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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden Imbalance In The Legs?

I have falling problem-over 200 times. It occurs standing or walking. I never ever pass out. I feel it coming on by flush starting at my neck and moves down my body into my legs. Again, I can feel but cannot control. I can immediately get up and walk. Sometimes, I lean or sit down and it passes in 30 seconds to 1 minute. I have nuerothopy on both feet and ankles. I have diebetes with an A1C of 5.3. I cannot sit long without my legs and butt getting numb. I have been checked for low/high blood pressure, standing, sitting, my blood pressure is 115/78. I have tried to eliminate prescriptions for a week each with no result. I have spinal stenosis i upper spine/neck. My last hope went away when a Spinal surgeon said he feels I have autotonimous (spelling?) relating to my diebetes. I have been like this for 8 years. It started with a fall and some injury to the spine. I am also on B12 shots 1/month. I am 79.
Mon, 3 Sep 2018
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Diabetologist,  's  Response
Hi,

First and foremost, I think I would agree that these are autonomic dysfunction features. Second, there are causes other than diabetes that can be causing these features.Third, there is a possible treatment for the autonomic features. There is not much to say for the first point- it seems that you may have the autonomic features.To the second point, you have associated falls. I think you should be evaluated for other possible causes as well such as Parkinsonism. These are relatively treatable causes and should be evaluated. Note that I am not ruling out diabetic autonomic neuropathy as a cause.

But one should be evaluated for other treatable causes as well. A neurologist will be able to help you there.Third, there are medications like Midodrine that may help you. I think your neurologist may be able to help you with the suitable prescription of these medicines. They can probably help you.

Hope I have answered your query.
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What Causes Sudden Imbalance In The Legs?

Hi, First and foremost, I think I would agree that these are autonomic dysfunction features. Second, there are causes other than diabetes that can be causing these features.Third, there is a possible treatment for the autonomic features. There is not much to say for the first point- it seems that you may have the autonomic features.To the second point, you have associated falls. I think you should be evaluated for other possible causes as well such as Parkinsonism. These are relatively treatable causes and should be evaluated. Note that I am not ruling out diabetic autonomic neuropathy as a cause. But one should be evaluated for other treatable causes as well. A neurologist will be able to help you there.Third, there are medications like Midodrine that may help you. I think your neurologist may be able to help you with the suitable prescription of these medicines. They can probably help you. Hope I have answered your query. Let me know if I can assist you further.