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Thalamic Pain, Irritable Leg Syndrome, Had Stroke. Need Help.

Posted on Sun, 24 Jun 2012

Question: i suffered a stroke seven years ago
i now have pain my XXXXXXX bone
My PCP says its thalamic pain He sys irritable leg syndrome and sent me sleep doctor (pulmonogist)
second opinion physician says thalamic would be both legs
She says its neuropathy
She gave me prescription for neurontin it works bit not more than 50% of the time
I found Nueropathy Support Formula (NSF)online. It is high dosage of B vitamins and D and RAlpha Lipoic Acid
If i take neurontin and NSF together with Advil i get few hours pain free then it returns
Herbalist recommends Yunnan Paiyao, Tian Ma Wan and Da Huo Luo Wan
I need help please

Also the pain started a year ago , two weeks of neurontin made pain go away
Second opinion physician prescribed i continue neurontin
Pain has returned one year later
Physcian stated my body built up resistance to neurontin

help ?
I need help please

Answered by Dr. Shiva Kumar R (14 hours later)

Hello,

Thanks for the query.

From the information provided to me it looks like more to be a Neuropathy than thalamic pain syndrome. Usually thalamic pain is one sided and involves one half of the body and starts shortly after the stroke.

So I would like you to give me more details before I advice you on the treatment

1. If you have risk factors like Diabetes, Smoking, Alcohol, and Hypertension.
2. Back pain radiating to the legs.
3. Urinary disturbances.
4. Sensation of pins, needles, imbalance on closing the eyes.
5. Current medications list.

Wishing you good health,

Regards,

Dr Shiva Kumar R
Neurologist & Epileptologist

Above answer was peer-reviewed by : Dr. Shanthi.E