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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for acute onset of weakness in lower limbs

Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

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Posted on Tue, 7 Jun 2016 in Headache and Migraines
Question: my dad is struggling with mobility and has been for approximately 6 weeks. we have been to the GP and he suspects dad has diabetic neuropathy. Can we reverse this in any way to gain any mobility back. Dads legs just buckle underneath him and this al l happened literally overnight
doctor
Answered by Dr. Neeraj Kumar 25 minutes later
Brief Answer:
Acute onset weakness in lower limbs is unlikely neuropathy

Detailed Answer:
Hello,
I have read your father's problem and understand your concerns.
Acute onset weakness in a diabetic patient is highly unlikely due to diabetic neuropathy.
More likely possibilities are stroke, Spinal cord myelitis, Lumbosacral plexopathy.
Is there any history of headache, alteration in sensorium, seizure, speech abnormalities, eating and swallowing difficulty, facial deviation, Upper limbs weakness, urinary complains, sensory loss, low back pain?
Any previous such episodes?
He requires detailed examination by a neurologist and investigations.
Strict diabetes control is necessary.
Other medications can be started once the diagnosis is established.
Hope you found the discussion helpful.
Do response with further details and reports if available.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Neeraj Kumar 11 minutes later
neurology tests have come back as neuropathy how can we reverse it or cant you
doctor
Answered by Dr. Neeraj Kumar 15 minutes later
Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
Acute or sudden weakness is not a presentation of diabetic neuropathy. Possibility of other diagnosis is there.
For treatment diabetes control, physiotherapy is available.
Recovery is slow and not complete.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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