Suggest Treatment For Muscle Soreness In The Arms And Legs

Posted on Fri, 7 Apr 2017

Question: For the past three months now having lots of radiant muscle pain in my arms and legs mostly the arms it comes and goes. Just in these pass months the skin on my arms has gotten very lose with deep wrinkles. I get sharp tingling nerve pain in my back same two spots on and off, and twitching of small muscles everywhere but mostly in my legs. On and off pain and pressure around my heart area. The top of my arms and hands go from tingling numbness to a burning right under the top layer of the skin this pain gets so bad it wakes me up at night, I've seen 3 different doctors over the months and have done a lot of test with blood work-for HIV, Hep C&B blood cell count etc.. A heart stress test: nothing showed up to help figure this out. One Dr. said it sounds like peripheral neuropathy. To me I feel like I picked up a virus about 8 months ago I broke out in to a sweat like never before and after I got thru that is when little things started like light small needle poke in my back and tightening of the throat with soreness that would come and go. Nose bleeds out of nowhere, and then progressed to where I’m now with a unbearable illness.
Please give me some advice as to what I should get tested for? XXXXXXX XXXX

Answered by Dr. Dariush Saghafi (1 hour later)

Brief Answer:
Following laboratory studies

Detailed Answer:
Good evening. If you were my patient and I were studying you for a peripheral neuropathy of some type and from what you're describing I would obtain the following blood work if not yet obtained:

1. TSH
2. FT4
3. Vit. B12
4. Folate
5. Vit. D (total)
6. ESR
7. CRP
8. HbA1C

I am concerned about possible muscle atrophy in your arms from what you're describing therefore, I believe an EMG/NCV test would be worthwhile obtaining in the upper extremities.

I would obtain both a set of PLAIN FILMS of the cervical spine (X-rays) as well as an MRI of the cervical spine to check for nerve root compression issues. I would not use gadolinium contrast necessarily unless there was a suspicion for some type of mass lesion compressing the spinal cord or within the spinal canal.

If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating? Again, many thanks for submitting your inquiry and please let me know how things turn out.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 20 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

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