Brief Answer:
You have combination of CRPS and PD.
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms in details.
You have a combination of both CRPS as well as Parkinson's disease (PD).
Symptoms such as unbalanced and
shuffling gait, difficulty in speaking, weak or hypo-phonic voice, tremors of hands, etc can not be explained on the basis of CRPS, and we have to consider a brain disease. As your
MRI brain is normal, the most likely diagnosis would be PD.
Similarly, pain can occur in PD too, but most often it is mild or a kind of ache or cramps. In your case, the severity of pain is more than what can be explained on the basis of PD, so, in addition to PD, we have to consider co-existing CRPS.
So, for good relief of your symptoms, you would require treatments for both CRPS and PD.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad, India
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