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Suggest Treatment For Numbness In The Feet And Lower Back Pain
Question: dear Dr...I am a 26 year old male ..since past 4 years I have been getting numbness on feet some burning and feeling like I'm waring a sock on my feet ..recently I have got several lower back pain and pain in legs...I went to several neurologists they couldn't find anything ...my skin ftom my fingers is also pekingese and I don't know ow if that has some connection with neuropathy...I have checked some causes of neuropathy and done all the tests like hiv (though I have never had penetrative sex) I have done many 4th gen hiv tests all were clear ...I tested by vitamins and sugar and all were normal ...Wat could be the cause I thank identified it's neuropathy...dr has done some tests such as checking my sensations all were normal..Wat could this be?plz guide...I had recently posted a question on hiv..is it possible fr 4th gen testa to never detect presence of hiv..is have been testing since XXXXXXX 4 yrs..and all have been normal. plz help
Brief Answer:
Detailed Answer:
Hi,
Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas, and I am here to help you. I have read your question with care and understand that you numbness on feet some burning and feeling like wearing a sock on feet ..recently you have got several lower back pain and pain in legs.
There could be two reasons for this
1. Peripheral Neuropathy
2. Cauda Equina Syndrome
In Order to Confirm Peripheral Neuropathy, you need to do Nerve Conduction Studies.
Cauda Equina Syndrome can be confirmed by MRI DLS Spine.
Hence, I request you to kindly share those reports here
In case you have not done these, I would suggest your undergo
1. Nerve Conduction Studies of both Upper Limbs and Both Lower Limbs
2. MRI Dorso Lumbo Sacral Spine
and share the results with me so that I can guide you about this problem
Coming to your second question about HIV ( I have done many 4th gen hiv tests all were all were clear, .is it possible fr 4th gen testa to never detect presence of hiv) , the following are chances for a False Negative Test (ie Test saying No Disease while the person actually has the disease)
1
Approximately a month after exposure
2
False negatives usually occur only when someone is tested soon after exposure,
3.
When a test is insufficiently sensitive to a rare subtype or to HIV-2.
There are ways to get over this, Kindly tell the date(s) of Sexual Exposure and the date(s) you have done the tests. I will suggest what more test you have to do to 100 percent make sure that you do not have HIV
Hope you found the answer helpful.
If you need any more clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
-oOo-
PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.
PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Detailed Answer:
Hi,
Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas, and I am here to help you. I have read your question with care and understand that you numbness on feet some burning and feeling like wearing a sock on feet ..recently you have got several lower back pain and pain in legs.
There could be two reasons for this
1. Peripheral Neuropathy
2. Cauda Equina Syndrome
In Order to Confirm Peripheral Neuropathy, you need to do Nerve Conduction Studies.
Cauda Equina Syndrome can be confirmed by MRI DLS Spine.
Hence, I request you to kindly share those reports here
In case you have not done these, I would suggest your undergo
1. Nerve Conduction Studies of both Upper Limbs and Both Lower Limbs
2. MRI Dorso Lumbo Sacral Spine
and share the results with me so that I can guide you about this problem
Coming to your second question about HIV ( I have done many 4th gen hiv tests all were all were clear, .is it possible fr 4th gen testa to never detect presence of hiv) , the following are chances for a False Negative Test (ie Test saying No Disease while the person actually has the disease)
1
Approximately a month after exposure
2
False negatives usually occur only when someone is tested soon after exposure,
3.
When a test is insufficiently sensitive to a rare subtype or to HIV-2.
There are ways to get over this, Kindly tell the date(s) of Sexual Exposure and the date(s) you have done the tests. I will suggest what more test you have to do to 100 percent make sure that you do not have HIV
Hope you found the answer helpful.
If you need any more clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
-oOo-
PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.
PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by :
Dr. Prasad
this tingling problem started in 2012...there was no sexual exposure at that time ...I had gone fr routine blood draw at a metropolis testing centre and after one week of that I got these symtoms ...I feared I git hiv from the needle used to draw my blood and hence I went on testing fr hiv ...a 4th gen test about 18 tests I did all non reactive...recently my only sexual exposure was kissing and body play..and pritected oral sex with a male...I tested 25 days after that and ur was clear...these symtoms of tingling are there since 4 years...I hv done all tests and are clear ...dr dats it's not hiv and he did many tests in my legs with hammer and other instruments and saud sensations are find ...Wat could be the cause??
Brief Answer:
You DO NOT HAVE HIV. Need to do Tests for Diagnosing cause of Numbness
Detailed Answer:
Dear Sir
Thanks for your reply
You have done the 4th Generation test 18 times and all of these are non reactive. This means that you do not have HIV.
Fist and Foremost, Be assured about this. Let us here after forget HIV and focus on the numbness / tingling
Second, Your tingling problem started 4 years ago. As I had already told, the common causes can be Peripheral Neuropathy and Cauda Equina Syndrome
The doctor has already examined you clinically with Knee Hammer and also tested for sensation and found that to be fine. But there are many conditions in which the clinical examination will be normal. That is why we need to do MRI and Nerve Conduction Studies in addition to Clinical Examination
If only all diseases will reveal themselves fully with Clinical Examination alone, these tests would never have been invented.
Thus I would suggest your undergo
1. Nerve Conduction Studies of both Upper Limbs and Both Lower Limbs
2. MRI Dorso Lumbo Sacral Spine
and share the results with me so that I can guide you about this problem
If you need any more clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
-oOo-
PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.
PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
You DO NOT HAVE HIV. Need to do Tests for Diagnosing cause of Numbness
Detailed Answer:
Dear Sir
Thanks for your reply
You have done the 4th Generation test 18 times and all of these are non reactive. This means that you do not have HIV.
