Q. What could be the reason for pain and twitching in the leg?
Hi doctor,
I have developed a dull pain in my right leg which comes and goes. There is also a tingling sensation in the whole body sometimes. If I hold something for five minutes my hands start shaking. My MRI shows thecal sac compression at C3 to C7 and L4 to L5. Sometimes I feel a dull pain in my arms, and in the back of my head along with twitching.
Hi,
Welcome to icliniq.com.
I understand your concern.
The MRI (magnetic resonance imaging) findings from the attached reports (attachments removed to protect the patient's identity) show mild degenerative changes only, which may not explain your all symptoms - tingling in the whole body, shaking of hands, dull pain in head and twitchings. With all these symptoms combined, it does not seem explainable by one body part region abnormality. Moreover, your symptoms are intermittent. One possibility can be an underlying mood disorder or anxiety which might be leading to multiple somatoform symptoms or some systemic disorder. I would suggest visiting physically for better understanding and further judgment. I would like to know some details -
- How is your sleep in routine?
- Do you get sleepy soon after laying in bed? or it takes long time?
- Once got sleepy, do you have frequent awakenings during sleep?
- Do you feel fresh on awakening from sleep in morning?
- How is your usual mood in day today activities?
- Happy toward sad side (thinking about past events) towards worried side (thinking about future things, irritable, or something else?
Investigations to be done:
CBC (complete blood count), LFT (liver function test), KFT (kidney function test), T3 T4 TSH (thyroid stimulating hormone), Serum Vitamin B12, and Serum vitamin D3, ECG (electrocardiogram), nerve conduction study of all four limbs
Preventive measures:Revert with above mentioned information for better understanding and further judgement.
Hello doctor,
Thank you for the reply.
When I started having these symptoms I was very low but I am normal now. The doctor did all these tests except the nerve conduction study of limbs. Tingling happens in the legs and fingers only that frequency is low. Twitching also happens in the legs and hands only very few times. My neck remains stiff and there is a dull pain in my head but sometimes in the back. I sleep late at night sometimes I just fall asleep and it takes a very long to prepare for exams so there is always uncertainty about my future. I feel tired very easily, during days I have more energy at night I sleep less than six hours. I had an MRI of my brain also which was normal. Mostly I have tension in my body. When symptoms started showing up I searched my symptoms and it matched multiple scoliosis that made really depressed. Till now I sometimes think that if I had MS what will I do? My doctor says there is a little problem with my nerves and I need to take one tablet for around three months and do little stretching exercises. The pain comes and goes so it is affecting my day-to-day life just weakness when lift something gets me thinking. Sometimes when I am sleepy I feel an electrical shock-type feeling in my legs but it happens very rarely and sometimes I wake up feeling tired.
Hi,
Welcome back to icliniq.com.
I understand your concern.
You can get a nerve conduction study too to search for or rule out nerve-related issues. One possibility can be that your symptoms be related to mood disorder (depression and anxiety) and associated somatoform symptoms.
Take care.
Thank you.
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