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Pain management for weakness in legs - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2496 Questions
User :   hello
Doctor :   Hi
User :   I want to know if you could research something
User :   because of my current symptoms?
Doctor :  
Yes, after my thorough research
User :   ok
Doctor :  
I could find out that the cause your problem could be either a nerve irritation adding to it is the psychological issues
User :   also the weakness in my legs?
Doctor :  
so you have to approach a pain management specialist and also a counsellor
Doctor :  
who will counsel you about the pain management and how to cope with the weakness of legs
Doctor :  
This was infact the answer from the sub specialist
Doctor :  
whom I approached
Doctor :  
for you
User :   if it was AA I think it caused non stop pain but I have less pain at night
User :   and 2 or 3 h per day without pain......
Doctor :  
In the night do you have normal sleep for 7 to 8 hrs
User :   why i need a counsellor???
User :   yes sleep for 6- 7 h
Doctor :   Good
Doctor :  
During sleep might be you are not thinking about the weakness and pain
Doctor :  
and thus you have good night sleep
Doctor :  
during the time you are awake there is psychological component aggravating the pain
Doctor :  
so a counsellor's help is not the definte treatment but it helps in releiving the problem
User :   but I have pain after the lumbar tab and weakness I never had before
User :   I try to understand that it could be a psychological component
Doctor :  
Yes I agree with you saying that
Doctor :  
this is after the lumbar tap
Doctor :  
but there is no evidence on the MRI as everything was norma;
User :   Yes one doctor say's it could be AA 2 others told me it is NOT
Doctor :  
Now a days medicine was practised based on evidence
Doctor :  
in western countries
User :   I hang in balance........
Doctor :   I understand what ever may be the cause of the pain and weakness
Doctor :  
you first have to cope with the pain and the weakness through team of doctors in pain managament and counsellor
User :   ok
User :   what do you think if it was AA it caused non stop pain or not????
User :   I can't imagine that a AA patient has less pain for some h a day.... or at night....
User :   hello
Doctor :   yes here
User :   what do you think if it was AA it caused non stop pain or not????
I can't imagine that a AA patient has less pain for some h a day.... or at
User :   night
Doctor :   It causes pain during day
User :   ok
Doctor :  
and mostly when at work or walk
Doctor :  
In the night usually the pain is less or absent
Doctor :  
the symptoms suggest as AA but the other tests are not
Doctor :  
that is why the doctor are confused I guess
User :   ok
Doctor :   Do not think about it too much, now the things that you should know is how to lead a quality of life

User :   yes it's a bad situation without diagnose............thank you
Doctor :  
I can still reasearch and give you more details
User :   ok
Doctor :  
and help you whenever I find some time
Doctor :  
Whenever I get good ideas to release your pain I shall send you a mail
Doctor :  
to your email ID
Doctor :  
Ok
User :   I dont undestand that one doc see the AA but other see nothing........
User :   ok
Doctor :  
Good then
Doctor :  
Shall I get back
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