[60F] Experiencing leg pain, weakness, and balance issues

Patient Description

A 60-year-old female reports a gradual onset of burning pain in the shin and calf areas of her legs, rated 8/10 in severity, with associated pins and needles sensation. The pain worsens when transitioning from sitting to standing. She also experiences leg weakness, rated 5/10, with shakiness after standing for more than 5 minutes, which has been ongoing for a few weeks. This weakness affects her ability to perform daily activities such as driving, running errands, housework, and walking up stairs. Additionally, she reports numbness or tingling in her legs and feet, and loss of balance when standing up from bed or after sitting for long periods. Her medical history includes COPD, diabetes, and a massive stroke, diagnosed 10 and 15 years ago, respectively. She is currently on multiple medications including Plavix, gabapentin, protonix, Lantus, lispro, Trulicity, fish oil, vitamins E and D, fluoxetine, rosuvastatin, and clopidogrel. She has no known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible conditions that could be causing your leg pain and weakness:

  • Peripheral Neuropathy: This condition is often associated with diabetes and can cause burning pain, pins and needles sensation, and weakness in the legs. It occurs due to damage to the peripheral nerves, often in the hands and feet.

    • Treatment typically involves managing the underlying condition (in your case, diabetes), as well as medications to manage symptoms.
  • Lumbar Spinal Stenosis: This condition, which is more common in older adults, occurs when the spinal canal in the lower back narrows. This can put pressure on the nerves that control muscle power and sensation in the legs.

    • Treatment can include physical therapy, medications to manage pain, and in some cases, surgery.
  • Post-Stroke Syndrome: Since you've had a massive stroke in the past, it's possible that some of your symptoms could be related to post-stroke syndrome, which can cause weakness and balance problems.

    • Treatment typically involves physical therapy and rehabilitation.

What you can do

It's important to see a healthcare provider for an evaluation. They may want to conduct a physical examination and possibly order some tests, such as nerve conduction studies or an MRI, to help determine the cause of your symptoms.

In the meantime, here are some things you can do:

  1. Try to avoid activities that make your symptoms worse, if possible.
  2. Over-the-counter pain relievers may help manage your pain. However, you should check with a healthcare provider before starting any new medications, given your current medication regimen.
  3. Gentle stretching and physical activity may help with your symptoms, but it's important to not overdo it. A physical therapist could provide guidance on appropriate exercises.

What you should look out for

You should seek immediate medical attention if you experience:

  • Sudden, severe pain
  • Difficulty walking or moving your legs
  • Loss of bowel or bladder control
  • Increased weakness or numbness in your legs

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What is peripheral neuropathy and how is it related to diabetes?

Peripheral neuropathy is a condition where the peripheral nerves are damaged, often causing symptoms like burning pain, tingling, and weakness in the extremities. It is commonly associated with diabetes due to high blood sugar levels damaging the nerves over time.


How does lumbar spinal stenosis affect the legs and what are the treatment options?

Lumbar spinal stenosis is a condition where the spinal canal in the lower back narrows, putting pressure on the nerves that control muscle power and sensation in the legs. Treatment options include physical therapy, pain management medications, and sometimes surgery to relieve the pressure.


What is post-stroke syndrome and how can it impact daily activities?

Post-stroke syndrome refers to a range of symptoms that can occur after a stroke, including weakness, balance problems, and difficulty with coordination. These symptoms can significantly impact daily activities, and treatment often involves physical therapy and rehabilitation to improve function.


What are the warning signs that require immediate medical attention for leg pain and weakness?

Warning signs that require immediate medical attention include sudden, severe pain, difficulty walking or moving the legs, loss of bowel or bladder control, and increased weakness or numbness in the legs. These symptoms could indicate a serious condition that needs prompt evaluation.


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