Pain and tingling in arms and hands and upper leg.

by parmesh
(bangalore, karnataka state, India )

Meralgia paresthetica

Meralgia paresthetica

Pain and tingling in arms and hands and upper leg.

I have numbness sensation in my upper thigh region of the left side for past 3 years i have visited many docters but it could not be solved presently i am taking tab gabapentin forte from past 20 days but now i am experiencing burning sensation in my left part of the body particularly in my hands i am completely worried please help me out.

thank you

Hello Parmesh,
I'm afraid that only a careful thorough examination will find the source of your problem.

The key is to tell me EXACTLY where in your leg and hands that you get the pain and tingling.

And also whether you have any groin, lower back and neck pain.

These pains could be one condition, but they may also be independent of each other. The old saying is: remember the patient may have two diseases.

Then tell me what relieves, and what increases the pain and tingling.

Looking forward to hearing from you.

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Sep 08, 2011
no neck pain
by: parmesh

hello sir,

this is parmesh here again i dont have any back pain or neck pain only numbness in the left thigh region and nowadays burning sensation in the left arms and hands
thank you sir

Sep 08, 2011
regarding the numbness pain in the thigh region
by: parmesh

hello sir,

Firstly I thank you for responding me back you had asked where the pain in your leg it is exactly in picture showed in meralgia paresthetica picture in chiropractic and the docter says it is meralgia parethetica and prescribed me to take gabapentin forte tabs one a day for two months is that okay and i have done b12 test it show 239 and now a days i am facing a burning pain sensation throughout my left hand sometimes it comes and goes so I request you to sent some topics related to this and advise me what to do.

thank you sir

Hello Parmesh,
Meralgia paresthetica is a particularly trying condition. It doesn't usually respond to medication. It's what is known as double-crush syndrome: in the upper lumbar spine and in the groin where the nerve (Superficial Femoral cutaneous nerve) exits in the groin on the way to the side of the leg.

Treatment has to address BOTH of these areas. You could try doing Maignes syndrome exercises (type it into the Search this site function at C-H) and doing some deep massage into the groin where it may be very tender.

In your arm, I'd be thinking of Carpal tunnel syndrome which is usually, but not always caused by a subluxation of the first rib, and a pinch in the forearm as the nerve passes between the two bellies of the Pronator teres muscle. That's a guess. There are exercises at the carpal tunnel page at C-H. Try them.

Hope this helps.

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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