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Stiffness In Both Calf Muscles And Burning Sensation In The
Question: Stiffness in both calf muscles and burning sensation in the left arm biceps area,tingling sensation and difficulty in walking or effort to do normal daily routines
Brief Answer:
May be due to nerve compression at cervical spine level.
Detailed Answer:
Hello,
I have gone through your query and here is my advice.
As per your history it may be due to nerve compression at cervical spine level.
Please let me know do you have history of injury, sprain, leg swelling, long standing activities?
To confirm diagnosis I would suggest you to do MRI neck with whole spine screening, Doppler ultrasound of both legs with nerve conduction study after detailed medical examination and neurologist's opinion.
Till then you can take tablet acetaminophen 500 mg every 8 hourly. Apply diclofenac gel with heating pads. Avoid strenuous and long standing activity.
You may require tablet Pregabalin 75 mg and tablet nortriptyline 10 mg after neurologist's consultation.
Try to loose weight if overweight. Keep your self hydrated.
Let me know I can assist you further...
Regards,
Dr Shyam Kale.
May be due to nerve compression at cervical spine level.
Detailed Answer:
Hello,
I have gone through your query and here is my advice.
As per your history it may be due to nerve compression at cervical spine level.
Please let me know do you have history of injury, sprain, leg swelling, long standing activities?
To confirm diagnosis I would suggest you to do MRI neck with whole spine screening, Doppler ultrasound of both legs with nerve conduction study after detailed medical examination and neurologist's opinion.
Till then you can take tablet acetaminophen 500 mg every 8 hourly. Apply diclofenac gel with heating pads. Avoid strenuous and long standing activity.
You may require tablet Pregabalin 75 mg and tablet nortriptyline 10 mg after neurologist's consultation.
Try to loose weight if overweight. Keep your self hydrated.
Let me know I can assist you further...
Regards,
Dr Shyam Kale.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Dear Dr XXXXXXX
The Arterial Ultrasound is normal in all arteries.
Blood results show the follwong slight abnormality
VITAMIN D 24.7 ng/ml
MCHV 29.9 g/dl
MCH 24.5 pg
ALT ,47 u/l
Neurologist opinion was taken.She has prescribed MRI of Cervical spine to rule out cervical cord lesion.
For symtomatic relief Gabapentin 300 mg was prescribed to slowly increase from one to to XXXXXXX three a day based on tolerance and drowsinesd
My son complained of chills at time and she had asked for Westergren Sedimentation Rate.
Follow up suggested after MRI
His calf stiffness has reduced a bit and his walking distance has improved.Tingling also slightly reduced.He wears a socks inboth legs to reduce direct contact withthe floor.He gets up in the night once onaccount.of pain in the biceps region lt side( heart side)
No signs of redness or sorenessinthe leg.Littlebit ofitching in scalp and behind the ear but it not a major symptom according to him.
Uncomfortable feeling on the face is also there.
What could be the possiblities of diagnosis with these conditions.
All other blood parameters are normal
Regards XXXXXXX
The Arterial Ultrasound is normal in all arteries.
Blood results show the follwong slight abnormality
VITAMIN D 24.7 ng/ml
MCHV 29.9 g/dl
MCH 24.5 pg
ALT ,47 u/l
Neurologist opinion was taken.She has prescribed MRI of Cervical spine to rule out cervical cord lesion.
For symtomatic relief Gabapentin 300 mg was prescribed to slowly increase from one to to XXXXXXX three a day based on tolerance and drowsinesd
My son complained of chills at time and she had asked for Westergren Sedimentation Rate.
Follow up suggested after MRI
His calf stiffness has reduced a bit and his walking distance has improved.Tingling also slightly reduced.He wears a socks inboth legs to reduce direct contact withthe floor.He gets up in the night once onaccount.of pain in the biceps region lt side( heart side)
No signs of redness or sorenessinthe leg.Littlebit ofitching in scalp and behind the ear but it not a major symptom according to him.
Uncomfortable feeling on the face is also there.
What could be the possiblities of diagnosis with these conditions.
All other blood parameters are normal
Regards XXXXXXX
Brief Answer:
please see detailed answer.
Detailed Answer:
Hello,
Thank you for your reply. I have gone through it.
Usually Vit. D level 24.7 is within normal range. If possible, kindly attach reports.
Please let me know symptoms described by you, were started after tab. Gabapentin. If yes, I would suggest you to stop after consultation. For itching he can take tab. loratidine 10 mg once a day and apply hydrocortisone ointment locally.
For anxiety, he may require short course of tab. clonazepam after consultation.
Kindly do MRI neck and nerve conduction study as advised and follow up.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale.
please see detailed answer.
Detailed Answer:
Hello,
Thank you for your reply. I have gone through it.
Usually Vit. D level 24.7 is within normal range. If possible, kindly attach reports.
Please let me know symptoms described by you, were started after tab. Gabapentin. If yes, I would suggest you to stop after consultation. For itching he can take tab. loratidine 10 mg once a day and apply hydrocortisone ointment locally.
For anxiety, he may require short course of tab. clonazepam after consultation.
Kindly do MRI neck and nerve conduction study as advised and follow up.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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