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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31608
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I am ***** *****. Happy Merry Everything. I have been having

Customer Question

Customer: hello. I am ***** *****. Happy Merry Everything. I have been having a sensation like warm to hot water running down my knee. its very odd. no water or anything there. i have trouble straightening out my legs when sitting for a period of time. and now this odd sensation. I was looking to see if it was documented anywhere.
JA: Thanks. Can you give me any more details about your issue?
Customer: only that as I said... when sitting for longer periods of time, on the floor or with my knees bent, I have trouble standing and straightening my lower back, and legs. it takes about 10 seconds for the pain to go away. but now I get this hot sensation in my knee. for the past few days
JA: OK got it. Last thing — JustAnswer charges a fee (generally around $32) to post your type of question to Health Experts (you only pay if satisfied). There are a couple customers ahead of you. Are you willing to wait a bit?
Customer: I suppose. sure
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Submitted: 11 months ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 11 months ago.

Hello,

I am Dr. Arun and will be helping you today.

I am sorry that your question was unanswered for long.

The abnormal sensation is termed as paresthesia. Your symptoms are suggestive of neuropathy or pinched nerves in back. Pinched nerves can be due to disc disease or degenerative changes in the spine. Following are the causes of neuropathy;

1) Diabetes

2) An underactive thyroid gland

3) Excessive use of alcohol

4) Thiamine deficiency

5) Vitamin B 12 deficiency (pernicious anemia)

6) Vitamin B 6 (pyridoxine) taken in excessive amounts

7) Drugs, medications, herbs

8) Autoimmune diseases

9) Heavy metals such as lead and mercury.

Following investigations are done for diagnosing the issue;

1) Electromyography/nerve conduction studies (EMG/NCS)

2) MRI of the spine and brain

3) blood glucose and glycosylated hemoglobin

4) serum B12 level with methylmalonic acid (with or without homocysteine),

5) serum protein electrophoresis

6) Anti-nuclear antibody

7) Lyme testing

8) Rheumatoid factor

9) Sjogren's syndrome testing (Anti-Ro, Anti-La Antibodies)

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 11 months ago.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

Please consider a positive rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

Thank you.

Wishing you all the very best in life.

Expert:  Dr. Arun Phophalia replied 11 months ago.

Wishing you a very happy, healthy and prosperous new year 2016.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited for my work.

Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future.

This additional service offer can be used for

- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.

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