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What Causes Pain In Knee With Difficulties In Walking?

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Posted on Tue, 1 Apr 2014
Question: It appears that I have neuropathy perhaps all the way up to the tops of my legs. I have also had minor strokes that were in the area of balance. As a result of the two I use a cane. I believe that it is the physical stress of getting around with a cane that has caused the muscles, particularly below the knees, to constrict almost constantly. You can see the muscles standing out and, there is a gray shade in the most painful areas..
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Answered by Dr. Dr. Prasad J (2 hours later)
Brief Answer: Can you elaborate??? Detailed Answer: Hi, I read through the details with diligence. Apparently you seem to be suffering with constricting pain localised below the knee and some difficulties with walking / balancing. You have these complaints in the back ground of controlled hypothyroidism, hypercholesterolemia and previous stroke. Neuropathy presents with muscle flaccidity and weakness. Painful muscle spasms are not the symptoms one associates with neuropathy. The muscle pains may be from underactive thyroid, side effects of cholesterol medications, radicular pain from osteoarthritis, the effects of stress or other unknown factors. Further, you described your neurologist performing spinal tap with an intention to make you walk better. This suggests your doctors suspected "Normal Pressure Hydrocephalus (NPH)" where walking difficulty, memory issues and bladder issues are common. If you have had MRI brain scans in the past, I would like to review it before commenting further about NPH. In a nutshell, I empathize with your condition. However your symptoms are slightly complex to be solved with medical history alone. You will need a good neurological examination and battery of investigations. If I were to be your physician, I would order for hemogram, creatinine kinase, thyroid function, serum calcium, vitamin D and blood sugar check up. MRI of brain and spine may be needed too. If feasible, I suggest that you call your neurologist office and book for an appointment and discuss about these aspects. Hope this information suffices. Let me know if you need clarifications. Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dr. Prasad J

General & Family Physician

Practicing since :2005

Answered : 3708 Questions

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What Causes Pain In Knee With Difficulties In Walking?

Brief Answer: Can you elaborate??? Detailed Answer: Hi, I read through the details with diligence. Apparently you seem to be suffering with constricting pain localised below the knee and some difficulties with walking / balancing. You have these complaints in the back ground of controlled hypothyroidism, hypercholesterolemia and previous stroke. Neuropathy presents with muscle flaccidity and weakness. Painful muscle spasms are not the symptoms one associates with neuropathy. The muscle pains may be from underactive thyroid, side effects of cholesterol medications, radicular pain from osteoarthritis, the effects of stress or other unknown factors. Further, you described your neurologist performing spinal tap with an intention to make you walk better. This suggests your doctors suspected "Normal Pressure Hydrocephalus (NPH)" where walking difficulty, memory issues and bladder issues are common. If you have had MRI brain scans in the past, I would like to review it before commenting further about NPH. In a nutshell, I empathize with your condition. However your symptoms are slightly complex to be solved with medical history alone. You will need a good neurological examination and battery of investigations. If I were to be your physician, I would order for hemogram, creatinine kinase, thyroid function, serum calcium, vitamin D and blood sugar check up. MRI of brain and spine may be needed too. If feasible, I suggest that you call your neurologist office and book for an appointment and discuss about these aspects. Hope this information suffices. Let me know if you need clarifications. Regards