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My Legs Feel Very Painful. They Feel Really Tight From

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Posted on Thu, 2 May 2019
Question: My legs feel very painful. They feel really tight from my lower shins to the tops of my legs. I have a very hard time sleeping at night because the pain wakes me up. The muscles in my arms are very similar.
I was misdiagnosed 20 years ago only to find out 2 years ago that I have Lyme disease. Went through treatment in Arizona 2 years ago, have done well until the last 4 weeks. I am really struggling with this pain. I take Nortriptyline for pain management.
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Answered by Dr. salah saad shoman (33 minutes later)
Brief Answer:
A number of possible causes

Detailed Answer:
Dear Sir,
I have gone through your question and I can understand your concerns...

Please note that this could be due to a number of causes including peripheral vascular insufficiency, vitamin B-12 deficiency or vertebral column pathologies...

This is why I would recommend that you get a blood test for vitamin B-12 level along with a Duplex ultrasound on your upper and lower extremities and a CT scan of your cervical and thoracic vertebrae. Do discuss regarding these with your treating physician also.

I hope you find this helpful.
Let me know if I can assist you further.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. salah saad shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 3148 Questions

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My Legs Feel Very Painful. They Feel Really Tight From

Brief Answer: A number of possible causes Detailed Answer: Dear Sir, I have gone through your question and I can understand your concerns... Please note that this could be due to a number of causes including peripheral vascular insufficiency, vitamin B-12 deficiency or vertebral column pathologies... This is why I would recommend that you get a blood test for vitamin B-12 level along with a Duplex ultrasound on your upper and lower extremities and a CT scan of your cervical and thoracic vertebrae. Do discuss regarding these with your treating physician also. I hope you find this helpful. Let me know if I can assist you further.