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I am having muscle weakness from childhood. What to do further?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 21 years old. I have muscle weakness in both arms and legs since childhood. I cannot climb stairs without support and I feel tired most of the day. I cannot stand for long and also cannot run or walk. My legs and feet always get numb. I have decreased sensory sensations in both feet. A few months back, I was diagnosed with hypothyroidism and vitiligo. I visited a doctor last month. My electromyography (EMG) and nerve conduction study shows symmetrical sensory motor demyelinating polyneuropathy with clinical diagnosis of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). Creatine phosphokinase (CPK) is 227 (reference range 24-195 U/L). I am on Prednisolone 45 mg, Levothyroxine 100 mcg and multivitamins for the past 17 days. Please guide me about my disease, prognosis and any rehabilitation that might help.

Answered by Dr. J. Mariano Anto Bruno Mascarenhas

Education:

MBBS

Professional Bio:

Dr. J. Mariano Anto Bruno Mascarenhas is a highly experienced Neurosurgeon specializing in the diagnosis and surgical management of complex neurological conditions. His expertise includes brain and spine surgeries, minimally invasive neurosurgical techniques, trauma management, and patient-focused care. He is dedicated to advanced treatment planning, precision surgery, and improving neurological outcomes for his patients.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com. I have read your question with care and understand your concerns. My opinion is as below: You are having both myopathy and neuropathy. You need to get treatment for both. Hypothyroidism and vitiligo are may be signs of abnormal functioning of the pituitary gland. You have to do a complete pituitary hormone profile along with thyroid profile. Please also do a diabetic profile and lipid profile. The further course of action can be decided based on the reports. The investigation to be done are 1. Complete pituitary hormone profile along with thyroid profile. 2. Diabetic profile. 3. Lipid profile.

Medically reviewed by iCliniq medical review team
Published At May 29, 2016
Reviewed At July 28, 2023

Education:

MBBS

Professional Bio:

Dr. J. Mariano Anto Bruno Mascarenhas is a highly experienced Neurosurgeon specializing in the diagnosis and surgical management of complex neurological conditions. His expertise includes brain and spine surgeries, minimally invasive neurosurgical techniques, trauma management, and patient-focused care. He is dedicated to advanced treatment planning, precision surgery, and improving neurological outcomes for his patients.

This doctor is not available for online consultations on the platform anymore.

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Companion

Muscle Weakness and Neuropathy Companion

How it works

Muscle weakness and neuropathy can be complex. This section helps you understand your condition, diagnosis, and treatment plan.

1

Your
Symptoms

2

Diagnosis
Explained

3

Associated
Conditions

4

Current
Treatment

5

Further
Tests

6

Prognosis
Rehab

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MBBS

Professional Bio:

Dr. J. Mariano Anto Bruno Mascarenhas is a highly experienced Neurosurgeon specializing in the diagnosis and surgical management of complex neurological conditions. His expertise includes brain and spine surgeries, minimally invasive neurosurgical techniques, trauma management, and patient-focused care. He is dedicated to advanced treatment planning, precision surgery, and improving neurological outcomes for his patients.

This doctor is not available for online consultations on the platform anymore.

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