
What Causes Intermittent Sensations Of Vibration, Tingling And Numbness In Lower Limbs?

A dedicated neurological examination/Focal neurological deficits.
Detailed Answer:
Hi XXXXXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar, a neurologist, here to answer your query.
If you would have presented to me as an outpatient with these symptoms,my clinical explanation would have been-
Intermittent sensations of vibration, tingling and numbness in lower limbs can be due to the following causes- neuropathy, lumbosacral radiculopathy (especially keeping in mind your history of sciatica), anxiety, vitamin deficiencies, diabetes, multiple sclerosis. So, though multiple sclerosis is one of the causes but without ruling out so many common causes we just can't jump on to a rare cause. So, Please do some mental relaxation exercises/yoga to reduce your anxiety levels along with anti-anxiety medicines (ativan is fine). Keep observing that with reduction of anxiety levels, your symptoms may improve.
If no improvement is observed, please get done the following investigations: Blood sugar(fasting and post prandial), serum vitamin B12 and MRI lumbosacral spine. Please follow up with the investigations results. MRI lumbosacral spine is important to rule out one of the common causes and that is lumbosacral radiculopathy with spine or disc changes.
Even if these investigations come out to be normal and you continue to have symptoms, then a dedicated neurological examination needs to rule out any focal neurological deficit and it is then that a MRI spine or brain may be needed to see for demyelinating lesions of MS. That is the last thing to consider.
Meanwhile, please continue to have anti-anxiety medicines, methylcobalamin, calcium with vitamin-D.
PLEASE TAKE MEDICINES UNDER YOUR PHYSICIAN'S GUIDANCE ONLY.
Hope I have answered your query. If you have some follow-up queries, I shall be glad to answer else, please close the thread-rate it and write a review.
Dr.Ajay Panwar,
MD,DM(Neurology)


Second as far as b-12 what is the best most effective way to get that in me. Same with Magnesium. I have read that supplemental vitamins don't absorb well?
I thought of something I wanted to mention see if its meaningful. The vibration or buzzing 90% starts when I am sitting and either gets better with movement or goes away with movement. Does that mean anything to you, or don't think its important
You should tell every detail to the neurologist. He will sort out.
Detailed Answer:
Hi,
Thanks for being in follow-up.
You need not to worry. Please tell the neurologist complete medical history as well as drug history. He is a super specialist, who is expert at sorting out the things. He will definitely be of help.
Vitamin B12 and Magnesium deficiencies, if established by serum levels can be supplemented orally as well as by intramuscular injections.
Vitamin B12 deficiencies when severe, are initially supplemented with intramuscular injections once a day for 7 days. Then, once a week for 6 weeks. Then, twice a month for a month and then monthly for a few months. Simultaneously, oral preparations and diet rich in Vitamin B12 is to be taken.
Magnesium deficiency is usually supplemented orally, unless it is a medical emergency, causing critical illness. Simultaneously, Probiotics capsules increase its bioavailability.
Vibration or buzzing frequently occurs even in normal individuals, when they are sitting in one particular posture for some time(say for half an hour) and it improves after they stand up or change posture or move. It is due to the transient nerve compression which typically improves in 2-3 minutes after moving, standing or changing posture. That may be a normal thing.
Hope I have answered your query. If you have follow up questions, I shall be glad to answer else, please close the thread-rate it and write a review.
Dr.Ajay Panwar,
MD,DM(Neurology)

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