How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44432
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

I have painful and weak

Resolved Question:

I have painful and weak calf muscles with some lack of feeling in feet and finger-tips. My treatment so far for the last fortnight has been Gabapentin 100mg. No effect as yet and no side effects either. The diagnosis suggests Peripheral Neuropathy but is uncertain. Would a nerve conduction study be valuable? Off my own bat I had an hour's treatment form an acupuncturist. This consisted mainly of massage and left my in considerable pain and even more weakness which, to some extent, wore off to the original pitch by the following day. I have good peripheral pulses so there does not seem to be any problem with with circulation. I am seeing my doctor tomorrow and would like your views before that. Thank you. Ian XXX (aged 90)

Submitted: 2 years ago.
Category: Medical
Expert:  DrRussMD replied 2 years ago.

Dr. Thomas, MD :

hello

Dr. Thomas, MD :

are you there?

Expert:  DrRussMD replied 2 years ago.
Hello
I have not heard from you at all.
Yes
An EMG/nerve conduction study is often definitive or very useful in cases where the cause of the neuropathy is not known.

In fact, it is a standard and necessary part of the work up.

Use reply to let me know if you have further questions [click reply to expert].
Please do not forget a positive rating [hopefully you will click an excellent; or come back to ask me more as needed].
Expert:  Dr. David replied 2 years ago.

This is Dr. David

yes, you do need a nerve conduction study, but you need more than this

you should get your blood magnesium levels checked. low blood magnesium levels and B12 levels can affect how nerves function and can cause weakness.

you should also ask your doctor for an MRI scan of your total spine. cervical stenosis and narrowing of the neuroforamen at certain levels of your spinal cord can cause pain and numbness in your legs and arms and fingers and this is a serious condition which needs to be caught early. the longer there is spinal stenosis and compression on the nerves, the less likely you can reverse it with treatment.

you should be tested for diabetes. diabetes can sometimes cause neuropathy

if all of your testing above is negative, then neurotin is used to treat neuropathy. 100mg dose is a low starting dose of neurontin. usually for neuropathic pain and neuropathy, the starting dose is 300mg once a day and the dose is slowly increased up to 300mg three times a day, up to a maximum dose of 3600mg a day. so just 100mg of neurontin at night is really not enough for neuropathy pain and weakness

let me know if you have questions.

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44432
Experience: Board Certified Physician
Dr. David and 4 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions