Patient's Query
Hello doctor,
I am a 46-year-old female. I have burning discomfort in my legs, buttocks, arms, hands, and lower back for six days. There is no weakness, no tingling, no numbness, no confusion, and no stroke symptoms. My friend told me that I might have multiple sclerosis. What could it be?
Hello,
Welcome to icliniq.com. I would like to know some more details about your symptoms, 1. Did you have burning sensations over the whole body below the neck at one time? Or had uneven patchy distribution? Or the location of burning sensation was varying with time like, sometimes at legs, sometimes at arm and sometimes back? 2. Do you have any neck pain or lower back pain? 3. Did this burning sensation start suddenly? Or it gradually progressed and is it persistent? 4. Is there any particular position of body or activity in which this burning increases, during walking, neck flexion, and forward bending? Or any specific situation like stress or anxious state? 5. Have you any urinary symptoms like urgency, frequent urination or urine incontinence? 6. Do you have a history of a burning sensation or other neurological problem? 7. If burning is episodic, how long does it last? And is it also associated with palpitations and breathlessness? 8. How is your sleep? And how is your mood these days? 9. Have any other medical problem too, like diabetes mellitus or a heart problem?
Patient's Query
Thank you doctor,
1. Burning varies, sometimes in the middle of the leg, sometimes arm, sometimes buttock, varies, usually occurs in the legs and buttock. 2. No neck pain, lower back sore from yesterday. 3. It started suddenly about a week ago, after the gym but kept going. 4. Not improved, persistent in right leg and butt mainly, but sometimes in arms too. 5. No, nothing especially makes it worse. No urinary symptoms and incontinence. 6. No palpitations, heart problems, and breathlessness. 7. Sleep and mood are fine. 8. No diabetes, kidney and heart issues. I have mild asthma and anxiety.
Hello,
Welcome back to icliniq.com. Thanks for the detailed information. By your information, the burning seems persistent in the right leg and butt, and it varies in other places, which started after the gym. There may be a possibility of some radiculopathy (nerve compression or nerve irritation in the lower spine) which radiated in the butt and leg. Anxiety state can also lead to some burning sensations in body parts which can vary the location. I would suggest you undergo some evaluation to find the reason and rule out some conditions. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. Tablet Duloxetine 20 mg once daily in the morning. The investigations to be done are magnetic resonance imaging (MRI) Lumbosacral region and Cervical region with screening of dorsal spine, Nerve conduction studies of all four limbs, serum vitamin B12, triiodothyronine (T3), Thyroxine (T4), TSH (thyroid stimulating hormone). The differential diagnosis is radiculopathy with anxiety. Preventive measure include avoiding forward bending postures, heavy weight lifting, specially in gym.
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