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Dr Basu
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Hot legs and feet, mainly during the night. Walking difficult

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Hot legs and feet, mainly during the night. Walking difficult as feet feel like they are walking over cobbles. Legs feel heavy on first getting up. Improves slightly as day goes on. Have had previous MRI scan on back. Diagnosed with severe scoliosis. Am taking tablets Gabapentin, one at nighttime but don't seem to be doing much good. Have been referred to a neurologist but apt not yet received. What can be advised in the meantime
Dr. thinks back problems may be the cause. What treatment would a neurologist be likely to give? I live alone and am concerned my mobility will get worse.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.
Hi there,
This is Dr Basu, Experienced Specialist.
I am here to address your concerns and provide great service.
Your symptoms suggest you developed peripheral neuropath both motor and sensory.
You will need a nerve conduction study to see the extent and nature of the nerve damage.
A common cause is vitamin deficiencies --B12, B6 are important ones.
Diabetes, thyroid disorder are other common causes.
Autoimmune disorder ( body's immune system damaging the nerves) is another possibility.
lastly, this can be due to the severe spinal stenosis or herniated disc.
So for treatment, I will suggest you to start taking B12 2000 mcg daily and B6 50 mg daily.
Increase gabapentin dose to 2 times daily at least 1200 mg daily.
Start physical therapy to keep the leg muscles strong and improve your balance and gait.
Specific treatment depends on the underlying cause.
If autoimmune, then steroids will be used.
If herniated disc or stenosis then surgery may be required and so on.
Best wishes,
It was my pleasure to help you today.
I am Dr Basu experienced in Neurological Diseases.
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Category: Medical
Satisfied Customers: 28681
Experience: MD
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