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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could The Pins And Needles Sensation On Both Knees And Shins Indicate When Already Having Osteoarthritis?

I am having superficial pin prick sensations around both knees and down both shins. No rash or redness. I also have osteoarthritis and spurs in both knees. Worse in my right knee. What could the pin prick feeling be and could that be related to the arthritis. Also the sensation is not present in the am and doesn't occur all the time but usually occurs in pm. It
Sat, 11 Jan 2014
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Orthopaedic Surgeon 's  Response
Hi there.

This sort of sensation could be due to arthritic pain being referred to the shin.
The more likely possibility is radicular pain......meaning pain due to compression of the nerve roots in the spine area.

Either way .......... I would like you to start on a neurotropic like pregablin and methycobalamine.
Regular thigh muscles strengthening exercises for knee arthritis should be followed.
Stationary cycling is the best knee arthritis exercise.
Start an antiarthritic like Glucosamine or Diacerin supplements.
You could apply local analgesic gel .

I hope my advice has helped
Good luck .

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Anesthesiologist Dr. Manjeth Kumar G's  Response
Hello,
Pin and needles sensation usually represent peripheral neuropathy.
I do not think this symptom to be due to Osteoarthritis or spurs in knee.
Because pin and needle sensation are always nerve related.
t's not always easy to find the cause of peripheral neuropathy because a number of factors can cause neuropathies.
Few common causes are
1. Diabetes (both type 1 and type 2) is the most common cause of peripheral neuropathy. Over time, the high blood sugar levels associated with diabetes can damage the nerves. This type of nerve damage is known as diabetic polyneuropathy. Please check your blood sugar.
2. Autoimmune diseases like rheumatoid arthritis. Plese check for any anti nuclear antibodies.
3. Vitamin B12 deficiency. Please check your B12 level in blood.
B vitamins, including B-1, B-6 and B-12, are particularly important to nerve health.
4. Hypothyroidism. Check your thyroid hormone levels.

Please write back with investigation reports. Hope this helps.
Wishing you good health.
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What Could The Pins And Needles Sensation On Both Knees And Shins Indicate When Already Having Osteoarthritis?

Hi there. This sort of sensation could be due to arthritic pain being referred to the shin. The more likely possibility is radicular pain......meaning pain due to compression of the nerve roots in the spine area. Either way .......... I would like you to start on a neurotropic like pregablin and methycobalamine. Regular thigh muscles strengthening exercises for knee arthritis should be followed. Stationary cycling is the best knee arthritis exercise. Start an antiarthritic like Glucosamine or Diacerin supplements. You could apply local analgesic gel . I hope my advice has helped Good luck .