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What Causes Warmness In Thighs, Legs And Genital Numbness In A Diabetic Patient?
Question: I am aged about 68 years. I have diabetes & hypertension. Now suddenly I found that from thigh area to legs it becomes very hot and the area including the genital organ becomes numb. If only I sleep it recedes. I am taking tolperitas 150mg and pregabalin-m1500. Please advise what can I do..? I am unable to walk for 200mts.nor I am able to seat for 20mnts.
Brief Answer:
need mri spine for diagnosis
Detailed Answer:
Hello,
Thanks for posting in HCM.
I understood your query and read the information you gave.
From the history I assume that it is something to do with the spinal cord. Usually diabetic patients can have peripheral neuropathy which also presents with the similar complaints but they do not resolve with lying down but continues even with sleeping. So that can be ruled out.
Your history typically points toward something to do with spinal cord because when we lie down, the pressure over the spine and the cord is taken off and hence it gives some relief.
What you are having is called paresthesia which occurs when some sensory nerve roots in spinal cord are compressed due to multiple factors. What exactly is causing that, we don't know yet.
Hence I would advice you to get a MRI spine so we can pick up the causative factor and treat it if possible.
Treatment will solely depend upon the findings in mri. Consulting a neurosurgeon will be useful after mri is done as he's the person with spinal speciality.
Meanwhile continue taking the meds you are taking. Applying ice to lower back might help to some extent but the exact cause should be known asap.
I hope I have given you satisfactory advice.
If you have any questions kindly ask me back will be happy to answer them.
Thank you
need mri spine for diagnosis
Detailed Answer:
Hello,
Thanks for posting in HCM.
I understood your query and read the information you gave.
From the history I assume that it is something to do with the spinal cord. Usually diabetic patients can have peripheral neuropathy which also presents with the similar complaints but they do not resolve with lying down but continues even with sleeping. So that can be ruled out.
Your history typically points toward something to do with spinal cord because when we lie down, the pressure over the spine and the cord is taken off and hence it gives some relief.
What you are having is called paresthesia which occurs when some sensory nerve roots in spinal cord are compressed due to multiple factors. What exactly is causing that, we don't know yet.
Hence I would advice you to get a MRI spine so we can pick up the causative factor and treat it if possible.
Treatment will solely depend upon the findings in mri. Consulting a neurosurgeon will be useful after mri is done as he's the person with spinal speciality.
Meanwhile continue taking the meds you are taking. Applying ice to lower back might help to some extent but the exact cause should be known asap.
I hope I have given you satisfactory advice.
If you have any questions kindly ask me back will be happy to answer them.
Thank you
Above answer was peer-reviewed by :
Dr. Prasad
Dear sir,
I like the answer. I did MRI. It shows compression of spinal cord in Lumber area. The opinion is Lumber stenosis.
I like the answer. I did MRI. It shows compression of spinal cord in Lumber area. The opinion is Lumber stenosis.
Brief Answer:
Spinal traction will help. consult orthopedic surgeon
Detailed Answer:
Hello,
Thanks for following up with me.
Very sorry for delayed reply, was stuck in my work.
Anyways, as I suspected, the stenosis is present.
I would like to advise you here that spinal traction will be great help to you. In that we apply traction to spine and weights are used to pull the spines away from each other. It does help to great deal.
It will be better if you consult an orthopedic surgeon for the treatment and also after that physiotherapy for some exercises to relieve the pain will help.
So kindly consult orthopedician for further treatment followed by physiotherapist for stretching exercises. I guess it will get better after the required treatment as I mentioned above.
I hope I have answered your query well.
If you have any questions kindly ask me back.
Thank you
Spinal traction will help. consult orthopedic surgeon
Detailed Answer:
Hello,
Thanks for following up with me.
Very sorry for delayed reply, was stuck in my work.
Anyways, as I suspected, the stenosis is present.
I would like to advise you here that spinal traction will be great help to you. In that we apply traction to spine and weights are used to pull the spines away from each other. It does help to great deal.
It will be better if you consult an orthopedic surgeon for the treatment and also after that physiotherapy for some exercises to relieve the pain will help.
So kindly consult orthopedician for further treatment followed by physiotherapist for stretching exercises. I guess it will get better after the required treatment as I mentioned above.
I hope I have answered your query well.
If you have any questions kindly ask me back.
Thank you
Above answer was peer-reviewed by :
Dr. Prasad
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