Leg weakness, stiff, unresponsive, increases when walking. Suggestions? - Online Doctor Chats
hi i am concerned about leg weakness
I am 21yr old male dont smoke or drink
for the past week my legs have felt stiff and unresponsive
Since when are you having this leg weaknes?
Have you ever had similar problems?
At what times does this worsen?
no particular time
Do you play any games?
i used to not anymore
or do you jog/do regular exercises?
havent exercised for 3-4 weeks
how long has it been since you last played any game?
are there any other problems? like cramping/pain in the legs?
no but i do have twitches
how are your sleeping and eating habits?
i sleep fine for 7hours a day no problems, i try to eat healthily
high in protein low in fat
are you able to sleep well during the nights?
or is your sleep broken?
Yes no problems at all during sleep
i dont wake up at all
but i awake feeling unrefreshed
from your description I do not find anything alarming
what will they be looking for?
They would be looking for any signs of muscle wasting
and things which are present in conditions like muscular dystrophies
meaning, conditions which affect the muscles
ok my gp mentioned MS or spinal problems, i am worrying about ms
is this likely?
I do not think so
ok, any other possibilites?
In that case you would be having worse symptoms like fasciculation (muscle twitching) and difficulty in getting up from a sitting position
when you say muscle twitching, is that just in the legs or everywhere
Do you have any stressful situations in your life?
because i am experiencing twitching in the legs but its minor and doesnt cause my leg to move
I am stressed but only due to my symptoms... i suffer from health anxiety
If the problem is localised, you would see twitches only in the affected regions
Are you there?
the twitching is in my feet
has it been getting worse over time?
not really but i have been finding it difficult to walk for the past two weeks
i cant move my legs properly
or at least i feel like i cant
Do you also have any balancing issues?
also short of breath
but this is minor
If you have an appointment with a neurologist, I suggest you go ahead with it and let them examine you
ok, is ms a possibility? or any problems with the brain?
because without a proper clinical exam it is indeed very difficult to figure out what is going on
and does it seem serious from what ive described
MS could be a possibility
but I do not think it is related to the brain
My guess is, a vitamin deficiency
would this show in a blood count, because i have had many
and everything is normal
by your description it does not seem very serious because of the fact that duration is very short
I do not think it would show on a blood test
A clinical exam will guide us to order appropriate tests
duration very short?
Your time is expiring, if you wish to continue the chat please refill
yes, a duration of just 2 weeks is unlikely in conditions like MS and spinal problems
no it started two weeks ago, but it has not gone away
should i stay off work?
if it was indeed something to do with the spinal cord, or if it were to be a muscular dystrophy, it would have presented much earlier
and would have been getting worse with time
ok, do you mean because it would have been something i was born with?
i thought these symptoms can happen at anytime
If the problem is bothering you and is making it difficult to work then taking some time off work would be better
MS can present in mid twenties to late forties
i am 21 so i guess i fit into that category
Not really, the type symptoms you have can present in early twenties.
but they would have been very gradual in evolution
ok, so due to the sudden nature and the fact that it hasnt really got any worse, what does this point to?
No spinal cord or brain pathology(except accidents and such) will develop overnight
i should also mention that i have been taking unprescribed modafinil
My opinion, if you ask.. it could be stress related
can stress really cause me to walk with difficulty?
If you have been taking modafinil, I suspect you do have some sort of stress in your life
Yes, stress can cause you many many things
i take modafinil because i find it extremely difficult to stay awake - my gp refused to prescribe it to me so i bought it off the internet given my desperation
So, get yourself examined to rule out all serious ones
It is not advisable to take these medicines without a prescription and without a valid reason
i understand, but i was desperate
So my suggestion to you. Stop this medicine right away
and go ahead with your appointment with the neurologist
My instinct says, the neurologist wouldn't find anything abnormal with you
ok should i be worried?
Not until your neurologist does find something serious
Relax and enjoy your life
and do exercise regularly and play some outdoor games once the winters are over
you should be fine
can i exercise now?
and eat vegetables
yes, you can exercise now
i am afraid of falling as my legs are so weak
there is no problem with that as long as you do not have major problems during exercise
the problems would be, like frequent falling
and inability to stand
if you have these problems along with problems with your balance, you should not exercise outdoors
you can continue to exercise indoors with someone supervising
Yes tiredness could be because of stress and taking modafinil
Are you clear with whatever I have said?
i think so
Okay, is there anything else you would want to discuss with me?
I am still worried about my legs and inability to walk properly, but i guess that is for my neuro to figure out
just seems unusual in a 21 yr old
Yes, I am sorry for not being able to clear your doubts completely
i understand why
thanks for your time though
I am seriously limited by the fact that I can not examine you in person
You are most welcome.
may i ask what you speciality is?
I am a general physician
and take care.
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