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drphophalia
drphophalia, Other
Category: Neurology
Satisfied Customers: 40153
Experience:  Regularly deal with musculoskeletal neurology, spinal issues, bowel and bladder dysfunctions etc.
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Pins and needles sensation in both my legs!

Customer Question

please help. pins and needles sensation in both my legs!
Submitted: 11 months ago.
Category: Neurology
Expert:  drphophalia replied 11 months ago.

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Answers here are for education and information.
I will respond shortly with an answer, or further information request.

Expert:  drphophalia replied 11 months ago.

Since when is this pins and needles sensation in legs?

What are the investigations done?

Are you on any medications / herbs / supplements?

Customer: replied 11 months ago.
it started yesterday. no investigations done. no medications only klonopin as needed
Expert:  drphophalia replied 11 months ago.

Are you taking Klonopin for anxiety?

Customer: replied 11 months ago.
Expert:  drphophalia replied 11 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.

Expert:  drphophalia replied 11 months ago.

Let me at the outset tell you that these pins and needles can be due to anxiety.

The other possibility of the diagnosis is pinched nerves in back. This can be due to;

Spinal canal stenosis

Lumbar spondylosis.

If this sensation persist for long, a diagnosis for neuropathy may need to be looked for which can occur due to;

1) Vitamin B 12 deficiency

2) Autoimmune diseases

3) thyroid disease.

Anxiety can be treated by the following measures by yourself;

1) Cognitive-behavioral therapy (CBT) and operant-behavioral therapy (OBT); done by a psychologist.

2) Relaxation training and biofeedback.

3) Hypnosis

4) Acupuncture and acupressure

5) Yoga

6) Meditation

7) Group sporting activities

8) St. John's wort

9) Melatonin
10) Valerian root.

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Customer: replied 11 months ago.
its making me hard to sleep. and there is pain. how long will this last? i don't think this is due to anxiety
Expert:  drphophalia replied 11 months ago.

This may be due to pinched nerves in back. You may need physical therapy for it if this does not resolve on its own.

Restless legs syndrome (RLS) is the other possibility of the diagnos which is a common cause of sleep disruption. The sensations associated with RLS are given many different names such as creepy, crawly, electric, or painful. RLS can develop as a result of certain conditions or factors, particularly iron deficiency and peripheral neuropathy. Other causes are folate or magnesium deficiency, amyloidosis, diabetes mellitus, lumbosacral radiculopathy, or vitamin B-12 deficiency. The other causes to consider would be;

1) Neuropathy
2) Nocturnal leg cramps
3) Peripheral Vascular Disease
4) Radiculopathy

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.

Following measures would be helpful;

1) Avoidance of caffeine, alcohol, or nicotine (if take them).

2) Exercise before the bed time.

It is privilege assisting you.

Customer: replied 11 months ago.
i am so scared. could it be a pulled muscle at all?
Expert:  drphophalia replied 11 months ago.

There is nothing serious. So please do not worry.

Just pulled muscle, unaccustomed activity, prolonged standing all these may cause these symptoms.

It is privilege assisting you.

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

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Wishing you all the very best in life.

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Customer: replied 11 months ago.
how long should it go on for where i should seek help
Expert:  drphophalia replied 11 months ago.

If this lasts for more than 3-4 days; you may seek appointment with your GP.

Customer: replied 11 months ago.
is there any medications i can take
Expert:  drphophalia replied 11 months ago.

You may take any of the following:

1) Evening primrose oil

2) Acetyl-l-carnitine

3) Alpha-lipoic acid

4) Benfotiamine (Milgamma), 100 mg, is a lipid-soluble vitamin B1 analogue

5) Vitamin E

Customer: replied 11 months ago.
anything for the pain? advil?
Expert:  drphophalia replied 11 months ago.

Yes you may take Advil or Motrin.

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Customer: replied 11 months ago.
wait, should i seek emergency help
Expert:  drphophalia replied 11 months ago.

No it is not needed.

Customer: replied 11 months ago.
I'm really scared doctor. it started yesterday morning
Customer: replied 11 months ago.
i took my klonopin and it didn't help
Expert:  drphophalia replied 11 months ago.

If you keep on thinking about it; you would be in vicious cycle.

You have to relax yourself.

Customer: replied 11 months ago.
this is not my anxiety though. what if something is really wrong? pins and needles and pains in my legs are the only symptom i have
Expert:  drphophalia replied 11 months ago.

These symptoms do not denote anything life threatening.

You may consult a doctor in person for the confirmation.

Customer: replied 11 months ago.
i was also diagnosed with the flu two weeks ago
Expert:  drphophalia replied 11 months ago.

Okay.

That may not be related though.

Customer: replied 11 months ago.
yeah i didn't think it was. I'm thinking all of these crazy things like what if its nerve damage and amputation is needed!
Expert:  drphophalia replied 11 months ago.

That are unnecessary thoughts and augmenting your anxiety.

Customer: replied 11 months ago.
i mean how do i know the difference between pins and needles and muscle
Expert:  drphophalia replied 11 months ago.

How would it matter?

Pins and needles are skin sensation.

Customer: replied 11 months ago.
because when i touch it, its not numb. its more in my legs kinda makes me feel weak to walk
Expert:  drphophalia replied 11 months ago.

This symptoms is classical anxiety symptom.

As we discussed, you may get it confirmed by a in person exam.

A positive rating would be appreciated for my time with you.

Customer: replied 11 months ago.
maybe i do have an autoimmune disease. maybe thats why my body hasn't fought off the flu
Expert:  drphophalia replied 11 months ago.
Autoimmune disorders are easily treatable and manageable.
Expert:  drphophalia replied 11 months ago.

A positive rating would be appreciated.