[67F] Experiencing muscle weakness, pain, and restless legs

What might be happening

Based on the information you provided, possible diagnoses include:

• Myopathy: This is a condition where the muscle fibers do not function properly, resulting in muscle weakness and sometimes pain. This could be due to a variety of causes, including metabolic disorders, inflammatory conditions, or side effects from certain medications. The fact that your muscle weakness is constant and does not improve with rest, and that you have difficulty standing up from a chair or climbing stairs, is suggestive of this condition.

  • Diagnosis usually involves a combination of clinical examination, blood tests, electromyography (EMG), and sometimes a muscle biopsy. Treatment depends on the underlying cause.

• Peripheral Neuropathy: This is a condition where the peripheral nerves, which carry signals between the brain and the rest of the body, are damaged. This can result in a range of symptoms, including muscle weakness, pain, and abnormal sensations. However, you did not report any numbness or tingling in your hands or feet, which are common symptoms of peripheral neuropathy.

  • Diagnosis usually involves a combination of clinical examination, blood tests, and nerve conduction studies. Treatment depends on the underlying cause.

• Restless Legs Syndrome (RLS): This is a condition characterized by an irresistible urge to move the legs, often accompanied by unpleasant sensations. Your description of a crawling and tingling sensation in your thighs that is relieved by walking and hot showers is suggestive of this condition.

  • Diagnosis is usually based on the clinical symptoms. Treatment often involves lifestyle changes and sometimes medication.

Please note that these are only possible diagnoses. You should consult with a healthcare provider for a formal diagnosis.

What you can do

1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may refer you to a neurologist or rheumatologist for further evaluation.
2. Keep a symptom diary. Note when your symptoms occur, their severity, and any factors that seem to make them better or worse. This can be helpful information for your healthcare provider.
3. Try to maintain a healthy lifestyle. Regular exercise, a balanced diet, and adequate sleep can help manage symptoms and improve overall health.
4. Avoid caffeine, alcohol, and tobacco, which can worsen restless legs syndrome.

What you should look out for

Seek immediate medical attention if you experience:

• Sudden onset of severe muscle weakness or paralysis
• Difficulty breathing or swallowing
• Severe muscle pain
• Changes in mental status, such as confusion or loss of consciousness

Remember, this advice is intended to be general in nature, and specific causes may need different approaches. Always consult with a healthcare provider for accurate information.