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Lower back leg pain, twiching. Advise? - Online Doctor Chats

Date : 26-Mar-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1717 Questions
User:Hello Doctor XXXXXXX
User:This is for my wife, aged 36
Doctor:Please go ahead
User:She has been complaining of a throbbing pain in the lwer back leg (Calf Muscle area), specially during night times
User:which affects her sleep
User:Also she has this twitching of legs periodically when she is sleeping
User:she doesnt realise it but her leg keeps moving very periodically (every minute or so)
User:The two conditions might be related in some way or might not be, but wanted to get a doctors advice on the next steps
Doctor:I have few imp questions for you
Doctor:Since how long is she doing this?
User:The leg movement have been there for about 6 months nopw
User:off and on
User:or possible more than that too
Doctor:Ok Is she working or stay home?
User:She is at home now
Doctor:IS she complaining of day time sleepiness?
User:she quite her job about 5 months back
Doctor:Is it affecting her day to day activities by any how?
User:quit her job.... Apologies for the typo
User:Nope... She is fine during the day time and very active
User:with 2 kids, managing them through out the day
Doctor:DId you see a doctor for this?
User:We had once consulted a homeopathic doctor, and she had taken the medicines for about a month... But we have not seen much difference from that
Doctor:Any medicines?
User:No Doctor.
Doctor:Ok, sleepless XXXXXXX at night and movements of legs are the common symptoms of a condition called Periodic Limb Movement Disorder
Doctor:It can be of two types, one is because of some underlying problem and second there may not be any cause that is identified after investigating further
Doctor:The underlying problems can be Thyroid, Anemia, Diabetes, Sleep Apnoea etc
Doctor:Hence a routine blood and urine investigations are appropriate
Doctor:along with a very specific investigation to confirm the diagnosis called Polysomnography
User:We had carried out the routine tests about 11 months back... they were normal then
User:I should probably do a master/women helth checkup again?
User:and the Polysomnography
Doctor:A Neurologist consultation may be beneficial too
User:Okkay... I will get thta done
Doctor:Did you follow?
Doctor:Do you have any specific questions to address?
User:I did doctor
User:Thankyou very much
User:I will check with a neuro
User:and then take the appropriate tests
Doctor:Yes you can utilize our other services for consult with Neuro
Doctor:Fix Appointment with Doctor
User:Both the current throbbing pain and the PLMD, could be related... isnt it?
Doctor:yes, restless legs can lead to accumulation of products which can throbbing pain
Doctor:in the legs
Doctor:sorry in the muscles
User:okkay.. Any inteim remedial measures that can be undertaken before we consult a neurologist?
Doctor:There is minimal that I can advice you an an interim measure as all the medications are prescription based and has to be obtained only after confirmation of the diagnosis
Doctor:Ofcourse, hot water baths help
Doctor:Did you follow?
Doctor:Did I answer all your questions?
Doctor:You are not responding, I shall close the window now. Please login if you have more queries.
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