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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35717
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I also have moving toes. Started with just big toe years

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I also have moving toes. Started with just big toe years ago. Now all of them on both feet. Worse when I extend my foot. I have epilepsy and bulging discs in neck and back. My emg came back normal. It's hard to drive because they move worse when pressing on gas pedal
I am Dr. Arun and will be helping you today.

Could you please further describe the moving toes?
Do they go in spasm?
Customer: replied 4 years ago.

Hello Dr.

All of my toes move back and forth. More so when I extend my feet. They will fan out.

Thanks Nancy, for the further information.

If the Neurophysiologic testing, principally nerve conduction studies and electromyography are unable to diagnose pain, you need to consult a neurologist for the following investigations;

a) Autonomic function testing; The value of autonomic testing with a localized neuropathic disorder, like small-fiber neuropathy has immense value. The most useful test would be the quantitative sudomotor axon reflex test (QSART), in your case.

b) skin biopsy; also provides good diagnosis for the small fiber neuropathy.

The treatment entails;

1) Medications like Tegretol, Pregabalin, Gabapentin

2) Acupuncture

3) Alpha-lipoic acid; it has antioxidant properties

4) Trans cutaneous electrical stimulation

Please feel free for your follow up questions.

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

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