You wrote: "Current medical status: I have
severe tightness and pain in my muscles on
the right side. I also have some weakness
on that side. I have had this for two
years now with it getting worse over time.
Some months or weeks it doesn't seem that
bad, but it always comes back. I have
recently had a lot more tingling in my
arms and legs and the back of my neck. My
muscles have also been twitching, but it
is starting to be on both sides. I am very
fatigued, but never fill satisfied by
sleep. I have trouble with small motions
(such as writing), but continue to be
active.
Current medical treatment: Two years ago I
went to a regular physician, then a
physical therapist, and a chiropractor. I
then went to a neurologist who cleared me
after two MRI's and was sent to a sports
physician who tried effexor, shots in my
tension points, and lidocain patches. I
moved at this point to NY (from OH) and
gave up frustrated, trying to put it in
the back of my mind. Then after a year I
couldn't take it and went to a new doctor
who was a gp and sports doctor. He tried
physical therapy but it made everything
much worse and my pt said that my muscles
were not firing very well in my back. Then
after blood work revealed a higher CK
level and low b12 (150) I was sent to a
rhemotologist. He checked my blood work
after a restful weekend revealing my CK
was fine but my b12 was still low (201). I
eat a balanced diet and am only 22 so he
sent me to a hemotologist who tested my
blood work clearing my of a b12
deficiency. At the hemotologist he
noticed! neuropathy so he is sending me
back to a neurologist."
Possible neuropathy is exposed via a
physical neurological examination
(motility, muscle tone, reflexes…) and
electro-myo-graphy (EMG). Many diseases
can cause neuropathy including multiple
sclerosis (MS) and deficit of Vitamin
B12... but in both cases, organic lesions
are present in the brain and spinal cord
that can be seen on an MRI. A Vitamin B12
deficit also causes megaloblastic anemia,
in addition to neuropathy. MS is a severe
neurological disease that always shows
lesions in the brain on MRI. You SHOULD
see a neurologist for physical
examination, and then you can request an
EMG and MRI, if necessary.
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