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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Muscle Weakness, Pain In Legs Trying To Sleep, Difficulty In Climbing Steps. What Could Be This?

Yes...please answer my question. In the last 2 yrs. I have experienced muscle weakness & now recently bad aching in my legs, especially when I TRY to sleep. Not restlessness, but aching & throbbing. I have fatigue walking up stairs too. My Dr. first said I had Polymyalgia Rheumatica & put me on prednisone (which didn't help) then said maybe I had Fibromyalgia. It's a guessing game with him. What can I do to get an answer and relief?
Thank you,
Kathy
Fri, 28 Jun 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM. I personally feel that your symptoms neither fit into Polymyalgia rheumatica ( presents as pain & stiffness of shoulder girdle & pelvic muscles and never results in weakness of muscles and responds well to steroid preparations) nor Fibromyalgia ( presents with symmetrical tender points all along the back, hips and legs ).
I feel your symptoms could be simple nocturnal muscle cramps which usually responds will to Vitamin E supplementation or You could be having Lumbar spinal canal stenosis which presents with similar symptoms. I advise you to undergo an MRI scan of your Lumbar spine to look for any problem in the spine.
Hope this helps
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Muscle Weakness, Pain In Legs Trying To Sleep, Difficulty In Climbing Steps. What Could Be This?

Hi, thanks for writing to HCM. I personally feel that your symptoms neither fit into Polymyalgia rheumatica ( presents as pain & stiffness of shoulder girdle & pelvic muscles and never results in weakness of muscles and responds well to steroid preparations) nor Fibromyalgia ( presents with symmetrical tender points all along the back, hips and legs ). I feel your symptoms could be simple nocturnal muscle cramps which usually responds will to Vitamin E supplementation or You could be having Lumbar spinal canal stenosis which presents with similar symptoms. I advise you to undergo an MRI scan of your Lumbar spine to look for any problem in the spine. Hope this helps