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Physiotherapy for a patient with Peripheral neuropathy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1776 Questions
User :   I was recently diagnosised with a nerve disorder on my left leg side.
My baby toe on my left side feels seperated and foreign from the rest of my foot. It causes me issues with walking. I feel like it would be better cut off. What could be my issue?
Doctor :   hi
Doctor :   let me read ur query
User :   Hi, I don't even know if the diagnosis for nerve is is correct.
Doctor :   it seems you may be having a foot drop like syndrome due to peripheral neuropathy
User :   is there anything I can do about this? or what should they be doing?
Doctor :   have they done any nerve conduction studies ?
User :   no just blood work and a ulta sound to make sure it was not a blockage.
User :   They put me on Galprtrin if that is correct?
Doctor :   u mean gabapentin ?
User :   yes 3 times a day for total of 300 mg.
Doctor :   were all tests done nomal ?
User :   The only one I have heard of so far was the ultra sound was clear.
User :   The gabapentin has given me severe headaches and a reddish skin tone on my face
User :   that looks like I am burning with fever is this normal?
Doctor :   did the doctor say, what the cause was ?
User :   no?
Doctor :   If it is a suspected neuropathy, a nerve conduction study or a EMG will help to know the cause and the level affected
User :   So I need to ask about this? was not even brought up.
Doctor :   yes, u need to ask about this
User :   What about the medication reactions?
Doctor :   also use of splints of the affected foot will help to regain foot function
Doctor :   the medication effects are short lived
User :   OK I will ask about that. I am still having the pai in the upper part of my thigh and calf
User :   then it runs to numbing of the foot and tingling.
Doctor :   does the pain increase when u bend forwards ?
User :   alittle but it is almost always there. And sitting or standing or sleeping does not matter.
Doctor :   ok
Doctor :   this seem like sciatica
User :   the pain started like severe constant
Doctor :   you will need physiotherapy for a few months
User :   I will suggest that.
Doctor :   gabapentin is given as first medicine in such cases
User :   Oh ok. So I definetly need to call her back with the status of meds.
Doctor :   yes
User :   OK Thanks, I will get on that. Because I cannot work like this.
Doctor :   also, you need to know if there is any pressure on the nerves in the lower spine
Doctor :   this can be examined by a examination
Doctor :   or also by a MRI if the symptoms are too much
User :   OK So I will give her the details, why she did not check all this I don't know.
Doctor :   in most cases, gabapentin, and physiotherapy and stretch excersies will help very much
User :   Thanks for your help!
Doctor :   u r welcome
Doctor :   i hope i have answered ur questions
User :   Yes, Thanks.
Doctor :   please leave ur feedback
Doctor :   it will be appreciated very much
User :   I will.
Doctor :   thanks and take care
Doctor :   have a great day
User :   U to.
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