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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pins And Needles In Hands And Legs, Vertigo Symptoms And Increased Heartbeat. Weaning Off Prednisone. Advice

I have been experiencing vertigo-type symptoms for the past 5 weeks. I also am having periods fast heart rate, and a pins-and-needles sensation in my arms, hands, legs, and feet. I am getting incredibly frustrated because I have seen my primary, and ENT, and a neurologist. I am not pregnant. I had a MRI that came back negative for MS or any neurommas. I have been on prednisone consistently for about a month now, and have been weening myself off. Over the past 2 days, my symptoms seem to be getting worse (without the prednisone). I don't know what else to do.
Fri, 26 Apr 2013
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Internal Medicine Specialist 's  Response
hi
Constant dizziness lasting months is usually psychogenic, not vestibular. However, the physician must be clear on what a patient means by "constant." Some patients who say they have constant dizziness for months actually mean that they have a constant susceptibility to frequent episodic dizziness; this can be a vestibular problem.
Headache, photophobia, and sonophobia suggest migrainous vertigo. Most patients with migrainous vertigo will also experience visual aura in at least some of their attacks.
Shortness of breath, palpitations,pins and needle feelings and sweating may suggest a panic attack, but true vertigo is often so terrifying that such symptoms are not uncommon with vestibular disease.
take care
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Pins And Needles In Hands And Legs, Vertigo Symptoms And Increased Heartbeat. Weaning Off Prednisone. Advice

hi Constant dizziness lasting months is usually psychogenic, not vestibular. However, the physician must be clear on what a patient means by constant. Some patients who say they have constant dizziness for months actually mean that they have a constant susceptibility to frequent episodic dizziness; this can be a vestibular problem. Headache, photophobia, and sonophobia suggest migrainous vertigo. Most patients with migrainous vertigo will also experience visual aura in at least some of their attacks. Shortness of breath, palpitations,pins and needle feelings and sweating may suggest a panic attack, but true vertigo is often so terrifying that such symptoms are not uncommon with vestibular disease. take care