removal of a hernia for more than two months indicates the development of a pathological process. It is worth seeing a doctor. After the operation, weakness of the muscles of the thigh and upper buttocks may develop, pains appear in this area.

If a cyst has formed in the spinal cord, the chances of recovery after surgery are reduced. In this case, do not give up - modern medicine is able to restore nervous sensitivity.

Leg numbness after chemotherapy

Polyneuropathy may occur after chemotherapy. It is a consequence of toxic damage to the nerves of the drugs used. After chemotherapy, there is a lesion of the peripheral nervous system, manifested in dizziness. If you ignore the effect of chemotherapy, then the signs become more pronounced, they are joined by other signs of damage. Treatment of complications after chemotherapy is associated with the implementation of recommendations:

Prevent falls and hip injuries;
Minimize the possibility of movement outside the home;
Wear orthopedic shoes;
Massage the affected areas after chemotherapy;
Prevent burns;
Buy shoes that facilitate self-care;
Stop smoking and drinking alcohol after chemotherapy, as well as during massage;
After chemotherapy, take special neurotropic vitamins in the form of injections.

Feeling of heaviness in the thigh

In a dream, it can be combined with a feeling of heaviness of the thigh, swelling. Swelling and pain in the thigh are associated with vascular disease. Most often it is swelling and heaviness due to diseases of the veins. Treatment of pain and heaviness in the thigh is associated with the implementation of the recommendations of a phlebologist.

With atherosclerosis, a feeling of heaviness and pain in the thigh is possible. Treatment for severity involves diet, massage, and exercise. Since pain and heaviness are associated with long walking, the patient needs to normalize motor activity.

It may be due to joint pathology. Treatment of edema in them must begin with exercise. Edema is relieved by taking diuretics, massage, injections, and a low-salt diet. Exercises for swelling and heaviness in the legs are aimed at preventing flat feet. This disease causes heaviness and swelling in the legs, numbness. Useful massage.

Leg cramps

Numbness in the lower extremities can be combined with convulsions. It happens unexpectedly, often in a dream. Sleep is disturbed, and the appearance of convulsions at any time can disturb calmness. Treatment for seizures begins with a visit to a therapist. He will conduct an examination and, if necessary, refer you to a specialized doctor. Self-treatment, massage without a doctor's prescription are unacceptable. To prevent seizures, you need to:

Adjust nutrition so that there are more vitamin foods in the diet.
Choose comfortable shoes that prevent cramps.
Seizures will appear noticeably less often if you practice moderate physical activity.
A contrast shower or bath will reduce the likelihood of seizures.
Do a foot massage.

Leg numbness due to multiple sclerosis

Multiple sclerosis causes numbness in the hands and feet. It can be combined with dizziness, transition to the buttocks, upper thigh area. Its intensity can change at different times of the day, manifesting itself at night.

There is no specific treatment for numbness of the legs, dizziness in multiple sclerosis. The symptoms of multiple sclerosis may go away on their own. In severe cases of sclerosis, the doctor may recommend therapy with a course of corticosteroids. This helps to relieve the exacerbation of the underlying disease. Your doctor may recommend vitamins, massage, acupuncture, meditation, and other alternative medicine. Sometimes they are effective. Feet should not be near heat sources. With this disease, temperature sensitivity decreases and there is a risk of burns.

Treatment for leg numbness depends on the underlying cause. Contact your doctor to avoid exacerbations and complications of the disease.

The success of plastic surgery depends on many factors. We are accustomed to put the skill and experience of the surgeon in the first place. However, it is the experience of the surgeon that shows that the results of even the most brilliantly performed operation can be short-lived due to the neglect of recommendations for restorative treatment.

Rehabilitation is necessary after any surgical intervention. Swelling, hemorrhage, pain, discomfort, sometimes loss of sensitivity are the inevitable attributes of a more or less complex plastic surgery. However, it should be remembered that any of these effects can be reduced.

If you have decided on plastic surgery, then you should understand that you have taken only the first step towards perfection. You should not think that a well-performed operation will relieve you of the need to visit cosmetologists for a long time. On the contrary, in order to maintain the achieved result for many years, you will need to monitor your appearance even more carefully. Moreover, you will have a long period of rehabilitation. Thanks to a course of special restorative procedures, it will be possible to get rid of edema, bruises, improve well-being and consolidate the result obtained much faster.

