HomeAnswersNeurologynerve painCan pain in the legs and arms be due to emotional disturbances?

I started having arms and legs pain after my parent's demise. What to do?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Hitesh Kumar

Medically reviewed by

Dr. Chithranjali Ravichandran

Published At April 26, 2021
Reviewed AtMay 8, 2021

Patient's Query

Hi doctor,

I am a 42-year-old male. My father and my mother passed away almost same time for one month, and since then, I feel pain in my arms and legs. I have pain in my nerves. I do not know if it like nervous tension. I started to feel this pain for ten days, sometimes in one leg and sometimes in the arm, and sometimes on the other leg. The problem is I do not like to visit the doctors.

Answered by Dr. Hitesh Kumar

Hello,

Welcome to icliniq.com.

I would like to know some details about your symptoms :

1. What kind of pain you feel in the arms and legs? (e.g., stretching or heaviness or burning or pinprick sensation of ants crawling or something else). Is pain mild or moderate, or severe?

2. Is it persistent or intermittent? If intermittent, how long-duration one episode of such pain lasts?

3. Do you have neck pain or back pain also?

4. How is your sleep? Sleep onset and maintenance?

5. Do you have any palpitations or restlessness or breathing difficulty or impending doom at the time of pain in the arm or leg?

6. How is your common mood these days? Happy or worried or low?

Investigations to be done

Vitamin B12, Vitamin D3, T3 (triiodothyronine), T4 (thyroxine), TSH (thyroid-stimulating hormone). ECG (electrocardiography). NCV (nerve conduction velocity) all four limbs.

Treatment plan

As you had so big loss in family, there may be possibilities that this pain may be mood related. But other things also need to be looked for.

Regarding follow up

Revert with above mentioned information for better understanding and further judgement.

Patient's Query

Hello doctor,

1. What kind of pain you feel in your arms and legs?

When I stand up and try to touch my toes, I have pain. This pain started when I heard the bad news and when I got shocked.

2. Is it persistent or intermittent? If intermittent, how long-duration one episode of such pain lasts?

It is intermittent, and the duration is few hours.

3. Do you have neck pain or back pain also?

No.

4. How is your sleep? Sleep onset and maintenance?

I sleep at 3 AM and wake up at 1 PM approximately.

5. Do you have any palpitations or restlessness, or breathing difficulty? No.

6. How is your common mood these days? Happy or worried or low?

I am sometimes worried.

Daily I take 2000 D3 and B complex for few months.

I am really afraid to visit the doctor for a test such as NCV.

I hope you can recommend something else that would work.

Please help.

Answered by Dr. Hitesh Kumar

Hello,

Welcome back to icliniq.com.

As per your description, pain is triggered by hearing some bad news that may point toward mood-related.

But still, I suggest you get few investigations to rule out some common causes for pain.

Investigations to be done

Vitamin B12, Vitamin D3, T3, T4, TSH. ECG. NCV all four limbs.

Treatment plan

You can try low dose of anxiolytics and antidepressant for few days. 1. Tablet Etizolam 0.25 mg BD. 2. Tablet Amitriptyline 10 mg HS Initially you can try for two weeks duration. Along with try to do daily jogging for 30 minutes in the morning.

Regarding follow up

Revert with above mentioned investigations after 2 weeks

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hitesh Kumar
Dr. Hitesh Kumar

Neurology

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