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. Hoellering Your Own Question

Dr. Hoellering
Dr. Hoellering, Board Certified MD
Category: Medical
Satisfied Customers: 23278
Experience:  Private Practice for 20 years.Specialized in emergency care, psychosomatic diseases,sexual medicine, acupuncture.
61885400
Type Your Medical Question Here...
Dr. Hoellering is online now

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: 8 months ago.
Category: Medical
Expert:  Dr. Hoellering replied 8 months ago.

Good morning,

Did you see a neurologist yet?

Customer: replied 8 months ago.
No, an appointment has been requested
Expert:  Dr. Hoellering replied 8 months 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. Hoellering replied 8 months 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 8 months ago.
These have been ruled out by blood test
Expert:  Dr. Hoellering replied 8 months ago.

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

Customer: replied 8 months ago.
Sorry there isn’t an answer, we need a solution.
Expert:  Dr. Hoellering replied 8 months 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. Hoellering replied 8 months 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. Hoellering, Board Certified MD
Category: Medical
Satisfied Customers: 23278
Experience: Private Practice for 20 years.Specialized in emergency care, psychosomatic diseases,sexual medicine, acupuncture.
Dr. Hoellering and 6 other Medical Specialists are ready to help you
Customer: replied 8 months ago.
Thank you
Expert:  Dr. Hoellering replied 8 months ago.

You are very welcome!

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