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Hi, I am Neuro Doctor, an American Board Certified Neurologist with vast clinical experience.
Approximately for how long you have this symptom?
I have posted a question above, please reply to me when you can access this chat and when you are ready. Please take your time.
About 6 months. It usually happens at night when I am going to sleep.
Okay I see
Did you sustain any trauma or injuries to the leg?
No, I have not. However, I do have cold legs in the evening and wonder if that has something to do with it.
Do you experience any numb feeling or pins & needles feeling in the feet or legs?
No I don't but I do have some form of neuropathy in my second and third toe on my left foot but not any pins and needles, mostly a feeling like those two toes are stuffed with cotton.
Have you seen any Dr, especially a neurologist for these symptoms in the leg & feet? And have you undergone any investigations?
No, it seems like I always have other more important things to mention and forget to mention the Charlie horse.
Is the charlie horse in both legs, or on only one side?
It has only been on the left leg.
Have you had any blood tests to check the thyroid or the electrolytes?
I have had blood tests and I am sure my thyroid was included in those tests but electrolytes were never mentioned.
And coming to the treatments, have you tried anything else other than the peppermint oil?
No the oil is all I could think of trying that would work right away.
Okay I will now discuss the possibilities and the treatment plan
First of all I reassure you this does not sound like related to anything serious
You need a thorough clinical examination and certain investigations
There are possibilities like circulation problems, nerve injuries in the leg, electrolyte disturbances etc
All these can cause charlie horse
The cold feeling in the legs may be related too
The cold feeling could be from circulation problems
circulation problem can cause charlie horse too
So as you see there are many possibilities
nerve injuries, circulation issues, electrolyte imbalance etc
You need a nerve test called as EMG/;Nerve conduction test
And blood to check electrolytes
Also a circulation test
These tests will give us the precise diagnosis
Once a final precise diagnosis is reached it will be treated appropriately
In the meantime;
For the severe charlie horse I will recommend few things
For example muscle relaxants like Baclofen can help very much
A nerve-pain pill like Gabapentin or Amitriptyline can help too
Lidoderm anesthetic pain relieving skin patches are another option
TENS is another option
TENS is an electrotherapy
TENS is Transcutaneous electrical nerve stimulation
It also helps for severe charlie horse
Tramadol or Lortab are some other options
You may please discuss these above recommendations with your clinic Dr, preferably with a neurologist
They will examine you and arrange for the above mentioned investigations too
Thank you very much. Very interesting.
You are very welcome!
I hope you find these above information helpful.
Please let me know if you have any further questions.
Do you have any further questions?
Not right now.
Okay. I wish you a quick and complete recovery, All the best!
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