Numbness and pain in hands and legs, aggrevated in winter and when exposed to water. Advice - Online Doctor Chats
Dr XXXXXXX here
How can I help you?
Hello Dr. XXXXXXX
I wanted to ask for my mother
My Mom is having pain in her hands for almost 4-5 months now
it's in one hand some days and then shifts to another
with pain in legs as well
She is not a winter person
we have gone to almost 3-4 doctors
one suggested for blood checkup and tht came negative
some suspect it could be becoz of a fall
May I know what test were done?
hmm i don't remember the term
is it must
i can get in 10 mins
The results of the test can help us understand her problem better.
Docs give some injections for pain, she feels better for a day or two and again same
May I know your mother's age?
i think 47
no, none of them
BP was checked too
it was nrl
keeping her hands in warm water relaxes for some time
Does she have any rashes or any other associated symptoms with the ache?
Doctors have told not to work that involves her to use water
no rashes but some swelling
heater is also giving some temp. comfort
Do you notice any factors that aggravates the pain?
yeah, if she goes in cold wind, Touches cold water, or stress
May I know if any doppler scans were done?
X XXXXXXX was done
Was X-ray normal too?
yeah. it was.
Let me brief you.
and she says she had no fall tht she remembers
Her periods are irregular
Hand pain/painful palms are associated with multiple conditions. Without presence of any other associated complaints, I am unable to predict the close possible cause of pain.
Therefore let me name a few conditions which may be responsible.
1. Vascular obstructions occur during exposure to cold weather. This can result in pain.
Reynaud's phenomena is one such conditions which occur in normal people. However it is uncommon to present at this age.
As she describes pain while exposure to cold, please look for other features of vascular obstruction such as
If these symptoms also occur with pain (during exposure to cold) you should consider vascular obstruction.
This can be diagnosed by means of doppler scan.
Are you following?
she does feel numbness
once there was a dark patch on her shoulder too like a blood cot
so what do you suggest doctor .. should we go for a scan?
Dark patch on the shoulder may not be related to this pain.
which specialist we should go to
Some related to Bones or Nerves
oh ok.. one of the doctor had said abt some deficiency
It is not clear if your doctor has performed vitamin b12 and thyroid function tests in those blood test. You may verify that.
she is taking tablets for tht
3. Possibility is that this could be part of perimenopause.
i suspect tht
Most of the perimenopausal symptoms improve with time, however a few may persists.
If those persisting symptoms trouble them and impair quality of life, it can be corrected with hormonal replacements.
Apart from these there are few other rheumatological causes; however the sudden onset of symptoms after 45 years almost excludes those causes.
Therefore my suggestion to you would be consult an physician with MD qualification.
He/she can perform a routine clinical examination and look into all these parameters.
Investigations is most likely what that will give clues to the cause.
If all the parameters are looked into and excluded, then her symptoms may be related to psychological conditions which can be treated in a different way.
I hope I have been clear.
Do you have any questions?
thanks doctor !
Thanks for consulting me.
Bye for now.
bbbye have a good weekend
Wish you the same.
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