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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Walking And Inability To Stand Without Support?

This 44 yr old lady is a known case of CIDP & hypothyroidism with history of gradually progressive difficulty in walking for 11 months with inability to stand without support.She also has history of progressive weakness of bilateral hands (left right), low back pain along with paresthesia of lower limb.She was treated with IvIg following which there was some improvement in lower limb muscle power (2/5 in quadriceps from 1/5 previously). She was to follow up, with monthly pulses. what i do?
Fri, 24 Apr 2015
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General & Family Physician,  's  Response
Hi,

Welcome to Health Care Magic,

I am Dr.Naveed Ullah khan,

I have read your question in detail and will try to help you in the best way possible.

This needs to have a work up. I suggest starting from the history and ask about all the medications that she is taking. Some drugs can cause this over a period of time.
Also i would like to know if there is a problem in nerve conduction or muscle electric activities by doing EMG.


I hope this answered all your queries, if you have more queries,I will be happy to answer.

Wish you the best of health.

Regards.

Dr.Naveed Ullah Khan.
MBBS
USMLE step 1, 2 & 3.
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What Causes Difficulty In Walking And Inability To Stand Without Support?

Hi, Welcome to Health Care Magic, I am Dr.Naveed Ullah khan, I have read your question in detail and will try to help you in the best way possible. This needs to have a work up. I suggest starting from the history and ask about all the medications that she is taking. Some drugs can cause this over a period of time. Also i would like to know if there is a problem in nerve conduction or muscle electric activities by doing EMG. I hope this answered all your queries, if you have more queries,I will be happy to answer. Wish you the best of health. Regards. Dr.Naveed Ullah Khan. MBBS USMLE step 1, 2 & 3.