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Numbness and pain in hands and legs, aggrevated in winter and when exposed to water. Advice - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1721 Questions
Doctor:Dr XXXXXXX here
Doctor:How can I help you?
User:Hello Dr. XXXXXXX
User:I wanted to ask for my mother
User:My Mom is having pain in her hands for almost 4-5 months now
User:it's in one hand some days and then shifts to another
User:with pain in legs as well
User:She is not a winter person
User:we have gone to almost 3-4 doctors
User:some say it is becoz of the cold and some say some vitamin deficiency
User:one suggested for blood checkup and tht came negative
User:some suspect it could be becoz of a fall
Doctor:May I know what test were done?
User:hmm i don't remember the term
User:is it must
User:i can get in 10 mins
Doctor:The results of the test can help us understand her problem better.
User:Docs give some injections for pain, she feels better for a day or two and again same
User:only blood test was done
Doctor:May I know your mother's age?
User:i think 47
Doctor:Do you have any diabetes, high blood pressure, thyroid problems?
User:no, none of them
User:BP was checked too
User:it was nrl
User:keeping her hands in warm water relaxes for some time
Doctor:Does she have any rashes or any other associated symptoms with the ache?
User:Doctors have told not to work that involves her to use water
User:no rashes but some swelling
User:heater is also giving some temp. comfort
Doctor:Do you notice any factors that aggravates the pain?
User:yeah, if she goes in cold wind, Touches cold water, or stress
Doctor:May I know if any doppler scans were done?
User:X XXXXXXX was done
User:no scans
Doctor:Was X-ray normal too?
User:yeah. it was.
Doctor:Let me brief you.
User:and she says she had no fall tht she remembers
User:Her periods are irregular
Doctor: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.
Doctor:Therefore let me name a few conditions which may be responsible.
Doctor:1. Vascular obstructions occur during exposure to cold weather. This can result in pain.
Doctor:Reynaud's phenomena is one such conditions which occur in normal people. However it is uncommon to present at this age.
Doctor:As she describes pain while exposure to cold, please look for other features of vascular obstruction such as
Doctor:feeling of numbness, darkening of finger nails associated with the pain.
Doctor:If these symptoms also occur with pain (during exposure to cold) you should consider vascular obstruction.
Doctor:This can be diagnosed by means of doppler scan.
Doctor:Are you following?
User:she does feel numbness
User:once there was a dark patch on her shoulder too like a blood cot
User:so what do you suggest doctor .. should we go for a scan?
Doctor:Dark patch on the shoulder may not be related to this pain.
User:which specialist we should go to
Doctor:2. Second possibility being peripheral neuropathy.
User:Some related to Bones or Nerves
Doctor:Peripheral neuropathy could be related to vitamin b12 deficiency, thyroid and other hormonal problems.
User:oh ok.. one of the doctor had said abt some deficiency
Doctor:It is not clear if your doctor has performed vitamin b12 and thyroid function tests in those blood test. You may verify that.
User:she is taking tablets for tht
Doctor:3. Possibility is that this could be part of perimenopause.
User:i suspect tht
Doctor:Perimenopause is a period of life when menstruation starts to cease.
Doctor:Most of the perimenopausal symptoms improve with time, however a few may persists.
Doctor:If those persisting symptoms trouble them and impair quality of life, it can be corrected with hormonal replacements.
Doctor:Apart from these there are few other rheumatological causes; however the sudden onset of symptoms after 45 years almost excludes those causes.
Doctor:Therefore my suggestion to you would be consult an physician with MD qualification.
Doctor:He/she can perform a routine clinical examination and look into all these parameters.
Doctor:Investigations is most likely what that will give clues to the cause.
Doctor: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.
Doctor:I hope I have been clear.
Doctor:Do you have any questions?
User:Awesome !
User:thanks doctor !
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:bbbye have a good weekend
Doctor:Wish you the same.
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