Paresthesia is a term used to describe temporary numbness, tingling, and twisting sensations caused by decreased blood flow to a specific area. They commonly happen when one restricts movement in the upper and lower limbs. This transitory phase usually passes with active movement of the affected area, although chronic paresthesia could be a sign of nerve injury.
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What does post-polio syndrome mean?
Query: Hi doctor, The patient is a 50 year old woman with a history of polio in childhood and complains of paresthesia since a year. It started suddenly from the toes on both sides and it progressed to upper back (T4) in 20 days. She was hospitalized with post-polio syndrome and treated with IV Ig. She co... Read Full »
Answer: Hi, Welcome to icliniq.com. I do not quite agree with post-polio syndrome. Post-polio syndrome after these many years is quite rare. From a neurosurgical point of view, when I look at her MRI cervical spine (attachment removed to protect patient identity), there is a significant disc bulge pr... Read Full »
Kindly explain whether my symptoms are related to mercury toxicity.
Query: Hello doctor, I have multiple questions. Recently, I might have been exposed to mercury vapor in a hotel room I was sleeping in for around 6-10 hours the room was small and the type of mercury was unknown. I remember the one type of chemichal was clear liquid watery substance and the other onces was... Read Full »
Answer: Hello, Welcome to icliniq.com. I read carefully your question and would explain that your symptoms are not typical of mercury intoxication. Anyway, I would recommend performing nerve conduction to in order to examine your nerves and a brain MRI (magnetic resonance imaging)in order to examine your... Read Full »
Will I inherit multiple sclerosis from my dad?
Query: Hello doctor, I am a 28 year old female, I would like to know if multiple sclerosis is hereditary? My dad has it, and I am very nervous to inherit this disease. I have had two brain MRI's that have been normal, except for an incidental finding of a pineal gland cyst. I continue to worry about inhe... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. It is clear that you are not having MS (Multiple sclerosis) as of date. None of your symptoms are typical of multiple sclerosis. Back and thigh pain is posture related and tremors are anxiety related. Repeated MRI's being normal further rules ... Read Full »
Having pain in left leg, burning sensation in left foot and numbness in the left foot. What it could be?
Query: Hello doctor, I am a 46-year-old woman with dull pain in my left leg and a heat sensation in my left foot, which is on and off throughout the day. The problem has been there for the past two to three weeks. I do not recall any injury which could have led to this problem. It just started suddenly. Th... Read Full »
Answer: Hello, Welcome to icliniq.com. You mentioned heaviness in your left leg and a burning sensation, which we call paresthesia. Also, you have mentioned that you have back stiffness for many years. So, I presume that some nerve impingement may be causing these symptoms in your case. Can you tell me w... Read Full »
I have short term memory loss with paresthesia on my face. Why?
Query: Hello doctor, I am a 27 year old female, and I have severe short-term memory loss (8/30 MMSE). I have paresthesia bilaterally on my face, which has spread from the upper part to around my mouth. I also have startle myoclonus and muscle stiffness. My walking speed has slowed, and the muscles in my... Read Full »
Answer: Hello, Welcome to icliniq.com. Copper deficiency is a known cause for non-compressive myelopathy, which can explain your muscle stiffness, slowed walking, and clonus in legs. But startle myoclonus is a different thing. It might be a flexor spasm in legs, which someone interpreted as startle m... Read Full »
I am still experiencing numbness and paresthesia following the infraorbital nerve damage in a conservatively managed maxillary fracture. Kindly help.
Query: Hello doctor,The infraorbital nerve was damaged with subsequent numbness in its distribution following a fracture of the maxillary sinus and infraorbital canal that occurred five years back. The fracture was managed conservatively because it was only mildly dislocated. But till now experiencing numb... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand the pain and concern. The dentist or the surgeon's first attempt will always address a fracture conservatively. However, while operating on a fractured segment, the nerve decompression is a sensitive and tactile aspect. In addition, the nerve has ana... Read Full »
What causes random burning pins and needles with pain in various parts of the body??
Query: Hi doctor, I have started getting random burning pins and needles and pain on various spots of my body. It is worse at night to the point it keeps me awake. I feel it in my shoulders, arms, torso, and legs. It is never all at once, and it comes and goes. What could be causing this? Read Full »
Answer: Hi, Welcome to icliniq.com. Your complaints of needle and pain sensation all over the body or different parts of the body do not fit in with paraesthesias. However, I understand that the random pins and needles are so troublesome that you cannot sleep. Also, having it all over the body in differen... Read Full »
What does high CPK (creatine phosphokinase) mean?
Query: Hello doctor, I am 25 years old, and my height is 172 centimeters and weight is 68 kilograms. For over a year, I dealt with unexplained symptoms. My condition is constantly fluctuating and sometimes improving. It all started a year ago with bad back pain. After two weeks, I had leg fasciculations t... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from pain in the buttocks, back of the knees, ankles, and feet, along with paresthesia and some muscle fasciculations. According to your investigation, only raised CPK (creatine phosphok... Read Full »
What causes dizziness and a weird feeling in the cheek?
Query: Hello doctor,I started having these lightheaded waves and went to the doctor about two months ago. They said I was vitamin D deficient and pre-diabetic. Since then, I have been on vitamin D supplements and have lost 20 pounds and eaten very healthy, and exercised daily. Still, I have the waves, alth... Read Full »
Answer: Hello, Welcome to icliniq.com. I passed carefully through your question and would explain that your symptoms are not suggestive of any serious medical condition. As you are prediabetic, the cheek feeling could be just a nerve issue. As you are scheduled for a brain MRI, it will also help exclude... Read Full »
Can disc hernia cause issues with hands and legs?
Query: Hi doctor, I have a herniated disk in the neck area. Later, my right hand started tingling and the numbness grew more pronounced. I also started having burning pain on the back of both thighs. I have had some muscle twitching down my right arm. I am having accuracy issues with typing now. I had ano... Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned herniated disc in your neck region with right upper limb symptoms and also associated bilateral thigh symptoms, which we call as paresthesias. But, my main focus is on the symptom of difficulty in writing, including accuracy issues, which definitely ... Read Full »