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Suffering from peripheral neuropathy since last 7 to 8 months, symptoms include tingling sensation in the sole severe pain of the soles and legs
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Nervous System Disorders
Question #10087
1 year ago
602

Suffering from peripheral neuropathy since last 7 to 8 months, symptoms include tingling sensation in the sole severe pain of the soles and legs - #10087

B s murty

Suffering from peripheral neuropathy since last 7 to 8 months, symptoms include tingling sensation in the sole severe pain of the soles and legs Taking gabapentin nt and pregabolin m75 but to no effect. Unable to walk freely.

Age: 65
Chronic illnesses: Diabetes Slow heart rate Low bp Head spinning
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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
1 year ago
5

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It appears that your current medication, gabapentin and pregabalin, isn’t providing the relief you need from the symptoms of peripheral neuropathy. In such cases, it’s important to reassess the underlying cause of the neuropathy to tailor more effective treatment. Often, peripheral neuropathy can be caused by diabetes, vitamin deficiencies, particularly vitamin B12, toxins, infections, or can be idiopathic. Starting with a comprehensive blood work panel to check for these factors might be beneficial if not done already. Ensure your blood glucose levels are well-controlled if diabetes is the cause. Modifying the medication regimen could also be considered, like adjusting the dosages or considering alternative medications like duloxetine or tricyclic antidepressants. Physical therapy might be helpful in managing pain and improving mobility when combined with medical treatment. Some patients find relief with topical treatments like capsaicin cream or lidocaine patches applied to the areas of discomfort. Lifestyle modifications such as engaging in low-impact exercises, maintaining a balanced diet, ensuring proper foot care, and avoiding smoking and alcohol can further aid in symptom relief. Additionally, nerve conduction studies could provide insight into the severity and provenance of the nerve damage. If pain is severe and debilitating, consulting a neurologist or a pain specialist for more targeted treatment options like nerve blocks or spinal cord stimulation could be considered. However, do not make any medication changes should be made without first consulting a healthcare professional who is familiar with your medical history. Make an appointment with your healthcare provider for a detailed assessment and to discuss these potential avenues of care. Promptly addressing any red-flag symptoms, like sudden changes in bowel or bladder function or rapid worsening of pain, is crucial as they might indicate a more serious issue.

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