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My legs have been aching for two months. From cramps to

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Sharp stinging pains. Up and...
My legs have been aching for two months. From cramps to Sharp stinging pains. Up and down my legs. For about a month my entire body has aches and pains. Neck. Chest. Shoulders. Back. Legs. Head. Even my finger and palm hurts. It almost feels like my veins or muscles. I have told my primary physician, but I have no answers. Where do I go? What do I do?
Submitted: 4 months ago.Category: Neurology
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Answered in 5 minutes by:
12/14/2017
Neurologist: drphophalia, Other replied 4 months ago
drphophalia
Category: Neurology
Satisfied Customers: 37,812
Experience: Regularly deal with musculoskeletal neurology, spinal issues, bowel and bladder dysfunctions etc.
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Neurologist: drphophalia, Other replied 4 months ago

Were you investigated for bodyaches?

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Customer reply replied 4 months ago
I got an ultrasound on my right leg about 1.5 months ago for blood clots. It came back negative. I have gotten the basic lab tests from the ER when I discuss the pain. I was told possible acid reflux. I was also told to take ibuprofen.
Neurologist: drphophalia, Other replied 4 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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Neurologist: drphophalia, Other replied 4 months ago

Your symptoms need to be investigated to rule out fibromyalgia. Following investigations, if not done should be ordered:

1) Thyroid-stimulating hormone

2) 25-Hydroxy vitamin D level: Low levels can cause muscle pain and tenderness

3) Vitamin B-12 level: Very low levels can cause pain.

4) Iron studies including iron, total iron binding capacity, percent saturation, and serum ferritin

5) Magnesium: Low levels can lead to muscle spasms, which are common in fibromyalgia; magnesium supplementation can also improve symptoms in some fibromyalgia.

6) The erythrocyte sedimentation rate (ESR)

7) Antinuclear antibody (ANA)

8) Rheumatoid factor

9) Sleep studies

10) Antipolymer antibody assay; present in approximately 50% of patients with fibromyalgia. This biologic marker may provide conclusive evidence for a subgroup with fibromyalgia.

The treatment of fibromyalgia is comprehensive. The treatment has to be individually tailored;

1) Aerobic exercise; low-impact aerobics, walking, water aerobics, stationary bicycle.

2) Heat, massage, and other treatments like sauna, hot baths and showers, hot mud, and massage.

3) Trigger-point injections,

4) Acupuncture,

5) Chiropractic manipulation,

6) Myofascial release

7) Neural pulse stimulation (CNP) device

8) Cognitive-behavioral therapy (CBT) and operant-behavioral therapy (OBT)

9) Relaxation training and biofeedback

10) Nonsteroidal anti-inflammatory drugs (NSAIDs) and acetaminophen

11) Opioid analgesics (hydrocodone, oxycodone, fentanyl, morphine),

12) Anxiolytics/hypnotics

13) Estrogen receptor modulator raloxifene

14) St. John's wort, ginseng, valerian, botanical oil, melatonin, magnesium, dehydroepiandrosterone

A combination of above is tried for an individual to relieve the symptoms.

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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Customer reply replied 4 months ago
Where do I go to get things investigated? Is there a certain doctor?
Neurologist: drphophalia, Other replied 4 months ago

Your primary care physician or GP can do it.

The specialist for it is MD in physical medicine and rehabilitation or a rheumatologist.

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Neurologist: drphophalia, Other replied 4 months ago

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Customer reply replied 4 months ago
Do you think high levels of ck (284) could cause these symptoms?
Neurologist: drphophalia, Other replied 4 months ago

High level of CK point that muscles are being affected, so yes, your symptoms can be due to it.

A muscle biopsy is necessary to further substantiate it.

It is privilege assisting you.

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Neurologist: drphophalia, Other replied 4 months ago

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