[54F] Experiencing numbness, muscle pain, and weakness

Patient Description

A 54-year-old female presents with a 3-week history of numbness in her hands, arms, and right foot, which has not responded to any interventions. Additionally, she reports muscle pain in her arms and hands, described as aching and cramping, with a severity rating of 7/10. This pain started 2 weeks ago and has progressively worsened, leading to significant weakness that has made daily activities like brushing her hair and raising her arms almost impossible. The patient has also experienced an unintentional weight loss of 30 pounds over the last 3 months, occasional bladder control issues, and difficulty swallowing that sometimes results in choking. Her medical history includes polyneuropathy diagnosed in 2019 and bipolar disorder diagnosed in 2004. She is currently taking Prozac and Abilify, with occasional use of Tylenol for pain. The patient has a known allergy to penicillin.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possibilities that could explain your symptoms:

  • Peripheral Neuropathy: Given your history of polyneuropathy, the numbness, muscle pain, and weakness you're experiencing could be related to this condition. Peripheral neuropathy often causes these types of symptoms, especially in the hands and feet. It can also cause difficulty swallowing and changes in bladder control.

    • Treatment typically involves managing the symptoms and any underlying conditions that may be causing the neuropathy. This can include medications, physical therapy, and lifestyle changes.
  • Multiple Sclerosis (MS): This is a chronic disease that affects the central nervous system, including the brain and spinal cord. It can cause a wide range of symptoms, including numbness, muscle weakness, difficulty swallowing, and changes in bladder control.

    • Treatment for MS typically involves medications to manage symptoms and slow the progression of the disease, as well as physical and occupational therapy.
  • Amyotrophic Lateral Sclerosis (ALS): Also known as Lou Gehrig's disease, ALS is a progressive neurodegenerative disease that affects nerve cells in the brain and spinal cord. It can cause muscle weakness, difficulty swallowing, and changes in bladder control.

    • Treatment for ALS focuses on slowing the progression of the disease and managing symptoms.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for a formal diagnosis and treatment plan.

What you can do

  1. Schedule an appointment with your healthcare provider as soon as possible to discuss your symptoms. They may want to perform some tests to help determine the cause of your symptoms.
  2. Keep track of your symptoms, including when they occur, how long they last, and any factors that seem to make them better or worse. This information can be helpful for your healthcare provider.
  3. Try to maintain a healthy lifestyle, including a balanced diet and regular physical activity, as much as your symptoms allow. This can help to manage your symptoms and improve your overall health.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Sudden, severe headache
  • Difficulty breathing
  • Severe weakness or numbness, especially on one side of the body
  • Sudden confusion or difficulty speaking
  • Loss of consciousness

Please remember that while I strive to provide accurate and helpful information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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7 mo ago


People Also Ask


What are the common symptoms of peripheral neuropathy?

Common symptoms of peripheral neuropathy include numbness, tingling, and pain in the hands and feet, muscle weakness, and difficulty with coordination. It can also cause changes in bladder control and difficulty swallowing.


How is multiple sclerosis diagnosed?

Multiple sclerosis is typically diagnosed through a combination of medical history, neurological exams, MRI scans to look for lesions in the brain and spinal cord, and sometimes a lumbar puncture to analyze cerebrospinal fluid.


What are the early signs of amyotrophic lateral sclerosis (ALS)?

Early signs of ALS often include muscle weakness or stiffness, especially in the arms and legs, difficulty speaking or swallowing, and muscle cramps or twitching. These symptoms gradually worsen over time.


Can medications for bipolar disorder affect neurological symptoms?

Some medications for bipolar disorder, like antipsychotics and antidepressants, can have side effects that may affect neurological symptoms, such as causing or worsening muscle stiffness or tremors. It's important to discuss any new or worsening symptoms with a healthcare provider.

2 Comments


Leo#17

7 mo ago

The best thing to do would be to try to see a neurologist as soon as possible. For example, myasthenia gravis can can be associated with weakness and difficulty swallowing. Some neurological conditions are associated with an underlying cancer which needs to be caught early and treated, so please set up an appointment if you can

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Anonymous#5974

7 mo ago

Thank you and I've set up an appt but as you already know it takes forever to see a neurologist, I have an appt June 17 and that was the first available...smh...I appreciate any thoughts on this because it's really bothersome

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