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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Tingling Sensation In Body Be Due To Proximal Neuropathy?

I am a heavy drinker, recently I have been having sharp tingles running down my body after I move my head around. I would relate the feeling to being mildly electrocuted. Accompanying these sensations is a feeling of dizziness or being lightheaded, the feelings are quick (less than a second flashes). I have had these symptoms for about four weeks with varying intensity. Usually heavy drinking increases the severity. I am also suffering from spondylolisthesis in my lower spine (L5/S1) and degeneration of several discs in my Lumbar region. I notice that the sensations are primarily activated when looking to my left, or turning to my left, which perhaps coincidentally is where most of my back/sciatic pain is located (to include my left leg often being numb). My worry is that I can not determine if these sensations are from alcohol abuse or a continuation of worsening symptoms of proximal neuropathy. Thank you.
Sat, 5 Sep 2020
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General & Family Physician 's  Response
Hello,

Since you have a history of spondylolistheasis and degeneration of several discs; you are experiencing symptoms of neuropathy, compression of the nerves is causing you tingling, pain & numbness. You also have a history of being a heavy drinker, alcohol decreases absorption of nutrients like vitamin B12, proteins, etc causing nutritional deficiency that triggers alcoholic neuropathy. Get clinically examined by a GP / neurologist, get NCV test, nerve biopsy, performance tests, blood tests and imaging tests done to assess the degree of neuropathy that has developed.

It is treated with physical therapy, get connected to a physiotherapist, take vitamin supplements (folate, thiamine, niacin, and vitamins B6, B12, and E). Wear special stockings for support, wear comfortable stabilizing footwear. Take pain relieving medicines (NSAIDS or Ibuprofen), one SOS when required. Take healthy balanced home made food, cut on alcohol intake, connect with detox centers, take multivitamin supplements. Your treating doctor may treat you with injection for a faster response to treatment. Maintain healthy BMI and do regular walking.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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Could Tingling Sensation In Body Be Due To Proximal Neuropathy?

Hello, Since you have a history of spondylolistheasis and degeneration of several discs; you are experiencing symptoms of neuropathy, compression of the nerves is causing you tingling, pain & numbness. You also have a history of being a heavy drinker, alcohol decreases absorption of nutrients like vitamin B12, proteins, etc causing nutritional deficiency that triggers alcoholic neuropathy. Get clinically examined by a GP / neurologist, get NCV test, nerve biopsy, performance tests, blood tests and imaging tests done to assess the degree of neuropathy that has developed. It is treated with physical therapy, get connected to a physiotherapist, take vitamin supplements (folate, thiamine, niacin, and vitamins B6, B12, and E). Wear special stockings for support, wear comfortable stabilizing footwear. Take pain relieving medicines (NSAIDS or Ibuprofen), one SOS when required. Take healthy balanced home made food, cut on alcohol intake, connect with detox centers, take multivitamin supplements. Your treating doctor may treat you with injection for a faster response to treatment. Maintain healthy BMI and do regular walking. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician