There might be a way to quantify physical pain. Watch this video with Robin Miller, MD, as she discusses the results of a study measuring brain waives and how this information could be used to create better pain treatment.
There might be a way to quantify physical pain. Watch this video with Robin Miller, MD, as she discusses the results of a study measuring brain waives and how this information could be used to create better pain treatment.
Second-degree pain, which tends to come on immediately after a workout, is longer lasting than first-degree pain, the normal aches we might feel during a workout. Second-degree pain is more localized, say in an arm or leg -- with more discreet tenderness -- rather than more diffuse, as in the case of first-degree pain. This type of pain is an indication that you are pushing up against some physical limit, that perhaps it's time to just "coast" without increasing the amount of work, simply maintaining until your body becomes accustomed to the new level of effort. Second-degree pain may also be the first hint of muscle strength imbalances or biomechanical problems, aggravated by increased workload, that presage an overuse injury. The key sign at this point is increasing localization of the pain.
Action: You might want to cut back on your training, or at least go into a "holding pattern" without increasing your activity level or changing your routine. Wait a few days to see what becomes of the tenderness. Make sure your shoes aren't excessively worn, and check other equipment for wear or other factors that may be affecting your biomechanics. You may have to begin exploring the possibility of biomechanical problems that need to be addressed. Rest, gentle massage, heat, and over-the-counter analgesics are all appropriate.
Several things may cause numbing in your feet. One cause could be from diabetes. When diabetes is untreated, unrecognized, or undertreated it can cause damage to your nerves. This condition is known as neuropathy.
Another cause could come from circulatory problems in your feet. If you are wearing shoes that are too tight, the circulation, or blood flow, to your feet can be decreased. If you have unknown, untreated, or undertreated high blood pressure, this too can cause circulation problems, which could lead to numbness in your feet.
If you have any type of decreased flow to or from your feet, numbness in your feet may also arise.
Leg pain has many causes. "Sciatica" is a common type of leg pain that is caused by nerves being irritated in the spine. That type of pain may involve a sharp shooting sensation or numbness and tingling. Other nerves in the leg can cause nerve pain as well.
There are many other causes of leg pain though. The pain could come from the bone if there is a fracture. It could come from the joints such as in arthritis. Or it could come from the muscle, which may happen in people who have thyroid problems. Sometimes, people can have leg pain if there are problems with the circulation, which is the blood flow through the legs. This is more common in smokers, diabetics, and people with high blood pressure or high cholesterol.
You should see a neurologist for calf pain and numbness in the foot as these symptoms are suggestive of a pinched nerve in the lower back ("pinching" of the S1 nerve root commonly causes such symptoms). A pinched nerve in the lower back is called a lumbar or lumbosacral radiculopathy and if left untreated can result in worsening low back and calf pain, persistent numbness of the foot and muscle weakness which manifests as the inability to stand on your toes.
Calf pain and foot numbness, if occuring in both feet, can be the presenting symptoms of a neuropathy. Your neurologist can help determine the cause and treatment of neuropathy as to prevent worsening and disability.
Burning and tingling in the feet are most frequently due to a peripheral neuropathy. This is a length dependent process which affects the parts of the nerves furthest away from the body (i.e. the toes followed by the feet). There are many causes to neuropathy such as diabetes, rheumatologic disease, vitamin deficiencies, blood disorders (i.e. paraproteinemias such as nmltiple myeloma or other monoclonal gammapathies), kidney failure and infectious processes such as syphilis. There are also genetic disorders that cause peripheral neuropathy, the most common being Charcot Marie Tooth disease.
Sometimes nerve roots impingements of the back can mimic a peripheral neuropathy, particularly S1 nerve root impingements.