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Ask Dr. Gehring Your Own Question
Dr. Gehring
Dr. Gehring, Board Certified MD
Category: Medical
Satisfied Customers: 24831
Experience:  Private Practice for 20 years.Specialized in emergency care, psychosomatic diseases,sexual medicine, acupuncture.
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Problems with walking (feet wide apart) started 5 or so

Customer Question

problems with walking (feet wide apart) started 5 or so years ago.
Gradually it became slower and slower until now walking is virtually impossible, muscle deterioration is marked and general weakness.
Other symptoms include weak arms, problems with feeling faint, feeling sick occasionally, trouble concentrating.
Folic acid deficiency has been diagnosed and 5mg per day taken, and folate anaemia.
This seems to have been getting slowly worse over 5 years but seems to be accelerating now. The GP is trying to find a cause - any ideas??
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Gehring replied 1 year ago.

Good morning,

Did you see a neurologist yet?

Customer: replied 1 year ago.
No, an appointment has been requested
Expert:  Dr. Gehring replied 1 year ago.

This is absolutely necessary. I don't see a psychological reason for your issue. There are neurological conditions that impede the muscle's innervation and control. You will need a brain scan and maybe a lumbal tap to look for inflammatory reasons.

Expert:  Dr. Gehring replied 1 year ago.

Parkinson's disease, muscle dystrophy, Lyme disease or Motor neurone disease are some of the possible explanations.

I assume that your heart has been checked and your blood works excluded hypothyreosis and kidney failure.

Customer: replied 1 year ago.
These have been ruled out by blood test
Expert:  Dr. Gehring replied 1 year ago.

Ok, so the neurological conditions I mentioned above will have to be checked.

Customer: replied 1 year ago.
Sorry there isn’t an answer, we need a solution.
Expert:  Dr. Gehring replied 1 year ago.

You can only find the perfect solultion AFTER the diagnosis. If you have Parkinson's Disease or an inflammation, you will get specific medication. If it's Motor neurone' disease or another condition you can't treat causally, you will need intensive physical therapy. You shuld have that and ergotherapy at this time, anyhow. If you haven't, please ask for it.

The bad thing is that you needed to suffer for 5 years without being checked neurologically! If this had happended earlier, the deterioration of your health could already have been stopped or slowed down.

Expert:  Dr. Gehring replied 1 year ago.

So:

Get physiotherapy and ergotherapy to gain strength.

Have your Vitamin D checked and get a supplemet, if low.

Treat depression if present as an underlying condition.

Eat healthy food and take vitamin supplements.

Get a neurological examination to find out what causes the muscular weakness and treat it, if possible.

I will be offline for a little while now. If something ist not quite clear, feel free to ask, I will come back and answer until you are satisfied with my help!

If everything is clear now I thank you for a positive rating for my help and wish you the very best.

Dr. Gehring and other Medical Specialists are ready to help you
Customer: replied 1 year ago.
Thank you
Expert:  Dr. Gehring replied 1 year ago.

You are very welcome!