Pain in right calf after walking and tingling in feet and hands when lying down.

Pain in right calf after walking and tingling in feet and hands when lying down.

I am 56 years old and in relatively good health. I am active and have a balanced nutritional diet.

I do have flattened discs in my cervical spine and for the last few months have experienced tingling in my feet and hands when lying down.

Just recently I have had pain after walking in my right lower calf area. I had a skiing accident two years ago which required me to have TPL surgery and I have a plate, rod and pins in my leg. I have had no problems following the surgery and physical therapy and have returned to skiing and all other activities. This is a new development in my leg.

I am traveling at the moment and wont be back in the U.S. until mid to late January. Any suggestions you might have would be appreciated.

Good day,
These are probably, but not necessarily so, two separate conditions.

Let's start with the calf pain; pain in the calf whilst walking, relieved when you stop, is likely caused by a condition called intermittent claudication. But you get the pain after walking, is that correct?

It could be from your lower back but you make no mention of LBP. In that case bending forward would give you a tight feeling in the calf and the Slump Test for sciatica would be positive. Sit in a normal kitchen chair; extend first the good knee, and then the naughty leg. Do you have pain in the calf?

Deep vein thrombosis if you have been doing a lot of travelling is one possibility.

Most likely of all, it's coming from either your ankle or knee; the trauma will have changed your gait and that can certainly provoke calf pain.

All in all, only a careful and thorough examination will bring the correct diagnosis. Obviously there are plenty of other possibilities.

You may have cervical stenosis, but you are young for that; it's a condition associated with flattening of the discs but also gross boney degenerative changes. By affecting both the spinal cord and the escaping nerve roots it causes tingling in both legs and arms, and other signs too.

The only real cause of immediate alarm in all this is the possibility of a DVT in your calf; I'd recommend you get an opinion on it from a medical person wherever you are travelling. For the rest, you'd better have a thorough checkout when you get home.

I hope this contributes.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



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