How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask drphophalia Your Own Question
drphophalia
drphophalia, Other
Category: Neurology
Satisfied Customers: 32119
Experience:  Regularly deal with musculoskeletal neurology, spinal issues, bowel and bladder dysfunctions etc.
5625079
Type Your Neurology Question Here...
drphophalia is online now
A new question is answered every 9 seconds

What type of Dr do I see to find our what is wrong with me?

Customer Question

What type of Dr do I see to find our what is wrong with me?
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: I have severe restless legs. That is being treated with requirements and gabapentin. My problem is: my feet are on fire; I probably have no arch. My toes are very painful; it is difficult for me to stand-up. I can walk with only great difficulty; I'm concerned bayou my knees, I've been to Dermalogists, foot Drs, etc. My grey hut; my kerned duty; my nsvk hutyd. Who dhoulf I see
JA: What seems to make the symptoms worse or better? Have you noticed any swelling?
Customer: yes. my feet are usually swollen and ankles
JA: Anything else in your medical history you think the doctor should know?
Customer: no
Submitted: 2 months ago.
Category: Neurology
Expert:  drphophalia replied 2 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  drphophalia replied 2 months ago.

A neurologist is the best doctor for Restless leg syndrome.

Restless Leg Syndrome (RLS) can develop as a result of certain conditions, particularly iron deficiency and peripheral neuropathy. Other causes of RLS are folate or magnesium deficiency, amyloidosis, diabetes mellitus, lumbosacral radiculopathy, or vitamin B-12 deficiency. Following investigations are advised;

1) A complete iron panel including iron levels, ferritin, transferrin saturation, and total iron binding capacity.
2) BUN,
3) creatinine,
4) magnesium,
5) thyroid-stimulating hormone (TSH),
6) vitamin B-12, and folate.

These investigation results will help to treat the primary problem so symptoms are benefited.

Following measures usually are helpful;

1) Avoidance of caffeine, alcohol, or nicotine (if one takes them).
2) Exercise before the bed time
3) Medications
a) Pramipexole (Mirapex)
b) Ropinirole hydrochloride (Requip).

Following treatment approaches would be recommended, if Requip does not help:

1) Gabapentin which you are already taking.

2) Adding a second medicine with gabapentin; a benzodiazepines, or an opioid

3) Change to a high potency opioid or tramadol

In addition to above non pharmacologic therapy comprises of the following components:

1) Iron replacement therapy

2) Mental alerting activities such as video games or crossword puzzles, may reduce symptoms at times of boredom.

You may also consider to see an orthopedic specialist, who may look for foot arch abnormality and resultant secondary effects on the ankle, knee, hip and back.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  drphophalia replied 2 months ago.

Your doctor may consider following investigations also for your symptoms:

1) Needle electromyography (EMG)

2) Nerve conduction studies; if polyneuropathy or radiculopathy is suspected.

3) Polysomnography (PSG).

Physical therapy may benefit you.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

Please consider a positive rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

Thank you.

Wishing you all the very best in life.

Expert:  drphophalia replied 2 months ago.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited and paid for my work.

Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future.

This additional service offer can be used for

- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.

Expert:  drphophalia replied 2 months ago.

Best wishes,
It was my pleasure to help you.
If I have answered all your questions, Please rate my response Excellent (click on the 5th star).
Please bookmark my profile for fast, reliable authentic answers!
This is the link to my profile:

http://www.justanswer.com/medical/expert-drarunphophalia/