Fist and Foremost, Be assured about this. Let us here after forget HIV and focus on the numbness / tingling
Second, Your tingling problem started 4 years ago. As I had already told, the common causes can be Peripheral Neuropathy and Cauda Equina Syndrome
The doctor has already examined you clinically with Knee Hammer and also tested for sensation and found that to be fine. But there are many conditions in which the clinical examination will be normal. That is why we need to do MRI and Nerve Conduction Studies in addition to Clinical Examination
If only all diseases will reveal themselves fully with Clinical Examination alone, these tests would never have been invented.
Thus I would suggest your undergo
1. Nerve Conduction Studies of both Upper Limbs and Both Lower Limbs
2. MRI Dorso Lumbo Sacral Spine
and share the results with me so that I can guide you about this problem
If you need any more clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
-oOo-
PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.
PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by :
Dr. Yogesh D
thanks dr ..also I recently has two exposures both with males...first was kissing and body play but later I git to know that man was hiv positive..I tested with 4th gen 6 weeks after exposure it was non reactive..the second was 25 days back I have protected oral sex to a collegeue of unknown status..I tested 25 days after that also non reactive ..are these activities risky...I am a bisexual male and I am very scared of getting hiv...first I felt the infected needle causes it 4 years back and ow theses incidents ..Pl advice is any further testing is required..thanks dr .
Brief Answer:
Testing Needed for HIV 45 days if that involved wet kissing
Detailed Answer:
Dear Sir,
1. These activities are risky
2. Regarding the second exposure
a
if it had involved wet kissing (where mucous membranes were in contact), you have to do a test 45 days after exposure and once that is negative, you can be rest assured that you are not having disease
b
if there was no contact of mucous membranes, no further test ia needed
3. In addition, please do the MRI and Nerve Conduction Studies too
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
-oOo-
PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.
PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Testing Needed for HIV 45 days if that involved wet kissing
Detailed Answer:
Dear Sir,
1. These activities are risky
2. Regarding the second exposure
a
if it had involved wet kissing (where mucous membranes were in contact), you have to do a test 45 days after exposure and once that is negative, you can be rest assured that you are not having disease
b
if there was no contact of mucous membranes, no further test ia needed
3. In addition, please do the MRI and Nerve Conduction Studies too
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
-oOo-
PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.
PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by :
Dr. Yogesh D
dear Dr...than Wat activities are not risky ...if even a kiss carries risk??
Brief Answer:
Mucus Membrane Touching a Mucus Membrane carries Risk
Detailed Answer:
Hi,
Mucus Membranes (Lips, Inner Aspects of mouth, Genitalia, Anal Canal etc) coming into contact with another person's mucus Membrane carries risk of transmission of HIV
Skin to Skin Contact (e.g. Shaking Hands) or Skin to Mucus Membrane Contact (e.g. Kissing on Cheeks) are not risky for transmission of HIV WHEN THE SKIN IS INTACT. However if there is an abrasion in skin, even these are risky
Let me know if I can assist you further.
Take care.
Mucus Membrane Touching a Mucus Membrane carries Risk
Detailed Answer:
Hi,
Mucus Membranes (Lips, Inner Aspects of mouth, Genitalia, Anal Canal etc) coming into contact with another person's mucus Membrane carries risk of transmission of HIV
Skin to Skin Contact (e.g. Shaking Hands) or Skin to Mucus Membrane Contact (e.g. Kissing on Cheeks) are not risky for transmission of HIV WHEN THE SKIN IS INTACT. However if there is an abrasion in skin, even these are risky
Let me know if I can assist you further.
Take care.
Above answer was peer-reviewed by :
Dr. Raju A.T
ok thanks since I have done 18 tests of 4th gen and u Said that I should not be worried abt hiv from blood draw ...Wat is d reason for tht neuropathy I have ...also I'm a bisexual male ...how do I fulfill me sexual desires...If even kissing is risky...plz tellme wat firm of non penetrative sex is risk free...
Brief Answer:
Reason for Neuropathy can be found only with NCS and MRI
Detailed Answer:
Dear Sir
1
Reason for Neuropathy can be found if you undergo
a. Nerve Conduction Studies of all four limbs
b. MRI Dorso Lumbo Sacral Spine
2.
Mucus Membranes (Lips, Inner Aspects of mouth, Genitalia, Anal Canal etc) coming into contact with another person's mucus Membrane carries risk of transmission of HIV
Skin to Skin Contact (e.g. Shaking Hands) or Skin to Mucus Membrane Contact (e.g. Kissing on Cheeks) are not risky for transmission of HIV WHEN THE SKIN IS INTACT and these are risk free
However if there is an abrasion in skin, even these are risky
Let me know if I can assist you further.
Take care.
-oOo-
PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.
PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Reason for Neuropathy can be found only with NCS and MRI
Detailed Answer:
Dear Sir
1
Reason for Neuropathy can be found if you undergo
a. Nerve Conduction Studies of all four limbs
b. MRI Dorso Lumbo Sacral Spine
2.
Mucus Membranes (Lips, Inner Aspects of mouth, Genitalia, Anal Canal etc) coming into contact with another person's mucus Membrane carries risk of transmission of HIV
Skin to Skin Contact (e.g. Shaking Hands) or Skin to Mucus Membrane Contact (e.g. Kissing on Cheeks) are not risky for transmission of HIV WHEN THE SKIN IS INTACT and these are risk free
However if there is an abrasion in skin, even these are risky
Let me know if I can assist you further.
Take care.
-oOo-
PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.
PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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