Suggest Treatment For Knee Pain In A Hypertensive Person

Posted on Thu, 25 Feb 2016

Question: Hello Dr.,the question is that from my feet to the top of my head there is alot of tingle like somethings crawling in my skin and I also feels it down there. went to my Dr.had a pap smear nothing, they did blood work nothing, I'm on light high blood pressure and that is named Hydrochlorothiazide-12.5 tb,had kidneys and liver checked they say nothings wrong,but Ifeel different and I feel the pain in both knees please Dr.can you help a little its my health,thanks

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Paraesthesia

Detailed Answer:
Hello and Welcome

I appreciate your concern

The sensations and symptoms you are referring to are known as paraesthesia. The numbness and tingling that you described required that renal and liver function tests be done. Fasting blood sugar, HBA1C ,Thyroid profile and electrolytes especially calcium should have been checked. If all the investigations were normal then you can relax. I hope your doctor screened you for the above labs that I mentioned.

Empiric therapy with duloxetine or gabapentin B 1, 6 and 12 supplementation can be done if the tingling sensations are bothersome and affect daily life activities. Vitamin D supplementation should be done if the levels are low.

If despite the above the symptoms persist then a neurological examination would be required. Possibly an NCS or EMG can also be advised to determine the cause of persistent paraesthesia.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar