Brief Answer:
Physical examination results?

Detailed Answer:
Good afternoon. I am a neurologist from XXXXXXX Ohio and happy to throw in my 2 cents if it's of any value....don't know how many shillings that would be...probably not enough for even a piece of bubble gum! HA! I can see you've been having a number of concerns for which several colleagues have chimed in and suggested you be examined by your primary doctor for your complaints.

Can you tell me if you've gone for an examination of any sort? If so, have any labs been drawn for blood or urine that you can share results on.

Your symptoms in the legs could be a number of things but to reassure you at this point...I wouldn't predict based on what you've said that it should be anything particularly worrisome....except for the fact that it bothers you.

So just to give you an idea of how I might approach these complaints...I would perform a very detailed neurological evaluation of the lower extremities and try and identify areas of deficiencies in either sensation or motor function. My guess is that things would check out in those departments otherwise, you would've said something about them.....then, I would look to obtain some blood and urine for things such as vitamin B12, folate levels, as well as thyroid and cortisol testing, iron levels, liver functions, and kidney testing as well and of course a complete blood count to check for anemia and simple electrolytes. I may also check for calcium levels and if elevated may look to do a parathyroid screen.....but that would be very low in priority on my initial list of things to check.

I'd also consider having you do some careful documentation of your symptoms that occur and would be interested especially in how symptoms clustered either in the mornings, afternoon, or evenings, and if they prevented you from obtaining a good night's sleep, going out and doing what you need to do to maintain your household or personal situation (i.e. work, school, social activities...etc.).

I don't know at this point that I'd go as far as ordering any sophisticated diagnostic studies such as MRI of the brain/spinal cord or EMG/NCV electrical studies, or sleep studies, but I would certainly keep those in reserve if needed.

I hope that gives you a bit of an overview as to some of my thoughts on your situation. I very much hope that an answer is close at hand and wish to the best in getting a physician on your end to properly diagnose things so you get proper help and overcome these uncomfortable feelings quickly.

I'd appreciate the favor of your providing a STAR RATING and some brief written feedback if your question has been satisfactorily answered. In addition, CLOSING THE QUERY on your end will also be most helpful.

Here is my webpage to keep me informed as to how you're doing or if you had any further questions on this or other matters:

bit.ly/drdariushsaghafi

Cheers

This query has required 26 minutes of physician specific time to read, research, and compile the return envoy to the patient.

---

Brief Answer:
Would ask for labs to be performed

Detailed Answer:
Thank you for updating your situation with the above answer. And so, my recommendations would still be valid in terms of the lab work. I don't know quite what to make out of the fact, that coldness relieves symptoms but only lasts so long as cold is applied. Obviously, not an easy thing to do....unless, of course in the winter time you could possibly go dressed to work every morning in tropical wear...possibly pull your desk outside into the street. Sounds like something Monty Python might do! LOL.....but seriously, I would strive to get the laboratory tests done that I've mentioned up top and if you'd like to report those back to me when available-- you know how to get a hold of me, right?

If the labs are negative for any abnormalities then, I would consider further diagnostic testing to likely include both an MRI of the brain as well as a Sleep study (probably in reverse order--- unless your doctor is willing to order both at once...which I know is unlikely from what I'm told in the UK).

I'd appreciate the favor of your providing a STAR RATING and some brief written feedback if your questions have been satisfactorily answered and if you enjoyed the fact that I am a RAVING Monty Python Fan from years ago. I still watch the reruns on YouTube...absolutely brilliant spoofs!

In addition, CLOSING THE QUERY on your end will also be most helpful.

Here is my webpage to keep me informed as to how you're doing or if you had any further questions on this or other matters:

bit.ly/drdariushsaghafi

Cheers (or as I've learning a little Welsh from another UK patient of mine over the past few days.....)-- Do you know any? Maybe you can toss me a nice phrase or 2 that I can impress my colleagues with! lol...

Hwyl!

This query has required 39 TOTAL minutes of physician specific time to read, research, and compile the return envoy to the patient.

---