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How can chronic pain and muscle twitching in the leg be treated?

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Posted on Wed, 28 Nov 2018
Question: Ive been having leg pain for about a year esp when I walk. The muscles in my legs are always twitching and aching. Ive tried epaom salt baths and a multi vitamin. They also hurt at night deep inside muscle.
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Answered by Dr. Vasudha Jayant Athavale (4 hours later)
Brief Answer:
You should get medical aid earliest.

Detailed Answer:
Hi XXXX,

Thanks for asking your query.

* The pain in legs while walking you have could be -
- Over strain to legs.
- Calcium & vitamin D deficiency causing bone/ muscle weakness,
-Sciatica ( nerve pressure at lumber spine or sciatic notch in pelvis ) which causes impaired nerve supply to nerves
- Hampered blood circulation in lower leg ( varicose veins/peripheral artery disease)..


*Management of the problem consists of proper diagnosis with consultation of a physician to start with, who will examine you physically & get you investigated (blood counts, Serum calcium & vitamin D, MRI to differentiate between arterial or nerve supply problem).
The physician will start treatment for replacement of calcium/vitamin D OR would refer you to vascular surgeon/ neurosurgeon for expert advise & treatment

CONSULT A PHYSICIAN EARLIEST..
* Self care- Take rest / avoid walking till diagnosis is made.
- Do not massage or foment till advised by treating doctor.
- Over the counter Calcium with Vitamin D, Vitamin E & NSAID like Ibuprofen would relieve pain to some extent.. till specific treatment starts.

I hope that answers your query. Any follow up query is welcome.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Vasudha Jayant Athavale (27 hours later)
Hi. I have another problem unrelated to the leg problem. I have really bad anxiety. I rarely leave thw house....I feel like my heart is jumping out of my chest. Its really just gotten worse over the last 4 years....I have klonapin..but I think the issues are deeper...
doctor
Answered by Dr. Vasudha Jayant Athavale (7 hours later)
Brief Answer:
Self care & expert advise would help.

Detailed Answer:

Hi XXXX,

Thanks for the follow-up query.

Anxiety is a self-gearing condition. You keep on thinking & pampering your mind about being anxious & it will go on grumbling. The point to be noted is.. to be self-determined to combat anxiety is essential.

Please don't worry, medical science would help you in doing so, but primary need is so your own willpower.... & it's very easy at your age to get set go.....

Management of anxiety mostly consists of Pharmacotherapy (medicines & psychotherapy combined)... With the trio of self determination, psychoanalysis & counselling & antidepressant drugs prescribed by a psychotherapist/psychiatrist, you would be more confident, enthusiastic & successful.

So cheer up! Set your mind positive, take an appointment with a psychotherapist & start with the therapy as well as medicine.

You can practice mind concentration exercises/meditation, use mind & body relaxation technique for good sleep.

I hope that answers your query.

Regards,
Dr. Vasudha Jayant Athavale, General & Family Physician



Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Vasudha Jayant Athavale

General & Family Physician

Practicing since :1970

Answered : 8523 Questions

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How can chronic pain and muscle twitching in the leg be treated?

Brief Answer: You should get medical aid earliest. Detailed Answer: Hi XXXX, Thanks for asking your query. * The pain in legs while walking you have could be - - Over strain to legs. - Calcium & vitamin D deficiency causing bone/ muscle weakness, -Sciatica ( nerve pressure at lumber spine or sciatic notch in pelvis ) which causes impaired nerve supply to nerves - Hampered blood circulation in lower leg ( varicose veins/peripheral artery disease).. *Management of the problem consists of proper diagnosis with consultation of a physician to start with, who will examine you physically & get you investigated (blood counts, Serum calcium & vitamin D, MRI to differentiate between arterial or nerve supply problem). The physician will start treatment for replacement of calcium/vitamin D OR would refer you to vascular surgeon/ neurosurgeon for expert advise & treatment CONSULT A PHYSICIAN EARLIEST.. * Self care- Take rest / avoid walking till diagnosis is made. - Do not massage or foment till advised by treating doctor. - Over the counter Calcium with Vitamin D, Vitamin E & NSAID like Ibuprofen would relieve pain to some extent.. till specific treatment starts. I hope that answers your query. Any follow up query is welcome. Regards.