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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44343
Experience:  Board Certified Physician
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I am based in Nottinghamshire UK I am male 72 years of age

Resolved Question:

I am based in Nottinghamshire UK I am male 72 years of age still working more that full time. Up until 2 weeks ago I was very active. Since then I have had a few problems. Historically my left shoulder has deteriorated over 10 years and I should have had a joint replacement but that has not happened. About 3 years ago both my feet suffered very dry hard skin and developed a strange sensation, bit like getting stung with a nettle and the feeling it leaves you with. Not painful but uncomfortable. I have not been sleeping at all well. The sensation has moved into two fingers on my left hand. Last week I developed a pain in my right wrist for no apparent reason and my hand has slightly swollen. This has on and off pain. My wife read about the Williams tennis player and thought my symptoms were similar. Any ideas opinions would be gratefully received. Trevor
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.

Dr. David :

This is Dr. David

Dr. David :

it sounds like you had an episode of neuropathy of your feet.

Dr. David :

this can be caused by pinched nerves in your spine or poor circulation into your legs.

Dr. David :

venous williams was found to have an autoimmune disorder.

Dr. David :

you could also have a pinched nerve in your spine causing your right wrist swelling

Dr. David :

or that could be due to carpel tunnel syndrome as well.

Customer:

What about hands and wrist, I have researched Venus and I know about Neuropathy, do you think the pills work?

Dr. David :

amitriptyline is an old Tricyclic antidepressant which can help with neuropathy in some patients and can cause drowsiness and help with sleep in some patients as well.

Dr. David :

that is why you take it before bed time.

Dr. David :

it is not really used to treat depression.

Customer:

What is carpel tunnel syndrome

Dr. David :

that is when with repeated wrist strain from typing or computer work, you get swelling of the wrist and this presses on nerves which go into the hand and can cause tingling in the fingers and numbness and weakness of the fingers.

Dr. David :

does this information help?

Dr. David :

do you have other questions?

Customer:

assuming i have CTS what wouldd you recomend @

Dr. David :

to ice the wrist and elevate it

Dr. David :

get your arms into a more supportive position for typing on the computer

Customer:

Do I rule out autoimmune diseases?

Dr. David :

and elevate the arms and hands as well to help decrease swelling.

Dr. David :

yes, you can see your doctor and get blood testing to check your ESR and ANA levels to see if they are elevated

Dr. David :

these can help see if you have an autoimmune disorder.

Dr. David :

these can be rare.

Dr. David :

if these are negative, you might need an MRI scan of your spine to check for pinched nerves.

Dr. David :

good luck to you

Dr. David :

let me know if you have other questions.

Dr. David :

if done for now, please leave positive feedback below the chat box

Dr. David :

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Dr. David :

http://www.justanswer.com/medical/expert-dr-david/?rpt=3800

Dr. David :

is my website if you need to reach me again.

Dr. David :

thanks for using JustAnswer.com

Dr. David :

hello?

Customer:

Thanks and would all this affect my sleep patterns and how do I overcome that issue?

Dr. David :

sleep is complicated.

Dr. David :

many issues can affect sleep.

Dr. David :

lack of exercise.

Dr. David :

excessive caffeine.

Dr. David :

as we all get older, sleep is often worse.

Dr. David :

no computers or TV in the bed room.

Dr. David :

you have to set a set sleep time every night.

Dr. David :

alcohol can affect sleep as well.

Dr. David :

increasing your exercise during the day can help improve sleep.

Customer:

I get exercise, don't drink too much coffee, computers may be an issue and I rarely go OTT on drink. My main issue is being uncomfortable with my sleep.

Customer:

I should have said feet not sleep

Dr. David :

you could have restless leg syndrome at night which can cause sleep problems.

Dr. David :

amitriptyline could help

Customer:

Yes how do you deal with that?

Dr. David :

also there are other medications like sinemet and requip which can help with restless and painful feet and legs at night time.

Dr. David :

talk to your doctor about these options which can help

Dr. David :

I would try the amitriptyline.

Customer:

but the side affects do my head in?

Dr. David :

no, the side effects will not do your head in.

Dr. David :

do you have other questions?

Dr. David :

don't forget to leave positive feedback when done.

Dr. David :

thanks for using JustAnswer.com

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44343
Experience: Board Certified Physician
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