During any operation, the intervention area, as well as the body as a whole, undergoes stress. Due to the intersection of many vessels, the blood supply in the operation area changes significantly. And although new capillaries open to replace the crossed capillaries, their permeability increases, edema appears, and inflammation develops. The blood poured out from the damaged capillaries and small vessels permeates the tissues. Due to the breakdown of hemoglobin, the skin at the site of injury changes its color, bruises appear. Adequate innervation of damaged tissues suffers, the intensity of metabolic processes decreases. More than once treated with antiseptic preparations, the skin is dried out. These are just a few of the complex processes that occur in tissues in response to damage.

Rehabilitation after plastic surgery usually includes a set of measures aimed at reducing edema, eliminating hemorrhages, increasing muscle tone, and improving the quality of the skin. Rehabilitation programs should be aimed at improving the body as a whole - its detoxification, improving microcirculation, increasing the intensity of metabolic processes, moisturizing and lifting the skin. On the other hand, they should be aimed at restoring the skin in the area of the operation. When drawing up a rehabilitation plan, many factors are taken into account, including the state of health and age of the patient, the presence of chronic diseases, bad habits, and other individual characteristics.

Dates

All procedures are prescribed by rehabilitation doctors or dermatologists-cosmetologists with more than 10 years of experience in this field, based on the results of a postoperative examination in the first 2-3 days after the operation. The doctor takes into account your individual characteristics: (age, general diseases, condition of blood vessels and skin, smoking experience, etc.), the nuances of the operation and the recommendations of your surgeon.

Frequency of procedures

Rehabilitation procedures allow:

Reduce soreness
Restore skin sensitivity and tissue blood supply
Reduce swelling and post-operative hardening
Create conditions for the formation of an aesthetic, thin scar
Reduce recovery time after surgery and ensure a quick return to normal life
Align the surface of the skin after liposuction.

Rehabilitation methods depend on the type of operation performed, but the following are most often used:

Microcurrent lymphatic drainage massage and microcurrent therapy- the technique is optimal for relieving postoperative pain and reducing swelling. Its essence lies in the complex effect on the body of ultra-low frequency electric current pulses; during the procedure, the patient does not feel any muscle contractions, but only a slight heat. It accelerates the processes of tissue healing, improves metabolism, and restores the physiological activity of damaged cells. Microcurrents gently affect the outer layer of the skin (epidermis), deep layer (dermis), subcutaneous tissue, blood vessels and muscles and stimulate cell division, removal of metabolic decay products due to gentle lymphatic drainage action. Microcurrents render anti-inflammatory, immunostimulating, detoxifyingaction, normalize the work of the sebaceous glands of the skin of the face, which is important for oily skin, seborrhea, as well as during the postoperative period. Microcurrents have a mild tonic effect on the mimic muscles of the face, creating conditions for the correction of facial contours and other signs of deformation aging.

Contraindications: oncological diseases, pregnancy, the use of an electrocardiomyostimulator, a history of heart attacks and strokes, individual intolerance to electric current, severe somatic diseases, epilepsy.

Cosmechanics (Lift 6). Apparatus Lift 6 uses a method of influence called cosmic mechanics. The principle of action is mechanical pinching effect on the skin of the face and subcutaneous fat. Method of tissue stimulation on the device Lift 6 based on the technology of manual massage according to the Jacquet method and is aimed at improving the condition of the skin of the face and chest. The most important difference of this technology is that Lift 6 triggers regeneration mechanisms without using aggressive and painful. In the course of rehabilitation procedures after plastic surgery, it is used to reduce swelling, quickly resolve bruises and reduce pain.

Contraindications : inflammatory skin processes, acne in the inflammation phase, damage to the integrity of the skin.

Ultrasound Therapy allows you to facilitate the introduction of drugs around the area of surgical intervention by phonophoresis and helps to maximize their effect. Under the influence of high-frequency sound vibrations, local tissue heating occurs, which causes an acceleration of metabolic processes. This provides an anti-inflammatory and analgesic effect, improves peripheral circulation and resorption of scars.

Endermology (postoperative program of the LPG device)- Principle of operation: the patient's body is massaged with special rollers through an individual suit or over compression postoperative underwear, as a result of this action, a fold of soft tissues is created, while the first roller captures it, and the second roller smooths it out. This mechanical process is accompanied by the supply of vacuum. Due to this effect, revolutionary changes occur in the skin cells: intensive collagen synthesis begins in the subcutaneous layer, a new skin frame with the correct structure is formed, microcirculation and lymph flow increase, all congestion and postoperative hematomas are eliminated, pain sensations decrease, and fat burning processes are activated. (lipolysis).

Contraindications: acute inflammatory processes; cholelithiasis; urolithiasis disease; peptic ulcer in the acute stage; varicose disease of the 2-3rd stage; neoplasms in the area of influence; blood clotting disorder; chronic and acute renal failure.

Pressotherapy with Pressoprogram. A technique aimed at combining physiological tissue drainage and massage. Such an effect helps to normalize lymph flow and blood circulation, get rid of edema, increase skin elasticity and improve overall well-being. Huge boots resembling jackboots are put on the patient's legs, a wide belt is placed on the stomach and hips. The device for pressotherapy is equipped with a special computer, with the help of which the specialist selects the treatment program for each specific zone. Compressed air begins to flow into the “clothes”, which provides a delicate but intense massage.

Compression underwear. After some surgeries, it is necessary to wear compression underwear - this measure helps to control the inevitable postoperative swelling, maintains a state of rest in the area of operation, relieves stress on postoperative scars, and also accelerates their maturation and prevents expansion.

Specialized cosmetics MEDICALIA. In the postoperative period, the skin of the operated area needs special care. Specialized skin care cosmetics accelerate the healing process after surgery, perfectly restore the skin, maintain the functional activity of the cells of the wound area and significantly reduce the formation of unaesthetic scars. We prefer MEDICALIA cosmetics. It reduces postoperative discomfort, shortens the rehabilitation period, and quickly eliminates bruising. In addition, it enriches the skin with highly effective healing, nourishing and protective ingredients, visibly improving the condition of damaged skin. .

The "gold standard" for the treatment of pathological scars, as well as an effective means of preventing their appearance, are considered silicone-based preparations. An example is Zeraderm gel and Mepiform patch.

Under the influence of oxygen Zeraderm forms an invisible water-repellent shell. In addition to polysiloxane, Zeraderm Ultra contains a complex of vitamins. Vitamin E provides protection from the surrounding antioxidants while regulating the skin's natural moisture balance. Vitamin K relieves redness, coenzyme Q10 renews cells. Zinc oxide provides hypoallergenic UV protection. The silicone patch is intended for repeated use in the treatment of any pathological scars, as well as for their prevention.

Timing: a few days before the operation or in the late postoperative period (2.5 - 3 weeks after the operation).

Biorevitalization technique consists in the intradermal injection of low molecular weight hyaluronic acid - the IAL-System preparation, thanks to this procedure, regenerative processes in the skin are stimulated, deep hydration occurs, skin turgor and elasticity are restored, microcirculation is activated, and an antioxidant effect is exerted on the skin.

Carrying out the procedure a few days before the operation allows you to shorten the recovery period and speed up healing.

Mesotherapy with JALUPRO®(Preparation for intradermal injection) - is a mixture of certain amino acids (glycine, L-proline, L-lysine monohydrochloride, L-leucine). It is usually prescribed two to four weeks after surgery for rapid recovery and tissue regeneration. Reduces the rehabilitation period (up to 40%) after surgical interventions, stimulates collagen synthesis and slows down its destruction, optimizes scarring processes, increases thickness and elasticity, reduces skin relief, provides a pronounced and long-lasting effect.

Make an appointment with a dermatologist-cosmetologist and a rehabilitation doctor clinics "Scandinavia" You can call: 600-77-78.

The sensations are very unpleasant, especially if part of the face or the postoperative suture becomes numb. What causes numbness, and how to deal with this complication?

How does numbness manifest itself

Loss of sensation may occur immediately after the operation, but the patient, due to the general weakness caused by the intervention and anesthesia, does not always feel it. Symptoms begin to appear after a day, when a person gets used to his condition, tries to move, feel himself. At the same time, some parts of the body may not be sensitive, which indicates numbness.

The areas of the body most commonly affected by numbness include:

arms and legs (completely or their individual parts: fingers, entire hand, foot, etc.);
tongue, upper and lower lip, part of the cheek (after dental operations). Also, sometimes the chin goes numb, which causes particular discomfort to men during shaving;
pubis, perineal area (after operations in the abdominal cavity, after caesarean section).

Numbness after surgery is often temporary. If it does not go away, and a partial loss of sensitivity turns into a complete one, you should consult a doctor.

Important! The help of a specialist is also required in the case when numbness is accompanied by dizziness, impaired coordination and problems with speech. This may be a signal of nerve paresis (paralysis).

