Tingling in my foot

by Nichole
(Aberdeen )

Dear Doctor,
For the past year I have had a lot of tingling going on in different extremities. I get it in the side of my hands and in my feet.

I am also a hypertension patient taking a 1/4 of a 25mg Metoprolol 2 times a day, 81mgs of Asprin, .25mg xanax twice a day, and 45mgs. Methadone twice a day.

I notice the tingling in my left foot is worse when I'm in the shower and after my shower.

I suffer from anxiety and panic attacks so this is scaring me more than it probably should. I really need to make an appointment with my Primary Physician but honestly I get scared because I have white coat syndrome annd my blood pressure is sky high every time I go to him and I can't stand feeling that way.

Any advice besides the fact that I need to go to my doctor!!

Hello Nichole,
It's easy for me sitting on the other side of the planet to come out and make trite suggestions and comments...

This is almost certainly a side effect or interaction of all the drugs you are taking. That's nasty stuff you are on.

My best suggestion? Go away to a quiet place for a day, all on your own, notebook in hand:

* What do I have to do to get off all these meds? What changes can I reasonably make? A daily walk, lose a few pounds, a daily chat with God.

* Face your demons. What is that is so scary about life? Are they real? Or, in reality is your fear of some very little problems far worse than the problems themselves? Most of our fears never evolve into anything, yet we can live in terror of them. Banish them for what they are: illusions.

* Are you on a crap diet? Do you every day have your five coloured fruit and veg. Five minimum, I aim for ten. Just an apple a day would be a great start. It's really not that difficult to start adding a homemade celery or leek soup, butternut soup... to the daily fare.

* Honestly, it's not another to visit to your doctor that's needed. He's just likely to add yet another pill... instead take responsibility yourself for you own life. You are the only one who can make the changes... and you can! Believe you me, you can.

Your salvation is not in pills. It's getting out into nature, eating better, taking regular exercise and (forgive me for being presumptious) but as a Christian myself, it's a relationship with Jesus, knowing He loves and cares deeply for me (and you) that has taken away my fears.

I hope this hasn't sounded like a sermon! It's not meant to be. Life is to be lived to the full, at full speed, with times of quiet periodically to assess... there's only one thing you need to be afraid of: all those pills you are taking.

Think about a little gardening. When the world wearies, and society ceases to satisfy... there's always the garden. Plant a row of radishes and some pole beans!

Bless you, thinking of you today.

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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