Doctor insights on:
Atrophy In Both Legs
Left medial gastrocnemius (side leg)looks smaller than right. Doc says atrophy but both legs measure the same size. How is this possible? I have CVI..
Other muscles: There are other muscles besides the gastroc's that contribute to the shape and size of the calf. If only the medial gastrocnemius is shrunken, then the measured diameter of the calves might be the same. If by CVI, youre referring to chronic venous insufficiency, the amount of swelling of the veins may also distort the apparent size of your calf muscles. ...Read more
Atrophy usually refers to the skin-as you get older or if you have had alot of sun in the past-the dermis (that is the layer below the top layer which is called the epidermis) gets thinner and the skin looks more wrinked. Muscles and fat can also get thinner -this is another form of atrophy. Even the top layer gets thinner ...Read more
I was diagnosed with pls. I do have muscle atrophy in both legs. Whats the diff between upper motor neuron dominant ALS and pls?
PLS versus ALS: Primary lateral sclerosis (pls) is a rare cause of spasticity without muscle atrophy ( no loss of spinal motor neurons). Extensive atrophy should not occur with pls, but reduced activity by itself can cause some atrophy. Als involves both upper motor neurons (causing spasticity) and lower motor neurons, causing atrophy. Pls has little effect on life span, hereditary spastic paraparesis can mimic. ...Read more
PMR says that I have "atrophy of the left medial gastrocnemius" yet both legs measure the same size. How could I have atrophy?
Reports can err: But, either you do or do not yet have externally discernable atrophy. If you have CRPS, the chances that you do or will are not insignificant. As I've urged - work closely and well w/ your doctor to obtain the best possible outcome. Try to find a good Health Psychologist to support you through mgmt of this chronic degenerative condition. Better is good compared to worse. ...Read more
A neuropathy...: Neuropathy is a disorder of the nerves to any part of the body outside (face, extremities) the central nervous system (brain & spinal cord). Causes include diabetes, alcoholism, or certain drugs (chemotherapy). U r describing a pressure neuropathy caused by something positional during sleep which is pressing on a nerve.Pillow under knees and base of neck may help. If persists, c internist or neuro. ...Read more
For the last week I've had a deep pain in both legs and the last two days they've been hot to touch and more painful. What could it be?
A clot should be : Ruled out first and foremost and ASAP if that is your complaint. ...Read more
Depends...: Many problems can cause leg pain: consider discussing with your family doctor first as many chronic illnesses can cause leg pain (i.e. Poor circulation, diabetes, lumbar spinal disc disease/spinal stenosis, etc.) testing nerve function, blood flow, examining the skin for infections, etc can also help determine the appropriate diagnosis and treatment plan. ...Read more
Venous insufficiency: You need to work with your clinician to find the best compression stockings that will work for you long-term. Observation and report of clinician findings over time are the best way to monitor: ulcers, discoloration, pain, inflammation, measurements of the legs, etc. Sometimes, surgery is necessary and you can be referred to a vascular surgeon that specializes in vein surgery. ...Read moreSee 2 more doctor answers
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