Doctor insights on:
Proximal Muscle Weakness Differential Diagnosis
Nerve damage: If you have unilateral muscle weakness and atrophy there has to be an injury or impingement of the nerve which innervates that part of your leg. A demyelinating process such as MS may also lead to muscle atrophy and weakness unilaterally. Other causes may be trauma to that muscle, prolonged immobilization in a cast, or not weight bearing on the leg can lead to loss of strength and muscle mass. ...Read moreSee 1 more doctor answer
Muscle weakness is either a subjective or objective symptom based on history or formalized testing. As a result, any complaint of weakness needs to be correlated with testing that can bring out that weakness, which sometimes involves putting that muscle in an isolated and 'disadvantaged' scenario to assess adequately. Such weakness can have multiple etiologies from ...Read more
Deep burning pain near infraspinatus muscle radiating to upper deltoid, and scapulothoracic inflammation/cracking - possible diagnosis or diagnostic?
Nerve entrapment: Could be anything from a nerve entrapment in the region of your pain symptoms or simply nerve irritation due to inflammation, trauma, or a muscle disorder. Best to be seen by a neurologist for further information. I doubt the disorder would be in the brain or spinal cord itself although nothing can be 100% ruled out on just what you're saying without studies and a good examination. ...Read more
Different cells hit: Neurologic muscle weakness is due to any disorder of the nerves activating muscles that causes weakness. Metabolic muscle weaknees is due to a disorder, usually of the muscle cells themselves, that leads to incomplete/inappropriate use of "fuel" conversion into energy by the muscle cells. ...Read more
very unusual: They are likely related to a similar cause. The potential list of causes can range from; poor postural mechanics, nerve root dysfunction from the neck region, muscular dystrophy and even some types of arthritis. It really warrants an evaluation from a specialist if you have not seen one yet. ...Read more
Hip pain: Your symptoms are not unique to one problem or disease. You should see a rheumatologist to get a diagnosis if your family doctor is unsure of the cause. ...Read more
Cranial Nerves: Facial expression and movement are controlled by several of the cranial nerves (cn). Ocular motion by cn3, 4, 6. Eyebrow lift by cn3, eyelid closing by cn7, muscles of chewing by cn5 and the rest of the face by cn7. ...Read more
What causes abnormal needle EMG in Latissimus dorsi muscles (on the sides- no electrical activity), upper arms/body weakness and scapular winging?
Diagnosed EBV now seems gone on to serious autoimmune disease symptoms muscle weakness stiffness in muscles numbness loss of sensation ?
Patient with excellent result of prior (x3) spinal fusion. Severe paraspinous muscle spasm with MRI showing paraspinous muscle atrophy edema. Rx?
Would worsening lower spine damage cause bone on bone pain and leg weakness? Prev MRI diagnosis annular tear, ddd, scoliosis...
Knee buckling.: Buckling implies weakness of the knees, which generally could come from the joint itself (osteoarthritis) or the muscles and ligaments surrounding the knees. Weakening of the muscles would lessen the support function of the joints. Ligaments can tear from trauma or just from use over time. ...Read moreSee 1 more doctor answer
Need advice on what is the the difference between neurological muscle weakness and metabolic muscular weakness?
Neuro vs. Metabolic: These two symptoms can overlap in some ways but generally speaking neurologic muscle weakness will effect a group of muscles controlled by those nerves. A common stroke in the cerebral hemisphere is a good example, weakness occurs on 1/2 of the body. Metabolic weakness should effect all of the muscles in your body. ...Read more
One is observed: Generally speaking, muscle weakness is something a patient perceives and something that we can test for in physical examination by doing a manual muscle test, etc. Atrophy is something we observe or visualize. In some cases they can be caused by the same thing (ex. nerve injury, immobilization, joint trauma), sometimes they are separate issues. ...Read more
Ebv positive which caused autoimmune disease struggle to breathe move lungs numbness loss of sensation muscle stiffness weakness muscle heavyness?
? Guillain-Barre ?: Not sure what you wish answered, but your description could be c/w an acute immune polyneuritis called guillain-barre, or even onset of a chronic process called cidp. If you have been diagnosed, perhaps you may improve with ivig infusions. However, please clarify what you need answered and we will amplify our responses. ...Read moreSee 1 more doctor answer
I suffered FUO FOR LAST 24 DAYS , Fever came down. NOW GETTING myalgia, arthralgia, proximal muscle weakness with SOB grade -III as per NYHA . wHAT is?
