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Hi. Are you available to chat?
I am a board certified neurologist in the U.S.
Yes sure. thanks!
I am sorry to hear about your car accident.
As far as the pins and needles go, which part of the body do you feel this?
I can feel it through my whole skeletal systems. It can be especially bad in legs and arms. BTW It is also worsened by stress.
Well, there are a couple things that would ideally be done to look into this.
Blood testing wise, I would normally check a vitamin B12 and folic acid level, and make sure the basic metabolic panel is normal. Imaging wise, it might be useful to look at the cervical spine with an MRI, just to see if there is any damage to this area that could produce the symptoms in your arms and legs.
Otherwise, there are various medications that can help for numbness and tingling.
Actually, more for the tingling than the numbness.
This includes nerve pain medication such as gabapentin, Lyrica, Cymbalta, or nortriptyline.
I do have Iowacare/like Medicaid but I have to travel 100 miles and unless it is an emergency it can take months to get an appt. It would be also difficult to take off work if there were multiple visits.
So assuming this isn't an easily fixable problem such as low Vitamin B12 levels, medication may be your best bet.
Gabapentin might be a good starting point.
This is something you could ask a doctor about.
That sounds practical and I m sure you agree I can't go on taking Hydro.
Well, if it helps, and is being used in a controlled fashion under a doctor's direction, that could actually be an option too. But gabapentin might be a better bet, as it is not a narcotic.
Best wishes. Please let me know if there are more questions. Bonuses are always appreciated!
Ok thanks. And BTW I am using Hydro in a very controlled way. Interestingly Percocet is not as effective.
That is interesting, but every person responds to medication in different ways. We are all unique!
Yes and just as well in this case.
Thanks and I will go ahead and rate and close the question then
Thanks, XXXXX XXXXX luck!