Question: Respected Doctor, Hope you are doing great. This is in continuation with my previous consultation with you.
I have had my Nerve conduction studies which says " Distal Mild Right Motor Axonal Peroneal Neuropathy", Does this indicates i have neuropathy??? I have been suffering from paresthesia such as constant tingling sensation in both feets lower side throughout day and night but gets worse in night. Its been now like 2 years i ve had this. Does the test report suggests that i don't have neuropathy but maybe suffering from RLS indeed ?

Thanks so much for your reply doctor, i have had tested Pramipexole .125mg once, took only 1 tablet, tingling sensations disappeared after an hour and remained gone for constant 2-3 days but during this period i had severe nausea feeling accompanied by acidity, even pantoprazole DSR did not provided any relief.

Those 3 days were difficult for me to function and even eat anything. That's why my neurologist stopped the medication on my request as i couldn't continue it, so was then switched to gabapentin, worked for my nights continuous 1 year , that too on 100 mg but always gave me internal shaking side effect , during these overall 2 years, i have tried taking anxiety treatment as well using different SSRI/SNRI meds but all aggravated the symptoms of these sensations like total disaster so couldn't complete the treatment.

Now few months back, i was switched to Pregabalin NT combination which have this nortriptyline of 10mg strength, doc. said it will also help in anxiety so far i wouldn't deny the fact that there is marked relief in anxiety symptoms and also no internal shaking side effect but with time i noticed low libido, ejaculation force strength issues. Neurologist said we will continue this combination for some time and will remove it once effect settles in, now since i am not medically certified, i am not in position to argue as i just want relief in symptoms and i myself told him that i do have long standing anxiety/stress since many years.


I have constant tingling sensations during daytime as well in both lower feet but mild that can be felt, as evening starts the intensity increases gradually as time moves forward, i can confirm, i get relief upon movement or even just standing but if i sit on chair, i get restlessness. This is now normal life for me, i feel so sad thinking about it as to why and how i even got it.

Does this sexual dysfunction gets normal after stopping nortriptyline ? Is this peripheral neuropathy will increase or make me disabled?? i am worried about future, i am just 31.