Need more info: meds? supplements? recent travel to Latin Am/Asia/ Africa? recent exposure to sick person? swelling/redness/ heat in leg? need to see PCP for thorough exam & history plus appropriate lab work. Too little info to make informed suggestion as to cause. ER if condition worsening. ...Read more
I have a lot of fatigue, muscle weakness, fainting spells. Diagnosis hypothyroidism but months on Synthroid (thyroxine) brings little help. My dr's are clueless.
Not thyroid?: If you're taking brand name replacement and the levels have been normal for several mos., the symptoms you're experiencing are not due to your thyroid - and you must have your doctors look at other potential disorders, which we cannot do over the internet. ...Read more
Many Possibilities: Weakness and wasting on one side can be caused by a number of things, including intervertebral disc disease, intervertebral foraminal stenosis. These irritate or with enough degeneration can cause decreased function in the nerve, which eventually causes strength or wasting issues. There are more potential causes, so it is advisable to be evaluated. ...Read more
Hypo: Potassium is needed to help muscle function. Without enough potassium, there is a change in the conduction of cells within a muscle. This change can lead to cramping, weakness and even heart arrythmias. People who have poor diets or who take diuretics "water pills" can develop hypokalemia more often. ...Read moreSee 2 more doctor answers
Yes, it can: In many cases, ambient heat can exacerbate underlying metabolic and endocrine dysfnctns, but many chronic neurological disorders can cause fatigue and increased weakness in presence of elevated temperatures. If you are unduly sensitive, might certainly check thyroid and hematological fnctns to start. ...Read more
Physical exam : This is usually determined by a physical exam and doing manual muscle testing This is usually scored out of 5. The lower the number the more severe the weakness: typically between 4-5 would be consider mild and are typically grading with plus and minus as well. ...Read more
Transient weakness: Neurologically, transient weakness. Can occur with fatigue due to metabolic disorders or myasthenia gravis, or related to rare condition like periodic paralysis. More commonly, transient blood clots (TIAs), seizure, or migraine can cause temporary weakness but usually with other symptoms as well. ...Read more
Muscle weakness x 1: weakness on one side, in one muscle group, could be due to injury or something called radiculopathy. The latter is a pinched nerve root in the lower back. It may also cause pain or numbness. If you have pain, numbness and weakness on one side, in one muscle group, radiculopathy is the likely answer. ...Read more
Nerve&muscle damage: Any type of nerve injury in your lower spine or in your leg can cause muscle weakness. Muscle diseases can lead to weakness. Sometimes brain conditions lead to muscle weakness, too. A detailed neurological exam can identify the likely area of damage. ...Read moreSee 1 more doctor answer
Be strong, get help: If you are running on empty, you need to recharge. A car won't run without fuel. You need to address the source of your sleeplessness. Sleep dysfunction has an impact on health. http://www.nlm.nih.gov/medlineplus/magazine/issues/summer12/articles/summer12pg16.html sleep deprivation has been used as a form of torture, don't torture yourself, get help. ...Read more
Possibly: Statin drugs can definitely cause muscle pain. This occurs for multiple reasons. One mechanism is that statins reduce the endogenous production of coq10, a vital anti-oxidant and important component of energy producing processes within the mitochondria inside your cells. If you take Lipitor (atorvastatin) you should definitely also take coq-10. ...Read moreSee 1 more doctor answer
No but is possible: Most people on statins have absolutely no muscle issues at all; a rare/unusual subset of patients could have muscle problems related to inappropriate muscle conversion of "fuel" into energy. There are blood tests that can help define whether that issue is occurring while taking a statin. Talk to your personnal physician. ...Read more
Sleep and exercise: How do you know your muscle weakness is linked to depression? Have you seen your doctor and had this symptom explained? If not, and you're concerned about muscle weakness, it's a good idea to have this evaluated. Muscle weakness is not a primary symptom of depression. Fatigue or loss of energy, along with insomnia, and decreased participation in activities could lead to muscle atrophy, however. ...Read more
No: Discuss your side effects with your prescribing physician asap. Also, you should discontinue the medication until further directed. ...Read more
It is a body tissue that has the ability to contract. It shortens and generates force. It relaxes and returns to its original length. Muscles move joints, stabilize the body, move air and food through the organs, act as valves for bladder, bowel and other organs. They control movement of the eyes. They help us express ourselves by changing the shape of our ...Read more
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