What can I do for weakness of the legs and numbness of the toes?

Hello,

Welcome to icliniq.com. As mentioned in your history you have (attachment removed to protect patient identity), 1. Atrial Fibrillation. 2. TIA (transient ischemic attack). 3. Hyperlipidemia. 4. Migraine. 5. Fibromyalgia. Atrial fibrillation is possibly not found last time, and so it might be you have paroxysmal atrial fibrillation. Most of your test including magnetic resonance imaging (MRI) brain, computed tomography (CT) angiography of neck vessels, 2D echocardiography, and MRI spine did not show any specific abnormality. Also documented are anxiety and depression. I would like to know some detailed information about your symptoms and medications, 1. What exactly happened to you now? Since when weakness in right leg started and did it happen suddenly or slowly? 2. In toe numbness, do you feel tingling, pins, and needle sensations? Or you have less feeling of touch at toes? Had it also start along with weakness, or there was a time lag between weakness and numbness? 3. Do this numbness and weakness persistent or is it intermittent in the whole day? 4. Have you noticed any particular factor, which increases weakness and numbness (like walking or laying in the bed or forward bending or stressful situation or sleeplessness etc.)? 5. How is your usual mood in day-to-day activities? 6. How are your sleep and appetite? 7. Have you been gone through nerve conduction studies? If yes, please send that report. Revert me with above mentioned information for better understanding and further judgement.

Hello,

Welcome back to icliniq.com. As per your description, I suggest you go through nerve conduction studies of all four limbs. Also, I suggest you meet a psychiatrist because depression and anxiety are associated with such symptoms of numbness over different body parts along with insomnia, fibromyalgia and IBS (irritable bowel syndrome). Also, I suggest you do some daily exercise (simple jogging) for 30 to 40 minutes, preferably in the morning time, which is helpful in fibromyalgia, anxiety, depression, and sleep regulation. Investigations to be done are nerve conduction studies and serum vitamin B12 level.