Causes of numbness after surgery

Nerve damage

nutritional deficiency

Hernia

How to restore sensitivity

Physiotherapy

Medical therapy

ethnoscience

Restoring the General State

Radical measures

With complete numbness - paralysis - you have to resort to surgical intervention. But after the last operation, at least 6-8 months should pass. Nerve plasty or suturing is not an easy intervention to be performed by professional neurosurgeons.

body numbness

Numbness of the body (paresthesia) is expressed by a decrease in the sensitivity of the skin or complete insensitivity of some parts of the body.

How does body numbness manifest itself?

Most often, a person is concerned about numbness of the limbs of the arms and legs. Such symptoms may be temporary, intermittent, or persistent and prolonged. With numbness, a person feels a tingling sensation, the so-called sensation of "crawling crawling" is noted. The sensitivity of the skin decreases, for a while it may disappear completely. Sometimes with numbness of the lower or upper extremities, pain, dizziness and weakness are observed if the causes of numbness of the extremities are associated with the development of diseases.

However, very often the causes of numbness of the arms and legs are associated solely with nerve compression or with impaired blood flow in the tissues. This phenomenon is a consequence of a person being in the same position for a long time, which is often noted in a dream, while sitting at a computer for a long time. Sometimes there may be numbness of the arms and legs at the same time. In this case, treatment is not required, it is enough to change the position, slightly rub the numb place. Also, numbness of the hands or feet often occurs at low temperatures. To return to a normal state, it is enough for a frozen person to warm up.

However, in some cases, numbness of the body does not disappear on its own and does not disappear after changes in posture, light massage, etc. If numbness appears constantly and is accompanied by difficulty in movement and speech, weakness, dizziness, it is necessary to consult a doctor. It is also necessary to undergo a study if numbness of the body began to appear after injuries, blows that fell on the back, head or neck.

Why does body numbness appear?

If body numbness is observed in a person not due to circulatory disorders, freezing or nerve compression, then this symptom may indicate the development of certain diseases.

Very often, numbness of different parts of the body is observed in people suffering from radicular syndromes. These are sciatica, inflammatory processes, vascular disorders, compression of the nerve roots in the spine, intervertebral hernia. With such violations, as a rule, there is numbness of several fingers, part of the hand. Sometimes numbness accompanies a burning sensation, which is more pronounced at night. In patients with osteochondrosis of the cervical spine, numbness of the extremities is periodically noted.

The body can become numb with polyneuropathy, which is manifested in patients with diabetes. Polyneuropathy is a condition in which, due to metabolic disorders and elevated glucose levels, damage to peripheral vessels and nerves occurs. In this case, there is a symmetrical violation of sensitivity. Numbness most often occurs in the periphery of the arms and legs.

Due to the development of a stroke, a person very often develops numbness in some areas of the body. The causes of body numbness in this case are associated with a sensitivity disorder due to impaired blood circulation in the brain. As a result, those parts of the brain that are responsible for the sensitivity of a certain part of the body are damaged. With a stroke, the patient has a one-sided violation of sensitivity - numbness occurs on the right or left side of the body. In this case, numbness of the limbs on one side or complete numbness of one half of the human body is noted. Half of the face is also numb. With a stroke, numbness of body parts is accompanied by other symptoms - impaired motor functions (paresis and paralysis), impaired speech, vision, and coordination. If the causes of numbness in body parts are associated with a stroke, then it is important to immediately consult a doctor. Treatment of numbness occurs in combination with the treatment of the underlying disease.

Numbness of the tongue occurs after minor injuries to the back or head, after various dental procedures. Temporary numbness in sleep and wakefulness of the tongue occurs after the use of certain drugs, with allergic reactions. Chronic numbness of the tongue is associated with diseases of the nervous system. Also, the cause of numbness of the tongue can be intoxication with alcohol and toxic substances.

Paresthesia occurs against the background of a brain tumor. With such a violation, one-sided numbness of parts of the body is noted. In this case, the sensations are not acute. Numbness appears periodically, over time, such symptoms increase.

In addition to the reasons described above, numbness of the body can be associated with multiple sclerosis, circulatory disorders of the brain, Raynaud's syndrome (numbness of the fingers).

The little finger and ring finger become numb in patients with ulnar neuropathy. This disease most often develops in people who, due to working conditions, are forced to constantly lean their elbows on the surface of the table. Fingers become numb with carpal tunnel syndrome or with median nerve neuropathy.

