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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31650
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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65 yr old female and when driving my legs hurt so bad from the knees

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I am a 65 yr old female and when driving my legs hurt so bad from the knees down, what could cause this?

Greetings.

 

Does the pain only come when driving?

Where is the pain exactly situated or is generalized all over the leg?

Do you get cramps frequently?

Do you get pain in knee climbing stairs?

Do you get calf pain while walking?

Any significant past medical history or surgery?

 

Dr. Arun

Customer: replied 6 years ago.

happens when driving or sitting , pain is in back of calves and down into ankles, hard to describe, they just hurt and are restless.

No cramps, no knee pain, used to be able to walk for miles but now the lower legs hurt after a while. No history or surgery

Hello

Your symptoms point to restless leg syndrome (RLS). RLS can develop as a result of certain conditions or factors, particularly iron deficiency and peripheral neuropathy. Other causes are folate or magnesium deficiency, amyloidosis, diabetes mellitus, lumbosacral radiculopathy, or vitamin B-12 deficiency. The other causes for your symptoms to consider would be;

1) Neuropathy; can occur due to vitamin B12 deficiency or diabetes
2) Peripheral Vascular Disease; this can be due to high cholesterol, age, diabetes, tobacco use etc.
3) Radiculopathy; degenerative discs in spine.

Following investigations are advised to ascertain the cause;

1) A complete iron panel including iron levels, ferritin, transferrin saturation, and total iron binding capacity.
2) BUN,
3) creatinine,
4) magnesium,
5) thyroid-stimulating hormone (TSH),
6) vitamin B-12, and folate.

Following measures would be helpful;

1) Avoidance of caffeine, alcohol, or nicotine (if take them).
2) Exercise like stationary bicycle, stretching exercises for legs.
3) Medications
a) Pramipexole (Mirapex)
b) Ropinirole hydrochloride (Requip)

Please feel free for your follow up questions.

Dr. Arun
Dr. Arun Phophalia and 3 other Health Specialists are ready to help you
Customer: replied 6 years ago.
I am from all outward appearances pretty healthy, look younger than I am have always been sort of active. But could leg pain in the lower legs when sitting be caused from a bad heart

Hello,

 

No. This symptom is not a pointer to bad heart or any heart ailment. Please do not worry on this count.

 

It is pleasure and privilege assisting you.

 

Dr. Arun

Dr. Arun Phophalia and 3 other Health Specialists are ready to help you
Customer: replied 6 years ago.

What could cause the pain? It is a dull throbbing pain that drives me crazy, and I cannot keep my legs still when they hurt that way. It is worse when tired, or driving. Standing and walking seems to help but it is still there when I stop walking. My family has a history of CMT, Charco Marie Tooth disorder, however I have not had any symptoms thus far. My Dad had trouble walking, his feet "dropped" or they dragged when he walked, he could not pick them up very well while walking, but when he was sitting he was fine. I am concerned that I might end up like him,

Thank you, Peggy

Hello,

 

Apart from the restless leg syndrome which we discussed, as a cause for your pain; the other possibilities can be;

 

1) Neuropathy; nerve disease. A nerve conduction study (NCV) may be suggestive of the diagnosis.

2) Akathisia: This is manifested by an inner urge to move whole of the body or only legs. It usually results from medications or herbs.

 

Commonly used medications are;

1) Gabapentin,
2) Pregabalin (Lyrica)

Other supplements and alternative integrative therapy protocols are;

1) Evening primrose oil
2) Acetyl-l-carnitine
3) Alpha-lipoic acid
4) Benfotiamine (Milgamma), 100 mg, is a lipid-soluble vitamin B1 analogue
5) Vitamin E

It is pleasure and privilege assisting you.

Dr. Arun

Dr. Arun Phophalia and 3 other Health Specialists are ready to help you