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Suggest Treatment For Severe Numbness In The Right Leg

Posted on Mon, 2 Jan 2017

Question: Knumbness spreading from right leg feet through knees to right leg theigh. B12 was low 4 months back. Now B12 is around 300. MRI says no spinal problems. But at neck, slight nerve compression.Using neurobion forte once in a day. Please help.

Answered by Dr. Sudhir Kumar (1 hour later)

Brief Answer:
Take pregabalin also and start physiotherapy.

Detailed Answer:
Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

I have noted your clinical details. Your symptoms are related to the slight nerve compression.

You can take Pregabalin capsules also, in addition to neurobion forte.

Physiotherapy with neck and back extension exercises would also be helpful.

There is no need to worry as MRI spine is not showing any significant abnormality.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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

Follow up: Dr. Sudhir Kumar (13 minutes later)

Sir,
thank u for reply. Has nerve compression at neck to do with numbness in right leg.
I was taking benfomete plus for the last 15 days course as advised by neurologist.
I dont have BP or sugar complaints.
I need your advise to stop spreading numbness from foot to theigh.
Regards,
xxxxxxxxxxx

Answered by Dr. Sudhir Kumar (4 minutes later)

Brief Answer:
Yes.

Detailed Answer:
Thank you for getting back.

Nerve compression is the cause of numbness in leg. Please follow the advice as suggested above to stip spreading the numbness.

Best wishes,

Dr Sudhir Kumar MD DM

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

Follow up: Dr. Sudhir Kumar (12 days later)

sir,
After your kind advice, i have been taking pregabalin 50 mg along with neurobion forte for the last few days. Initially it appeared to me that numbness decreased but for the last 2 days, i have been experiencing burning sensation at right leg feet and numbness and also at right leg knee cap. Right leg muscle weakness to some what.

There are no other side effects. How i should get rid of or lessen these numbness/weakness symtoms in right leg. and also to stop spreading of numbness/weakness to thigh or upper body. Please help me.

Answered by Dr. Sudhir Kumar (2 hours later)

Brief Answer:
Dose of pregabalin needs to be increased.

Detailed Answer:
Thank you for getting back.

The 50 mg dose of pregabalin is too low. For a significant benefit, the dose needs to be gradually increased to 150 mg per day, in two divided doses. The increase in dose should be done over two weeks, as rapid increase may cause dizziness and sleepiness.

Physiotherapy should also be continued for better results.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Sudhir Kumar (21 hours later)

sir,
As you said, I will gradually increase the dose of pregabalin (Iam taking Maxgalin).
How long pregabalin should be taken..
Thank you

Answered by Dr. Sudhir Kumar (3 hours later)

Brief Answer:
Pregabalin should be taken for 4-6 weeks.

Detailed Answer:
Thank you for getting back.

Pregabalin can be continued for 4-6 weeks. After that, we can review, whether you still require it or not, depending on your clinical symptoms. If needed, it can be continued for longer duration.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (6 hours later)

Thank you sir.

Answered by Dr. Sudhir Kumar (12 hours later)

Brief Answer:
Thank you.

Detailed Answer:
Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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