Brief Answer:
Please tell a few details-

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I would surely like to help,but before that I need to know a few details-
1)Do you have complaints of slipping of footwear while walking?
2)Can you stand up from the squatting position by yourself or you need support for it?
3)Are you having stiffness or tightness of legs?or legs appear to be loose?
4)Do you have any problems in passing stool and urine?
5)Do you have normal sensations(touch,hot or cold) in lower limbs?
6)Any history of trauma,family history of similar illness or any other significant medical history?

Please follow-up with details so that I can answer your query well.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

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Brief Answer:
Neurological examination/Nerve conduction studies.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up with details.

Your medical history is likely indicative of some neurologic organic disorder.It can be due to any of the following pathologies at neuraxis:
1)myelopathy or spinal cord disease
2)polyradiculopathy
3)polyneuropathy-though classically it is distal predominant weakness(footwear problem),however in some cases,it may be proximal weakness too.

Since,MRI lumbo-sacral spine has possibly ruled out myelopathy(although lower thoracic spine should have been done too),next investigation to do is Nerve conduction studies to look out for nerves and radicles abnormalities.

Besides,next best step should be to visit a neurologist and get yourself physically examined,so that next investigation can be planned with a rationale.

Hope that I have answered your query.If you have some follow up questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

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