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What Causes Loss Of Balance With Pain And Numbness In Feet And Hands?
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Consult neurologist follow below advice
Detailed Answer:
Hello dear,
I have gone through your question and understand your concerns.
Diabetes for such a long duration leads to many nerve related complications.
Peripheral neuropathy in your case is leading to numbness, loss of balance and abnormal pain sensation.
Back pain without any finding on Mri may be due to some bony abnormalities like fracture due to repeated falls especially of coccyx region.
Another possibility if asymmetrical involvement in lower limbs is Cauda equina or lumbosacral plexopathy.
You need to consult a neurologist for proper evaluation and investigation.
Pain modulator like gabapentin, pregabalin, amitryptiline and analgesics can be tak.
Strict diabetes control.
Physiotherapy to be done regularly.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
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Upload Mri images and other investigation
Detailed Answer:
Hello dear,
Possibility of nerve compression is very low with normal MRI findings.
Exact etiology and localisation can only be ascertained by clinical proper examination of patient.
In long duration of diabetes, neuropathic pain is also severe and may require medication in high doses. If normal medication are not helpful then opioid group of drugs can be tried.
For good management of pain you can consult pain management clinic in your hospital or Institute.
Physiotherapy may be of some help too.
With normal MRI, Surgical options are ruled out.
Investigation required are
nerve conduction study
Mri Lumbosacral spine and sacroiliac region
Vitamin B12, folic acid levels
Hope you found the answer helpful.
Upload images of Mri if possible for reevaluation.
Regards
Dr Neeraj Kumar
Neurologist
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