Numbness of the legs is characteristic of the development of obliterating endarteritis, as a result of which the gaps in the vessels of the legs decrease, and there is a violation of blood flow. With chronic venous insufficiency and atherosclerosis of the vessels, numbness of the legs often occurs in the elderly, as well as in overweight people.

Sometimes women notice numbness of the skin of the abdomen during pregnancy. This phenomenon can scare the expectant mother. However, numbness in this case is associated with the peculiarities of the anatomy of the pregnant woman and the active increase in the fetus. Due to the experience of the nerves and the deterioration of blood flow, periodic numbness of different parts of the skin of the abdomen may be noted. But this manifestation, as a rule, quickly disappears.

Numbness in the back of the skin on the leg and periodic manifestations of shooting pain are symptoms of sciatic neuralgia (sciatica). In this case, numbness of the skin of the thigh is combined with pain.

Numbness of the skin on different parts of the body (on the limbs, on the back, on the face, etc.) in some cases manifests itself after the operation that the patient underwent. After a recovery period, these symptoms disappear.

Scalp numbness is associated with either skin conditions or neurological problems. This symptom may be due to a recent injury or recent surgery.

How to get rid of body numbness?

If numbness of the body appears regularly, and does not disappear for more than five minutes, then in this case it is necessary to determine the cause of this symptom. Diagnosis includes blood tests, x-rays, CT, ultrasound. To clarify the diagnosis, other studies are sometimes prescribed, as well as consultations with specialists of different profiles.

Further treatment of envy from the cause that provoked the symptom. It should be borne in mind that in some cases, body numbness may be a sign of a life-threatening problem. Therefore, the diagnosis must be carried out without delay.

Treatment of body numbness is prescribed individually. In this case, both traditional and non-traditional methods of therapy can be used.

With numbness that accompanies radicular syndromes, treatment is prescribed by a neurologist. Physical therapy, massage, physiotherapy, reflexology are widely practiced. Also, in some cases, it is advisable to use manual therapy and osteopathy.

With body numbness due to polyneuropathy, it is important to determine the patient's blood sugar level. If a person has diabetes mellitus, the endocrinologist describes a treatment regimen that a person must follow unconditionally. Medication, diet and lifestyle can help lower blood sugar levels.

If there is a suspicion of a stroke with numbness in a certain part of the body, you should immediately call an ambulance. It is important for the patient to be hospitalized as soon as possible. Treatment should be started no later than 4 hours after the onset of warning signs, since then irreversible changes occur in the human body, in particular in the brain.

Depending on the cause of the disease, the use of orthopedic devices (in the treatment of diseases of the musculoskeletal system), laser therapy (treatment of radicular syndromes), as well as therapeutic massage, manual therapy, reflexology, electrophoresis, hirudotherapy allows to cure and prevent numbness of different parts of the body.

To improve blood circulation, reduce pain, intravenous administration of drugs is used.

If the numbness of certain parts of the body worries a pregnant woman, then most often we are talking about nerve compression. Such manifestations do not affect the development of the fetus. To alleviate the condition, women need to do special exercises. During sleep, a woman should wear loose clothing without elastic bands that pinch the limbs. If a woman works at a computer, she should always take the correct position and periodically perform exercises for the arms and legs. A light massage will help relieve numbness.

The toes and feet of the expectant mother become numb due to a deficiency of certain trace elements, which happens very often during the period of bearing a baby. In this case, the doctor prescribes the intake of a complex of vitamins and minerals. With the regular manifestation of numbness in a certain part of the body, the expectant mother should definitely tell her doctor about this symptom.

To prevent numbness of the body, it is necessary to lead an active life, play sports. It may be worth consulting with your doctor about what kind of physical activity you should practice in order to prevent body numbness. People who work in offices in a sitting position should make it a rule to take breaks and do some exercise after every hour of work. The same breaks should be taken by those workers who are forced to constantly make repetitive movements.

To prevent numbness, you should sleep in a comfortable bed and choose sleepwear that does not pinch your limbs. It is worth considering that nicotine, alcohol, too salty, spicy dishes have a negative effect on the condition of the joints and blood vessels. Severe hypothermia should be avoided, dress according to weather conditions. It is also important to treat all diseases that are diagnosed in humans in a timely manner.

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Numbness of the skin of the face: causes of insensitivity of the skin area

Causes of facial numbness

In some cases, even quite normal people have such an unpleasant phenomenon as numbness of the skin of the face. Since most of us believe that it is the result of some phlebological problems associated with the veins, we do not always correctly assess the situation. Scientifically, numbness in any part of the body is called paresthesia.

