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Chronic muscle pains yn arms and legs. No swelling or

Customer Question
Chronic muscle pains yn...

Chronic muscle pains yn arms and legs

Doctor's Assistant: What seems to make the symptoms worse or better? Any redness or swelling in the leg?

No swelling or redness. arms ache on extension ,legs when at rest and walking I have history of stroke

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Atrial fibrilation Type2 Diabetes

Submitted: 10 months ago.Category: Neurology
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Answered in 5 minutes by:
9/28/2017
Neurologist: drphophalia, Other replied 10 months ago
drphophalia
Category: Neurology
Satisfied Customers: 39,113
Experience: Regularly deal with musculoskeletal neurology, spinal issues, bowel and bladder dysfunctions etc.
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Neurologist: drphophalia, Other replied 10 months ago

What is your age and gender?

What are the investigations done for these symptoms?

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Customer reply replied 10 months ago
78 Female
nothing
Neurologist: drphophalia, Other replied 10 months ago

Thanks for the additional information. I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

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Customer reply replied 10 months ago
sorry cant call I do not have $78
Neurologist: drphophalia, Other replied 10 months ago

Apologies for any intrusion of those automatic offers for phone calls. These are produced by the website automatically and outside of my control.

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Neurologist: drphophalia, Other replied 10 months ago

Your symptoms need to investigated for neuropathy.

Following investigations should be done by your primary care physician or a neurologist;

1) Electromyography/nerve conduction studies (EMG/NCS)

2) MRI of the spine and brain

3) blood glucose, glucose tolerance test and glycosylated hemoglobin

4) serum B12 level with methylmalonic acid (with or without homocysteine),

5) serum protein electrophoresis

6) Anti-nuclear antibody

7) Lyme testing

8) Rheumatoid factor

9) Sjogren's syndrome testing (Anti-Ro, Anti-La Antibodies)

This should give the diagnosis and guidelines for the management.

Following are the causes of neuropathy;

1) Diabetes

2) An underactive thyroid gland

3) Excessive use of alcohol

4) Thiamine deficiency

5) Vitamin B 12 deficiency (pernicious anemia)

6) Vitamin B 6 (pyridoxine) taken in excessive amounts

7) Drugs, medications, herbs

8) Autoimmune diseases

9) Heavy metals such as lead and mercury.

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.

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Neurologist: drphophalia, Other replied 10 months ago

Was this information helpful to you? I would be glad to answer any further questions.

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