How long have you had this? Is it constant or does it come and go?
comes and goes mainly night time and i i am shaky (not too) today is really
have you had this before?
not really it is mainly the left side but just in the calv part
along with off balance
are you on any meds for any reason?
yes welbutin and ativan 1mg at night i have been on them long time no side effects ever
no recent dose changes?
does the tingling extend below the calf? any problems with the feet?
a little too the foot mainly in the calf
feels like it is asleep not painful to walk on
the calves are a common location for tingling and cramping...any recent strenuous acitivity? running? prolonged walking or stairclimbing or bicycling?
its is constant today
is the calf swollen, red or tender to pressure?
a little tender in the calf not painful just sore
any tingling or soreness elsewhere in your body?
left side of head is headach ish not sore just annoying
in most cases, tingling in a big muscle like the calf (pound-for-pound one of the strongest in the body) is due to muscle strain...even from some activity that is not out of the ordinary...and often coming on the next day.
the only concern would be if you were developing a blood clot in the upper calf, behind the knee.
no its not strain even when i lay down is the same
how would i know if its a clot
if there is inflammation in some injured fibers it can hurt even at rest, though it does tend to hurt more of course when used.
as for a clot, there are several things we look for.
one is swelling in the foot or ankle
the other is redness
we feel the central portion of the calf just below the knee for a "cord"
there is no swelling anywhere
this is a rope-like structure that would not be on the other side, and usually hurts to press on it.
so why would it come in one leg then the other off and on
it is typically a fixed feature, thought the symptoms can come and go depending on activity, position etc
and it would not jump from side to side
just something to be aware of as you would not want to miss it...
i understand but what do i do and how do i know it is not just a muscle
the other thing we look for in a clot is increased pain with forced dorsiflexion of the foot while the leg is straight (i.e. Homan's sign).
in other words, straighten your leg and point your toes up toward your head...does the pain increase a lot? is so, this is a + sign, if not it's considered negative
yes i kinda does but also releives the pain
risk factors would be smoking and being overweight... are these issues for you?
i smoke . not over weight..but why the other leg
you mean, why both sides?
is it a pinched
clots usually form on one side, but if the conditions that led to it persist, it can occur on both sides
anyway, clots are less common...sprains and strains are far more common.
both legs at diffrent times?
i am not understanding it
clots do not come and go like that...but the discomfort may come and go depending on what you are doing
mainly when i sit
is there something to take for releif
it is not painful just sore
i think your best bet is to stay off the legs as much as possible for a few days and take an anti-inflammatory like ibuprofen
elevate the legs when you can, as fluid crowds the nerves
tylenol or advil it hurts not as much when i lay down
tried to elevate not much change
you have to be consistent...think rule of 3's...3 advil 3 times per day for 3 days
elevate, elevate, elevate
watch for signs mentioned above and go in for an evaluation if they arise or worsen
if they start to improve, you are on your way, though it may take weeks of even months to heal completely
so why am i so shakey as well?
is it a fine rapid trembling of the hands or a slower coarser shaking of the arms?
just a little shake not all the time thought it mightbe low potasium
that could cause tingling as well...if you can get your electrolytes checked, that might be helpful
low potassium is unusual when the kidneys are healthy, unless you're on a diuretic
so your overalll view is what ? i am not sure if i am satisfied
i cannot diagnose you without examining you...i can provide information and guidance only...you have to consider the possibilities we discussed and decide if you want to treat it yourself or go in and be evaluated in person.
common things happen commonly...sprains, strains, pulled muscles, etc
yes i understand that thank you
uncommon things happen uncommonly...blood clots, tumors , fascial infections, etc
so the odds are in your favor that this will improve with conservative care :-)
is advil better then a tylenol
much better...tylenol does nothing for inflammation.
inflammation is what causes the tingling and discomfort
so over all you are thinking inflamation
yes, tingling and achiness are signals from your body that some tissue is inflammed...it's part of your defense mechanisms...to try to get you to rest so you do not further strain the tissue.
when the symptoms progress and worsen steadily, this is usually a signal that something more serious is going on that needs special attention.
like an ultrasound or CT or MRI, for example.
so take advil for 3 days and keep legs elevated
that should help, or at least let you know if you are going in the right direction :-)
these situations are tough...the symptoms are non-specific and variable...diagnosis is often elusive
i shouldnt be too alarmed then then see how it goes
and yet, they almost always go away
for the next day
yes, if you rest, elevate and take advil it should improve a little bit every day...if not, please see your GP for a complete work up.
if you have no more questions at this time, a positive rating would be appreciated.
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thanks for your adivce
it is automatically saved on the website...some copy and paste it to a word document so they can refer to it later, or bring in with them to their doctor's visit.
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