Normally, it is short-lived and occurs when parts of the body are in a compressed state. This is a specific type of tissue sensitivity disorder, accompanied by burning and tingling sensations. This reduces the sensitivity of the skin, and sometimes swelling of the tissues is noted. In some cases, there is a slight degree of numbness, and sometimes complete paralysis of the facial region appears. Diagnosis and therapy of such a pathology is the lot of a neurologist. So why do people sometimes go numb not only the body, but also the face?

Causes and symptoms of numbness

Sometimes pathological paresthesias of any parts of the body and face occur with beriberi (especially with a lack of B vitamins), minerals (potassium, calcium, magnesium), as well as with lesions of nerve endings (mechanical, infectious, tumor). In many cases, facial numbness is a normal reaction of the body to prolonged pressure on nerves or impaired blood circulation in tissues. So, for example, having fallen asleep soundly, you can wake up in the morning with a numb half of your face as a result of a long stay in one position on the pillow. In other cases, numbness of a skin area on the face or even the entire head indicates some serious disturbance in the human body. The most common causes of paresthesia of the facial skin are listed below:

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Trigeminal neuralgia is a very common pathology that occurs when the trigeminal nerve is irritated or compressed outside or in the skull. It leads to the formation and growth of tumors, the expansion of intracranial veins and arteries, adhesions after injuries, inflammation in the nasal sinuses. Typical symptoms for this disease: severe pain in the area of the eyes, ears, nose; numbness and tingling of the face on the side where the pathology develops.
Bell's palsy, which is the most common form of facial paralysis. The disease often occurs with viral infections, such as herpes or meningitis, as a result of which inflammation of the nerve occurs, causing numbness of the facial zone.
Infringement, irritation and damage to the maxillary and mandibular, as well as ophthalmic nerves.
A stroke that ruptures and blocks blood vessels, reducing the flow of oxygen to the brain, leading to facial tingling and numbness.
Brain tumors leading to infringement of nerve endings, which leads to tissue paresthesia. At the same time, there may still be violations of coordination, movements, headache, increased intracranial pressure, visual disturbances, general weakness, loss of appetite, weight loss.
Multiple sclerosis, which is an autoimmune disease that causes the cells of the human body to damage the cells of the nerve endings. This pathological process causes the destruction of the protective sheath of nerve fibers, called myelin. In this case, the patient has numbness of the face and limbs.
Pathological conditions that cause numbness of the skin and tissues of the face include: panic disorders (episodic paroxysmal anxiety), constant stress, prolonged depression, hyperventilation of the lungs. They can lead to a transient ischemic attack, one of the symptoms of which is facial numbness.
Migraine aura, which is accompanied by paresthesia of certain areas of the skin and is a harbinger of such a serious headache as migraine.
Osteochondrosis of the cervical or thoracic spine, which leads to impaired blood circulation in the brain and face.
Vegetovascular dystonia, accompanied by headache and vascular instability.
Herniated intervertebral discs of the cervical spine, most often developing after injuries and in obese people.
Shingles, which leads not only to paresthesia, but also to the appearance of a rash and redness on the numb area of \u200b\u200bthe skin.
Numbness of the skin of the face is sometimes caused by taking certain drugs that change the function of neurotransmitters (amino acids, peptides, monoamines).
In some cases, numbness of the skin of the face is the result of a cold allergy, which is noted in the autumn-winter period.

Among the serious symptoms, spontaneous emptying of the bladder or intestines, loss of speech and motor function should be highlighted. If paresthesia occurred when you received a back, head, neck injury, you should urgently seek medical help.

Sometimes a person becomes numb if the correct regimen of work and rest is not observed. So, during long-term needlework or long-term work at a computer in one position, there is a violation of blood circulation and contact of nerve impulses, leading to paresthesia of the body and face.

Diagnostics

Diagnosis of the causes of facial numbness can be carried out using a variety of research methods. It could be:

a blood test that helps identify iron deficiency and pernicious anemia (lack of vitamin B 12);
radiography, which allows to identify osteochondrosis, herniated discs and other diseases;
computed tomography, which can reveal abnormalities in the functioning of the skeletal system and the brain;
ultrasound to help determine the state of the cardiovascular system;
magnetic nuclear resonance, used to determine the state of the spinal cord and brain;
electroneuromyography, used to locate the site of nerve injury.

The motive for going to the doctor should be numbness, which periodically appears for no apparent reason or is permanent. It is also necessary to consult a neurologist if:

against the background of numbness, dizziness and general weakness are observed;
a person cannot speak normally;
paresthesia occurred after an injury in the head or neck.

