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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Neurology
Satisfied Customers: 55794
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I have pain in my knees and ankles, my legs often go numb

Customer Question

I have pain in my knees and ankles, my legs often go numb and the doctors think it’s neurological
JA: What seems to make the symptoms worse or better? Any redness or swelling in the leg?
Customer: Driving makes my knees hurt a lot. No redness or swelling. But it feels swollen, without the swelling.. if that makes any sense
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: Other thank that nothing really affects it, possibly that I have bad mental health and I’m under psychiatry
Submitted: 7 days ago.
Category: Neurology
Customer: replied 7 days ago.
This affects other joints but not as bad, and I’ve also been treated for carpal tunnel
Expert:  Dr. Arun Phophalia replied 7 days ago.

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer or further information request.

Expert:  Dr. Arun Phophalia replied 7 days ago.

What are your age and gender?

Since when are your symptoms?

What are the investigations/treatments done?

Customer: replied 7 days ago.
Female 24
In the last few weeks it’s gotten a lot worse however I’ve had the pain for many years and the numbness has just started
They tested bloods for athritis factors and are sending me for an X-ray even though they think it’s neurological
Customer: replied 7 days ago.
No treatments
Expert:  Dr. Arun Phophalia replied 7 days ago.

Thanks for the further information.

I am writing the answer for you and will get back to you in 5-10 minutes.

Unless you wish to speak in person, you can ignore the request for a phone call automatically generated by the website, not by me.

Thank you.

Customer: replied 7 days ago.
Thank youb
Expert:  Dr. Arun Phophalia replied 7 days ago.

Your symptoms are suggestive of;

1) Autoimmune arthritis.

2) Neuropathy

3) Pinched nerves in the back.

You need the following investigations for the evaluation;

1) Electromyography/nerve conduction studies (EMG/NCS)

2) MRI of the spine and brain

3) blood glucose, glucose tolerance test, and glycosylated hemoglobin

4) serum B12 level with methylmalonic acid (with or without homocysteine),

5) serum protein electrophoresis

6) Antinuclear antibody

7) Lyme testing

8) Rheumatoid factor

9) Sjogren's syndrome testing (Anti-Ro, Anti-La Antibodies)

The following measures meanwhile would help you;

a) Physical therapy

b) Deep electrotherapy

c) Acupuncture

d) Local analgesic cream

e) Pool therapy/hydrotherapy.

f) Analgesics

g) Lidocaine cream

h) Rest

i) Capsaicin cream.

j) Hot fomentation

k) Brace

I wish your symptoms resolve soon.

I would be happy to assist you further if you need any more information.

Thanks for using Just Answer.

Customer: replied 7 days ago.
I take it this would cost a lot to have done privately? My gp is as much use as a hole in the head right now. I’ve had testing for rheumatoid factors I think.
Thank you for ur help.
Expert:  Dr. Arun Phophalia replied 7 days ago.

You are very welcome.

In private, it would be expensive.

Ask your GP for a neurologist and rheumatologist referral.

Customer: replied 7 days ago.
Can I pass this information on to my current gp?
Expert:  Dr. Arun Phophalia replied 7 days ago.

Sure.