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What Causes Weakness, Pain And Tingling In Legs And Buttocks?
Question: I have been having pain weakness and tingling in legs and buttocks tingling in arms heaviness walking upstairs and walking I've had mri on hip and spine all clear. My gp very good to pick up my concerns that thus could be claudication or neurological I've had tingling and odd sensations for sometime, I've had ankle brakial undertaken one ankle 1.28 and the other is 1.34 my gp is not worried bat all that the 1.34 is border but I am worried my symptons could be sign if intermittent claudication he does not wish to refer to me to a cardiologist based on His assessment, we may be looking at neurological assessment. Do you agreed that 1.34 ankle brakial is very border and not a reason to refer to cardiologist? Thank you
Brief Answer:
It is important to rule out PVD.
Detailed Answer:
Hello XXXXXX
Thanks for writing to HCM
Normal resting ankle-brachial index is 1.0 - 1.2.
Above 1.2 need further evaluation.It is important to rule out peripheral vascular disease(PVD).So,you need colour doppler study of arterial system in lower limb with raised ankle-brachial index.
Besides this,you need few routine investigations relevant to your case.
It includes routine hemogram,Random blood sugar,Liver function test,Lipid profile,Renal function test,Thyroid profile,Vitamin D and calcium level,Vitamin B12 estimation.Further investigations can be done if needed.
Proper treatment depend upon findings.You need proper clinical evaluation,so you need referral.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
It is important to rule out PVD.
Detailed Answer:
Hello XXXXXX
Thanks for writing to HCM
Normal resting ankle-brachial index is 1.0 - 1.2.
Above 1.2 need further evaluation.It is important to rule out peripheral vascular disease(PVD).So,you need colour doppler study of arterial system in lower limb with raised ankle-brachial index.
Besides this,you need few routine investigations relevant to your case.
It includes routine hemogram,Random blood sugar,Liver function test,Lipid profile,Renal function test,Thyroid profile,Vitamin D and calcium level,Vitamin B12 estimation.Further investigations can be done if needed.
Proper treatment depend upon findings.You need proper clinical evaluation,so you need referral.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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