
What Causes Tingling Sensation On Foot At Night?

Its high time to get a MRI L-S spine done/Exercises with proper technique.
Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I have been through your medical history and appreciate that you have presented it such nicely.
The key points in your symptoms are:
1)They were asymmetrical in onset,initially in right foot and after a few months in left foot.
2)Tingling in feet
3)Fasciculations.
4)Low spine localised backache.
5)tightness in left calf
6)Background history of degenerative spine.
On basis of these points,there is absolutely no doubt in your diagnosis to be 'Lumbosacral radiculopathy most likely L5-S1 radiculopathy'.All these points favour this diagnosis.
Though Diabetic neuropathy is the alternative diagnosis,but asymmetric distal onset of symptoms,fasciculations and low spine backache are against it.
Neurological examination may be normal in early stage of lumbosacral radiculopathy.
I suggest it is high time for you to get MRI lumbosacral spine(L-S) spine done to see for radicular compression.Nerve conduction studies or Electromyography(NCV/EMG) is not needed at this stage,because we are suspecting radiculopathy rather than neuropathy to be the diagnosis.
Regular exercises,if done with proper technique should have helped you.I believe that physiotherapy most patients do,is technically not correct and not focussed for the muscle groups it should actually to.So,please meet an expert physiotherapist and learn to do spinal XXXXXXX exercises.Dedicated exercises will bring improvement within 6 weeks time.
Along with calcium,vitamin D,methylcobalamin and antineuralgics like pregabalin or duloxetine should be taken.PLEASE TAKE MEDICINES UNDER A PHYSICIAN'S GUIDANCE.
Hope 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.
Dr.Ajay Panwar,
MD,DM(Neurology)

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