Ask a Neurologist and Get an Answer ASAP
welcome to Just Answer
I am an adult neurologist
waiting to see if you come online
I am a 26 year old female and try to stay quite active. My job is very active and physically challenging and i tend to receive injuries from work due to the nature of working with children with challenging behaviours and autism. On a regular basis it is important to restrain a child due to their physical and aggressive behaviours. I have been suffering with leg, arm and back pain for over three months now. My right leg is very sensitive to touch and feels like a tight elastic band is wrapped around the leg below the knee. The leg felt heated three months ago and now i have a constant pain which makes balance and walking difficult. The leg feels very heavy and at times numb. My left arm also feels numb from the hand up to the elbow and a tight sensation at the wrist. I sustained a back injury at work four months ago from when a child hit me full force in the back and the next day i was unable to move from a horizontal position without extreme pain. I am able to work but this problem has left me weaker and unable to fulfill the job role fully. I have a lot of problems walking and have a severe limp when i do. I have found going down slopes and stairs to cause issues and lose balance when doing so. I have consulted my doc about this and they enquired if i may have had a blunt trauma (car crash) which i said no, when i mentioned being hit they were sure it was unlikely to cause severe problems. They couldn't give me any diagnosis and they have booked a neurology appointment which is in three months time. Is there anything i can do to help these symptoms until then? I take voltarol to help with the back pain but have nothing for the leg and arm issues. Thankyou.
are you there?
so your symptoms by history I would not suggest as related to trauma from a child hitting you in the back
you have arm and leg paresthesis
a feeling of banding
on the leg and at the wrist
and your gait problem
seems to be more of an imbalance or loss of proprioception (position sense)
what can i do to help this?
making it difficult to walk down slopes
well you need a neurological examination for starters
the exam really defines treatment
is there anything i can take to ease the symptoms?
there are no medications for leg heaviness and numbness
you can try Multivitamins, B complex, to improve peripheral nerve function
any exercise that would help?
but you really need more of a diagnosis
do you have neck pain as well as lower back pain?
more shoulder than the neck
I am more concerned about the severe limp,
and the problems walking. As a neurologist, if I could examen you, I might suggest an exercise program, once
certain problems were excluded
but I would not say to start exercise given your current symptoms
my right knee keeps giving in as the doc said its compensating for the weak left leg.
you do not describe a peripheral nerve problem
so im to exercise the left knee but not the right
but more one of the central nervous system
well mild exercise does help for weakness, but I am more concerned regarding incoordination of the leg
slopes and stairs are harder but walking in general causes a limp.
could you have an inflammatory arthropathy? like rheumatoid arthritis?
with all these joint problems
how would i know that?
any blood work that they did?
not as of yet
I see. well an xray series of your hip and knee
and some blood work. an RA, sed rate, C reactive protein
anyone in your family with severe arthritis?
would you recommend seeing a specialist privately instead of waiting three months for an nhs appointment?
If you can afford it, yes
to see if you have a neurological problem effecting your gait, the way you walk,
and the "band" like sensations you feel
as I had mentioned that can be a central nervous system problem
is it all easily treatable?
HI. Unfortunately I cannot answer that question without a diagnosis.
if you have an inflammatory arthropathy, or a related disease like fibromyalgia
then you can get symptomatic treatments
there are a variety of medications to make you have less pain
and improve joint function
please come back anytime if I can help
Dr Frank T
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