[53M] With chronic numbness in extremities and fatigue

Patient Description

A 53-year-old male presents with chronic numbness in the arms and legs, which has been ongoing for 2 years in the arms and 2 months in the legs. The numbness is relieved by movement and rubbing. The patient also suffers from chronic fatigue. An MRI of the brain showed no white matter abnormalities. However, the patient has cervical spine stenosis with osteophytes. The medical history includes mild chronic pancreatitis diagnosed in May 2020 and esophageal spasms that began in 2022. Current medications include Viokace, Nexium, and Finasteride. The patient reports no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you provided, the following conditions could be causing your symptoms:

  • Peripheral Neuropathy: This condition results from damage to your peripheral nerves, which often causes weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body. Your symptoms of numbness in your arms, hands, legs, and feet align with this condition.

    • Treatment typically involves managing the condition causing your neuropathy. In some situations, over-the-counter pain relievers can help. Other times, your doctor might recommend prescription medications or therapies.
  • Cervical Spondylosis (Cervical Osteoarthritis): This is a general term for age-related wear and tear affecting the spinal disks in your neck. As the disks dehydrate and shrink, signs of osteoarthritis develop, including bony projections along the edges of bones (bone spurs). Cervical spondylosis is very common and worsens with age. More than 85 percent of people older than age 60 are affected by cervical spondylosis. Most people experience no symptoms from these problems. When symptoms do occur, nonsurgical treatments often are effective.

    • Treatment typically involves physical therapy, medications to reduce pain and inflammation, and in some cases, surgery.
  • Chronic Fatigue Syndrome (CFS): This is a complicated disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue worsens with physical or mental activity, but doesn't improve with rest. The cause of chronic fatigue syndrome is unknown, although there are many theories — ranging from viral infections to psychological stress. Some experts believe chronic fatigue syndrome might be triggered by a combination of factors.

    • There's no single test to confirm a diagnosis of chronic fatigue syndrome. You may need a variety of medical tests to rule out other health problems that have similar symptoms. Treatment for chronic fatigue syndrome focuses on symptom relief.

What you can do

Please consult a doctor about your symptoms for a formal assessment and relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Over-the-counter pain relievers: For mild symptoms, over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) may help.
  2. Physical therapy: A physical therapist can teach you exercises to help improve your movement and strength, and to decrease your pain.
  3. Regular exercise: Mild to moderate activity can help reduce your symptoms.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms worsen or do not improve
  • If you experience severe pain
  • If you notice any other new symptoms

Please remember that while I strive to provide accurate information, I am not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of peripheral neuropathy?

Peripheral neuropathy can be caused by a variety of factors including diabetes, infections, traumatic injuries, metabolic problems, inherited causes, and exposure to toxins. It can also be a side effect of certain medications.


How is cervical spondylosis diagnosed and treated?

Cervical spondylosis is typically diagnosed through a combination of a physical examination, imaging tests like X-rays, MRI, or CT scans, and sometimes nerve function tests. Treatment often includes physical therapy, medications to relieve pain and inflammation, and in some cases, surgery if symptoms are severe.


What are the symptoms and potential causes of chronic fatigue syndrome?

Chronic fatigue syndrome is characterized by extreme fatigue that doesn't improve with rest and worsens with physical or mental activity. Its exact cause is unknown, but it may be triggered by viral infections, immune system problems, hormonal imbalances, or psychological stress. Symptoms can include sleep problems, memory issues, and muscle pain.


Can chronic pancreatitis affect other parts of the body, such as causing numbness or fatigue?

Chronic pancreatitis primarily affects the digestive system, but it can lead to malnutrition and vitamin deficiencies, which might contribute to symptoms like fatigue. However, it is less likely to directly cause numbness in the limbs, which is more commonly associated with nerve-related issues.


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