Brief Answer:
Nerve related cause likely.
Detailed Answer:
Hello,
Thanks for posting your query.
The excruciating pain down the right leg with blue toes that is affecting the left leg also is likely to be due to a nerve related problem. The possibilities that need to be evaluated are-
1.Vascular problem - The pain may be caused by claudication caused by peripheral arterial disease (PAD), narrowing of the arteries that carry blood to the leg muscles.
2.Peripheral neuropathy- This can occur from direct
nerve irritation or from a medical illness like
diabetes, thyroid imbalance, etc.Chronic illnesses like
alcoholism, cancer, and vitamin deficiencies may also result in
nerve pain that often affects both legs. There are some illnesses that cause leg weakness that may be associated with complaints of leg pain, like Guillain-Barré syndrome and multiple
sclerosis.
3. Muscle pain: Muscle pain or myalgia is a common cause and may be due to overuse (mild trauma) or associated with the generalized aches and pain of an infection.
If I were his doctor, I would first check his peripheral pulses and if that is normal, I would order blood tests for diabetes and thyroid problems.
Vitamin b12 levels can also be checked. If all the tests are normal, MRI scan would be the last choice test. I am sure your
neurologist would consider all these tests to diagnose your condition and treat it accordingly.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon.
Book a Call now.