In some cases, consultation with other specialists, such as a dentist or traumatologist, is necessary to clarify the diagnosis.

The treatment of this pathological condition is determined depending on the cause that caused it. The methods of therapy are chosen by the doctor based on the results obtained in the diagnosis of the patient's condition. The easiest way to eliminate numbness is if it is caused by an incorrect posture during work or sleep. To do this, it is enough just to monitor the position of the body and periodically do a little warm-up during activity in order to normalize the process of blood circulation in the tissues. You can also use facial massage or self-massage, which improve tissue metabolism and relax the nervous system.

When the face is numb due to cold allergies, one should not only warm well, but also apply special creams to the skin of the face that protect it from the negative effects of low temperatures. Also, in frosty weather, the skin of the face should be well powdered, creating a protective layer.

If facial numbness is caused by beriberi and a lack of micro and macro elements, they can be replenished fairly quickly with the help of various complex vitamins. To prevent such a phenomenon from now on, it is necessary to regularly take brewer's yeast with minerals and vitamins.

To eliminate paresthesia, such quite effective methods of therapy are used:

With neuralgia of the facial nerve, which worsens in the cold season, the patient is prescribed anti-inflammatory and analgesic drugs. Moreover, the treatment is prescribed strictly individually, taking into account the general condition of the patient and the severity of damage to the facial nerve. To eliminate pain, the affected areas of the skin are wiped with various alcohol solutions. Prednisolone has proven itself in the treatment of this pathology. After removing the pain syndrome, special exercises for the face are prescribed.

After the specialist establishes the cause of facial paresthesia, he must prescribe the appropriate treatment for the disease that caused such a pathology. In this case, self-medication cannot be done, since the vast majority of diseases that lead to facial numbness are very serious, and improper treatment can lead to dangerous complications.

Prevention

To prevent paresthesia of the face, the following rules should be followed:

Do not stay in one position for a long period of time.
Regularly perform physical exercises to improve the condition of the musculoskeletal system and blood supply to tissues.
In the cold season, avoid drafts, hypothermia, frostbite of the skin.
Take B vitamins and minerals regularly. Stick to a healthy diet.
Timely treat any diseases leading to paresthesia.

Numbness of the skin of the face can be one of the symptoms of a very serious disease, so when it appears, you should consult a neurologist who will determine the cause of this pathological condition and prescribe appropriate therapy.

Numbness of the face, tongue, hands and feet: causes, tests and examinations, treatment

Numbness is an unpleasant tingling, crawling sensation on the skin that is accompanied by decreased sensation in the skin and, sometimes, pain and mobility in the joints of the fingers, hands, or feet.

Most often, numbness is a normal reaction of the body in response to nerve compression or impaired blood supply to tissues, for example, when a person is in one position for a long time.

In some cases, numbness in an area of the body can indicate a serious illness, such as a stroke (death of a part of the brain) or a tumor.

In what cases is numbness of body parts not a sign of a disease?

In which case should you immediately consult a doctor?

You cannot move your fingers, arm or leg.

You have severe weakness, dizziness.

Involuntary emptying of the bladder or bowels has occurred.

You cannot speak clearly, move normally.

Numbness appeared shortly after the injury in the back, neck, head.

The main causes of numbness in various parts of the body

Multiple sclerosis is a chronic disease of the central nervous system, which is characterized by the replacement of parts of the nervous tissue of the brain with connective tissue with the development of numbness, loss of sensation in certain parts of the body, loss of control over movements, visual impairment, etc. The first symptoms of multiple sclerosis, as a rule, appear in increases, but the development of the disease in children and the elderly is possible.

A transient disorder of cerebral circulation is a sudden deterioration in the blood supply to the brain with a violation of its functions, which is manifested by numbness of the face and other parts of the body, dizziness, loss of consciousness. As a rule, a transient disorder of cerebral circulation develops in people over 60 years of age, as well as in people suffering from obesity, atherosclerosis, cardiovascular diseases (hypertension, coronary heart disease). Since a transient disorder of cerebral circulation can be complicated by a stroke (necrosis of a part of the brain), with the development of symptoms of this condition, it is necessary to consult a doctor as soon as possible.

A brain tumor can compress the surrounding areas of the brain tissue and cause disruption of their work with the appearance of numbness in parts of the body, impaired coordination, and movements in the limbs. Other signs of a brain tumor are headache, blurred vision and other symptoms of increased intracranial pressure, as well as weakness, weight loss, loss of appetite, etc.

