Hi, Noted your history of leg pains on both sides for over a year, feels like using all strength in relaxed position, no visible muscle contracting, sometimes difficulty on standing instantly from sitting position, takes about minutes then no pain, more pain on laying down in bed. As per the history you have provided, you need the following investigations to know the exact cause and then only it is possible to give proper management. I would advise you the following in such a situation: Ultrasonography with color doppler studies of both lower limbs. MRI of the low back spine to know whether there is any disc causing compression over spinal cord. Nerve conduction studies. Electromyography. Any other investigations once you are clinically examined by appropriate Specialist. Till then you may take Vit E with L-carnitine under the guidance of your Doctor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, ENT & General Surgeon