Got a Medical Question? Ask a Doctor Online!
is your primary doctor aware of these problems?
have had recent physicals and, yes, I have informed him----first began while playing tennis some time ago
I see, any pain or swelling in your legs?
only the knee area that just had the surgical procedure----other knee is to be done as well
can't really say that legs are "weak" just tired---as though I've run 20 miles after doing any activity---feel as though I can hardly wait to sit
Have you had any doppler ultrasounds of your legs to evaluate your arterial blood supply, or an angiogram?
yes for circulation---no indication of a problem I was considering regular muscular therapy/massage; do you feel that would help?
A massage will not likely help the weakness.have you started physical therapy?
-have completed all suggested sessions; this problem was existing prior to the knee surgery I do have scores from a calcium test (over 400) dr. has suggested a stress test, but I don't know if I can do that with my knee current condition----could this problem be heart related?
It is unlikely to be heart related if it is just your legs that are weak
Have you had a CT scan of your spine?
no would that just show nerve damage or ????
If you have any type of nerve compression, then it can lead to loss of nerve supply to the muscles in your legs, which may lead to weakness
this sounds strange, but the description would be that my legs are strong, but tired---not weak
I think you will benefit from a Ct scan of your lumbar and sacral spine, and possibly an MRI as well
have had MRI of both knees-but not of spine
were that the case, is there medication for nerve compression
No, there is no medicine, only surgery
Yes, spinal surgery
It may also be due to an electrolyte abnormality, but I assume they would have checked those before your surgery
is there a chance it would ever correct with physical therapy? when I say massage, I am referencing therapuetic or dare I mention a chiropractor to a medical doctor?
which of the lab test would indicate electrolyte abnormality?
A complete metabolic profile will show any electrolyte abnormality
If it is spinal cord compression it will only be rectified with surgery, some nerve compression can be improved upon with physical therapy
I have in front of me my last 14 Panel Metabolic Lab Comp. What should I view to indicate a possible elec. abnorm.?
It has your electrolytes on it
I don't advise you to try a chiropractor again
Oh, I haven't
I see glucose---BUN---creatinine serum---eGFR---Sodium, Serum---potassium serum----chloride, serum----carbon diox. total---globulin total---ast---alt---alkaline phos. A/G ratio---calcium---protein---billirubin and several other listings---all are within normal range except gluose (102) and hemoglobin A1c 5.6 (4.8-5.6%) and of course, the chol/hdl ratio
This means your electrolytes are normal
Do you have any other questions you would like me to answer?
ok ---well it sounds as though a non invasive approach (physical therapy) should be the first choice---but you don't think it's heart blockage related?
No, I don't think it is related to heart blockage
I suppose I needed to stay away from pounding the tennis courts
We don't know that for sure.I think you should have the CT scan of your spine before concluding anything
ok --- I'll suggest that to my physician---thank you
let me know if you have more questions or concerns,if you are satisfied, please click ACCEPT