Candidiasis of the oral cavity (thrush): on the tongue and oral mucosa there is a white coating, areas of ulceration. With candidal glossitis (inflammation of the tongue) and stomatitis (inflammation of the oral mucosa), a person experiences pain while eating. Read more about this in the article All about candidiasis and its treatment, as well as All about stomatitis and its treatment.

Vitamin B12 deficiency (pernicious anemia) leads to thinning of the oral mucosa and tongue, while the tongue looks smooth, "varnished". Other symptoms of vitamin B12 deficiency are: dizziness, anemia, dry mouth, numbness in other parts of the body, and gait disturbance. The diagnosis of vitamin B12 deficiency can be made on the basis of a complete blood count.

Numbness of hands and fingers

Raynaud's disease often develops in young women, especially if their activities are associated with frequent hand injuries or being in the cold.

Scleroderma is a chronic disease characterized by gradual replacement of body tissues (skin, internal organs) with dense connective tissue. Other symptoms of scleroderma are: thickening and thickening of the skin, stiffness in the joints, muscle weakness, etc.

Osteochondrosis of the cervical spine can develop at any age, but most often occurs in young people who lead a sedentary lifestyle, as well as in obese people.

A herniated disc in the cervical region occurs in older people, often develops after injuries of the cervical spine, as well as in obese people.

Numbness of feet and toes

Obliterating endarteritis (thrombangiitis) is a chronic vascular disease (usually of the legs), which is characterized by a decrease in the lumen of the vessels and impaired blood circulation in the legs. As a rule, this disease develops in young men (20-40 years old), smokers. In the later stages of the disease, if not treated, trophic ulcers form on the legs - long-term non-healing wounds on the skin of the legs, and then necrosis (necrosis) of the leg tissues may develop, which ends with amputation (removal of part of the leg). Manifestations of obliterating endarteritis are possible on the hands.

Chronic venous insufficiency is a consequence of diseases of the veins of the legs: varicose veins in the legs, deep vein thrombosis, thrombophlebitis, etc. As a rule, chronic venous insufficiency develops in women over 60 years of age, in overweight people who lead a sedentary lifestyle. You can read more about these diseases in the articles All about varicose veins of the legs and its treatment, All about vein thrombosis, thrombophlebitis and their treatment.

Atherosclerosis of the vessels of the legs is a disease in which plaques form in the lumen of the arteries of the legs, preventing normal blood flow. Atherosclerosis of the vessels, as a rule, develops in people over 60 years of age who are obese, in smokers and people who lead a sedentary lifestyle. You can read more about this disease in the article Atherosclerosis of the vessels of the lower extremities.

Numbness during pregnancy

How to deal with numb hands during pregnancy?

During sleep, the hands should be free: nothing should interfere with normal blood flow in the vessels of the hands. Pay attention to your nightgown or pajamas: it should not have elastic bands on it. During sleep, the hands should not hang from the bed.

Try to avoid activities that involve working with your hands: knitting, working at a computer, etc. If it is not possible to stop working, try to take the correct position at the computer (so that the hands are at the same level with the forearms, and the angle between the shoulder and forearm is straight). Take breaks during which you do special exercises.

Exercises against numbness of the hands: 1) raise your hands up and vigorously squeeze and unclench your fingers. 2) move your shoulders back and forth. 3) Get on all fours so that your palms and fingers touch the floor surface. Stretch forward and freeze for a few seconds, then return to the starting position. Then turn your arms so that the backs of your hands and fingers touch the floor. Stretch back and also freeze for a few seconds.

Massage of the hands also has a beneficial effect on blood circulation in the hands and eliminates numbness.

How to find out the cause of numbness?

A general blood test reveals iron deficiency anemia (a decrease in the number of red blood cells and hemoglobin in the blood), as well as pernicious anemia (with vitamin B12 deficiency).

X-rays and computed tomography (CT) can detect bone fractures that can cause nerve damage. Also, using these examination methods, osteochondrosis, herniated discs, arthritis (inflammation of the joints) and other diseases are detected.

Electroneuromyography (ENMG) is used to locate nerve damage, helping to identify carpal tunnel syndrome, ulnar nerve neuropathy, and other conditions.

Ultrasound Doppler vascular examination helps in the diagnosis of vascular diseases such as deep vein thrombosis, varicose veins, atherosclerosis of the vessels of the lower extremities, etc.

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