
What Causes Numbness From Groin To Leg After Child Birth?

Signed mommy of two beautiful baby boys
Multiple sclerosis or myasthenia gravis
Detailed Answer:
Hi,
The symptoms that you are describing can not be accurately diagnosed to a particular disease. However keeping your constellation of symptoms in mind, they may fit into two possiblities
1. Myasthenia gravis classically characterised by symptoms of muscle weakness and not marked pain at the end of the day after doing some activity. The point that your left eye is drooping( thats what I got by your description) after getting tired points out towards it. If your symptoms of tiredness or muscle weakness are more towards the end of the day, then this might be the diagnosis. It is diagnosed with electromyography and ACh receptors antibody It is typically treated with pyrridostigmine. For long term remission, sometimes thymectomy is done
2. Secondly your symptoms can be due to Multiple sclerosis. It may appear as pain in limbs as you have and numbness symptoms. It is quite often seen after pregnancy. However blurring of vision( optic nueritis) is quite common manifestation as it is seen in 50% of patients which you haven't metioned in your symptoms. Multiple sclerosis patients may have neck pain like you have and the symptoms may go into complete remission and then relapse. MRI is done for suspicion of multiple sclerosis in which plaques on MRI are seen. It is acutely treated with IV steroids and long term treatment is with alpha interferon and glatiremer acetate. There are numerous other treatments as well based on its subtypes and response of the patient. My bet in your case is more toward multiple sclerosis.
Please consult a proper nuerologist for further consultation
If you have any further questions, please respond as a follow up question.
Dr. Khan


MRI , acetyl choline receptors, electromyography
Detailed Answer:
Hi,
Since your nuerologist doesn't have any more differentials to work on and she doesn't want to do any more tests while you have had symptoms for a year almost, please visit a different nuerologist. And if he/she has the same opinion, then it is a possibility that we are dealing with some really rare disease or it is some sort of somatoform disorder. For myasthenia gravis the drooping of eyelids as the day progresses is more important a symptom rather than blurring of vision. As for Multiple sclerosis yes your symptoms are not typical but in real life they may not present with typical symptoms. However in my opinion, I would say do undergo an MRI for multiple sclerosis and Acetyl choline receptor antibodies and if both of these are negative,undergo an electromyography. Hope it helps
Dr. Khan

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