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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31625
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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My leg is numb on the top layer and itches on the second and

Customer Question

my leg is numb on the top layer and itches on the second and feels like stabbing below
JA: How long have you been dealing with this? Does anything in particular seem to make the itch better or worse?
Customer: just the same. i take h/p meds and gout.
JA: Anything else in your medical history you think the doctor should know?
Customer: feels like pricks in my face
Submitted: 23 days ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 23 days ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  Dr. Arun Phophalia replied 23 days ago.

What is your age and gender?

Since when are these symptoms?

What are the investigations done?

Customer: replied 23 days ago.
50 male one year leg ten face none yet not sure what to ask in person
Expert:  Dr. Arun Phophalia replied 23 days ago.

With your symptoms, neuropathy or pinched nerves in the back should be the diagnostic consideration. Following investigations need to be done by your primary care physician or a neurologist;

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

2) MRI of the spine and brain

3) blood glucose, glucose tolerance test 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)

This should give the diagnosis and guidelines for the management.

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.

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.

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