What causes coldness and numbness on the outer side of the left leg?

Sep 28, 2025 Source: Cainiu Health
Dr. Wang Lei
Introduction
In general, coldness and numbness on the outer side of the left leg may be caused by local exposure to cold, improper posture causing compression, lateral femoral cutaneous nerve inflammation, lumbar disc herniation, lower extremity atherosclerotic occlusive disease, or other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. In daily life, it is important to keep the legs warm, avoid prolonged sitting or standing, and engage in appropriate physical activities such as walking or jogging.

Under normal circumstances, coldness and numbness on the outer side of the left leg may be caused by local exposure to cold, improper posture causing compression, lateral femoral cutaneous nerve inflammation, lumbar disc herniation, or lower extremity atherosclerotic occlusive disease. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. Specific analyses are as follows:

1. Local exposure to cold: Prolonged exposure of the outer left leg to cold environments causes blood vessel constriction, leading to poor circulation and sensations of coldness and numbness. Warm clothing should be added promptly, and the leg can be warmed with a hot water bottle or warm towel compress to improve blood flow and relieve discomfort.

2. Compression due to improper posture: Prolonged sitting or crossing legs can compress blood vessels and nerves on the outer side of the left leg, impairing blood flow and nerve conduction, resulting in coldness and numbness. Adjust sitting posture, avoid maintaining the same position for extended periods, and stand up regularly to move the legs and relieve pressure on affected areas.

3. Lateral femoral cutaneous nerve inflammation: Trauma, infection, or other factors damaging the lateral femoral cutaneous nerve can lead to coldness and numbness on the outer left leg, accompanied by reduced sensation. Patients may take medications such as mecobalamin tablets, vitamin B1 tablets, or gabapentin capsules under medical supervision to nourish nerves and alleviate symptoms. Physical therapy may also be used to improve nerve function.

4. Lumbar disc herniation: Protrusion of a lumbar intervertebral disc compresses spinal nerve roots, causing pain and numbness that radiates to the outer side of the left leg. Patients should take anti-inflammatory and analgesic medications such as ibuprofen sustained-release capsules, celecoxib capsules, or Yaotongning capsules as prescribed, and may also undergo lumbar traction therapy.

5. Lower extremity atherosclerotic occlusive disease: Atherosclerosis leads to narrowing or blockage of arteries in the legs, reducing blood supply to the outer left leg and causing coldness and numbness, often accompanied by pain after walking. Patients may take medications such as enteric-coated aspirin tablets, clopidogrel hydrogen sulfate tablets, or simvastatin tablets as directed to inhibit platelet aggregation and regulate blood lipid levels.

In daily life, it is important to keep the legs warm, avoid prolonged sitting or standing, and engage in moderate physical activities such as walking or jogging to promote lower limb circulation. Wear loose-fitting clothing to prevent tight garments from compressing the legs and reduce the likelihood of experiencing coldness and numbness on the outer side of the left leg.