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Suggest Treatment For Dizziness And Twitching Muscles In Legs

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Posted on Tue, 14 Jul 2015
Question: I went to a general dr last week. I had dizziness and the muscles in my legs were twitching. He did a blood panel and said he did not see any clots. I have a neuro appt tomorrow but until then my legs are driving me nuts. The muscles twitch in both legs and sometimes i get a very sharp pain. nether are swollen or changes in color. should i be concerned about dvt or is this more neuro than anything? It is really starting to bother me
doctor
Answered by Dr. Dr. Ivan Romich (1 hour later)
Brief Answer:
not likely deep vein thrombosis

Detailed Answer:
Hi and welcome.
In such young patients, without some significant risk factors such as obesity,coagulopathies or recent surgical procedure, I dont think that dvt is likely diagnosis. Also, it goes with oedema,colour and temperature changes of leg. I suppose your doctors checked d-dimers and doppler ultrasound which would definitely rule out DVT.

Your symptoms are more likely caused by neuropathies which can compressive neuropathy as we see in disorders of lumbosacral spine or metabolic neuropathies as we see in vitamin defficiency,magnesium, calcium or potassium deficciency. also, diabetes, alcoholism and some rare methabolic disorders lead to neuropathies as well.
So I suggest to check these metablites and do lumbosacral spine MRI.
Any other diagnosis in your age is rarity.

Wish you good health. Regards
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Dr. Ivan Romich (14 minutes later)
Actually i have been over weight most of my life. I weighed 360 pounds in 2004 I now weigh 190 i am 5'6. He did no doppler and as far as blood tests go i do not know. This was an emergency facility like urgent care.
doctor
Answered by Dr. Dr. Ivan Romich (4 minutes later)
Brief Answer:
hi

Detailed Answer:
Well, obesity is risk factor for DVT but still it isnt for me indicative of DVT.
i doubt that ER has available doppler US,so this is soemthing that should be done.
But still, I suggest to do neurologic work up.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13886 Questions

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Suggest Treatment For Dizziness And Twitching Muscles In Legs

Brief Answer: not likely deep vein thrombosis Detailed Answer: Hi and welcome. In such young patients, without some significant risk factors such as obesity,coagulopathies or recent surgical procedure, I dont think that dvt is likely diagnosis. Also, it goes with oedema,colour and temperature changes of leg. I suppose your doctors checked d-dimers and doppler ultrasound which would definitely rule out DVT. Your symptoms are more likely caused by neuropathies which can compressive neuropathy as we see in disorders of lumbosacral spine or metabolic neuropathies as we see in vitamin defficiency,magnesium, calcium or potassium deficciency. also, diabetes, alcoholism and some rare methabolic disorders lead to neuropathies as well. So I suggest to check these metablites and do lumbosacral spine MRI. Any other diagnosis in your age is rarity. Wish you good health. Regards