[27M] Experiencing chronic leg tremors, pain, and seizures

Patient Description

A 27-year-old male reports severe, chronic leg tremors and pain described as shooting, stabbing, and burning, primarily located in the thighs. The pain sometimes radiates to other areas and is accompanied by occasional numbness, leading to falls. These symptoms have been present for approximately 7 months, beginning with lower back pain and progressively worsening to affect leg function and mobility. The patient uses a cane for support. Laying down and stretching may exacerbate the tremors, which vary in intensity. Additionally, the patient has been experiencing seizures, vision changes, speech difficulties, balance and coordination issues, and electric-shock sensations that are not solely triggered by neck movements. The patient's medical history is unremarkable, with no known allergies or adverse reactions to medications. The only medication reported is Lyrica. Despite multiple consultations and MRIs, the cause of the symptoms remains undiagnosed.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Multiple Sclerosis (MS): MS is a disease of the central nervous system that disrupts the flow of information within the brain and between the brain and the body. Your symptoms such as tremors, leg pain, numbness, seizures, changes in vision and speech, and electric-shock sensations are all common in MS.

    • Diagnosis of MS typically involves a neurological exam, MRI, and sometimes a spinal tap. Treatment can involve medications to manage symptoms and slow the progression of the disease.
  • Neuropathy: This is a term that refers to general diseases or malfunctions of the nerves. Neuropathy can cause a variety of symptoms including pain, numbness, and muscle weakness. It can be caused by a number of different conditions including diabetes, infections, and vitamin deficiencies.

    • Diagnosis of neuropathy typically involves a physical exam, nerve function tests, and blood tests. Treatment typically involves managing the underlying condition and may include medications for symptom relief.
  • Spinal cord disorders: Conditions that affect the spinal cord, such as spinal stenosis or a herniated disc, can cause symptoms such as pain, numbness, and weakness in the legs. However, these conditions would typically be visible on an MRI.

Please note that these are possibilities based on the symptoms you've described, and only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Continue to seek medical attention: It's important to continue to seek medical attention, especially given the severity and duration of your symptoms. If you haven't already, consider seeing a neurologist, who specializes in conditions affecting the nervous system.

  2. Keep a symptom diary: This can help you and your healthcare provider identify any patterns or triggers for your symptoms.

  3. Stay active: As much as possible, try to stay active. Regular physical activity can help improve your overall health and may help manage some of your symptoms.

  4. Eat a balanced diet: Eating a balanced diet can help ensure you're getting the nutrients your body needs to function properly.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Sudden worsening of symptoms
  • New symptoms
  • Difficulty breathing
  • Loss of consciousness

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional for a definitive diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of Multiple Sclerosis (MS)?

Common symptoms of Multiple Sclerosis (MS) include fatigue, difficulty walking, numbness or tingling, muscle weakness, vision problems, dizziness, and cognitive changes. Symptoms can vary widely among individuals.


How is neuropathy diagnosed and treated?

Neuropathy is diagnosed through a combination of physical exams, nerve function tests, and blood tests to identify underlying causes. Treatment focuses on managing the underlying condition and may include medications for pain relief, physical therapy, and lifestyle changes.


What could cause electric-shock sensations in the body?

Electric-shock sensations, also known as Lhermitte's sign, can be caused by conditions affecting the spinal cord, such as Multiple Sclerosis, cervical spondylosis, or other neurological disorders. It is often triggered by neck movements.


Why might someone experience leg tremors and pain?

Leg tremors and pain can be caused by a variety of conditions, including neurological disorders like Multiple Sclerosis, peripheral neuropathy, or spinal cord issues. These symptoms may result from nerve damage or dysfunction.


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