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Muscular numbness,neuropraxia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3620 Questions
Doctor :   Hi
User :   hi, i was wondering your advice on a possible muscular problem i may have
Doctor :   SURE , Please proceed
User :   i have a drug prescribed to me, adderall, for adhd
Doctor :   ok
User :   if i take it and stay up too late (2 days straight, 48 hours) the left side of my body doesn't go numb, but losses its sensation
User :   like it goes slightly numb
User :   my hands, leg, foot even
User :   arm
User :   but the slight numbness is on and off for days
User :   and i'm not sure what it could be
User :   i have a big muscle knot in the left side of my neck as well, that has been there for about 3 years
Doctor :   ok
Doctor :   so is this numbness related to posture
User :   it could be, i sit at a computer all day
Doctor :   in that case, it could be neuropraxia
Doctor :   long term pressure on the nerves can cause numbing
User :   interesting
User :   also, once, when i was awake for much too long
User :   along with the numbness i lost my peripheral vision
User :   which was very scary
User :   does that also fit the profile of neuropraxia?
Doctor :   if you keep a same posture , for a long time , it can be neuropraxia, LOss oF VISION IS NOT neuropraxia
User :   it only happened once, approx 3 years ago
User :   i saw a doctor for it in the ER and they did a brain MRI
User :   and said i was fine
Doctor :   Is ur vision fine now ?
Doctor :   how did that occur ?
User :   yes, although occassional light "sticks" on my eyes
User :   just staying up too late, taking too many stimulant drugs
User :   i think
Doctor :   is your vision normal now ?
User :   yes
Doctor :   did u have transient loss or permanent loss of vision?
User :   no, nothing perma
Doctor :   in that case it could be normal
User :   just scared the crap out of me when it happened that's all
Doctor :   now other than the numbness do u have any other issues
Doctor :   i understand
User :   nope, i feel perfectly fine other than the numbness when i take adderall (and stay up late)- i used to have panic attacks from it because i was *sure* i was having a heart attack. but i am over it now, mentally, so when it happens i just wait for it to end.
Doctor :   adderal causes high heart rate
Doctor :   this can cause palpitations
Doctor :   in that case ,change of posture and proper ergonomics will help u very much
User :   given what i just told you, do you consider it serious? should i stop taking the medication?
Doctor :   there is no need to stop it
Doctor :   You can take it without any hesitation
Doctor :   when u work , take breaks for a few min, and stretch out
Doctor :   this will help with the symptoms
User :   good idea
Doctor :   working long hrs in the same position can cause such issues
Doctor :   I remember talking to you few months back
User :   yes
User :   i quit taking vicodin :)
Doctor :   i had advised you about breathing exercises
User :   yes, you advised me to try to ween off the pain meds
User :   and i told you i wanted to get back onto adderall, so i could focus, and i did :)
User :   it was hard because i was taking them for years
Doctor :   i understand
Doctor :   so how has that worked out now
User :   great, i have no pain
Doctor :   are u able to function now
Doctor :   good
User :   amazingly, i work in nyc now and i make 120,000$ :) i'm only 23.
User :   i can focus very well
User :   i feel "normal" i'm able to work on things without being distracted.
Doctor :   that is great
Doctor :   now as i had said, keep moving around once in 30 min to 45 min
Doctor :   and then stretch out
User :   i will, i'm going to set a timer
User :   to alert me on the computer to getup and stretch out
Doctor :   great
Doctor :   thats a good idea
Doctor :   make it a habit , and include it in your work pattern
User :   i definitely will
User :   yeah, it used to be much worse
User :   i would have horrible panic attacks due to the numbness
User :   now it comes and i don't panic about it, i just realize it's probably some kind of nerve problem
User :   it's just strange that it happens specifically when i am on adderall more often
User :   than if i'm not taking it
Doctor :   when u know that its not someting dangerous, u will not be anzious about it
Doctor :   knowledge is bliss
Doctor :   Is there anything else i can help you with ?
User :   haha
User :   no, that's all, you made me feel alot better.
Doctor :   ok
User :   thanks a ton :)
Doctor :   you r welcome
Doctor :   thanks for consulting me here
Doctor :   please leave your feedback about us
Doctor :   take care and have a great day
Doctor :   bye for now
User :   you have a good day as well!
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