Download FREE Practo app
Get ₹200 HealthCash
Muscle weakness
I have been experiencing progressive muscle weakness, which initially started in my right hand, palm, forearm, and arm, but has now also started affecting my left side.
Symptoms include:
• Weakness in both palms, forearms, and arms.
• Burning sensation and muscle fatigue in the hands and arms, especially when holding objects for a longer period.
• Difficulty holding items for long due to weakness and burning discomfort.
• Inability to keep my arms raised for an extended time as they start feeling weak and tired.
• Weakness and burning sensation in my right calf and around the muscles near the knee/leg joints, which has now also started affecting my left leg.
• Burning sensation along the sides of both feet.
The symptoms seem to be progressing from one side to both sides and are affecting my daily activities.
Please let me know if there is any additional information you would like me to provide before the consultation.
Thank you.
Not finding what you need? Ask Practo AI
FREE
Chat with Practo AI on Whatsapp
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
MPT Physiotherapist’s Clinical Opinion
Based on the history provided, I would recommend a prompt neurological evaluation. The pattern of symptoms is concerning because:
* The weakness is progressive rather than improving.
* It began in one upper limb and is now involving both upper and lower limbs.
* There is associated burning sensation in the hands, legs, and feet, suggesting possible nerve involvement.
* The symptoms are causing functional limitations in daily activities.
I would advise:
* Consultation with a neurologist at the earliest opportunity.
* A comprehensive neurological examination.
* Possible investigations such as:
* Nerve Conduction Studies (NCS)
* Electromyography (EMG)
* MRI of the cervical spine and/or brain if indicated
* Blood tests including vitamin B12, vitamin D, thyroid profile, blood glucose, inflammatory markers, and other metabolic screening
Physiotherapy Advice Until Evaluation
* Avoid excessive strengthening exercises or heavy lifting.
* Continue gentle movements and daily activities within tolerance.
* Monitor for any worsening of symptoms.
* Maintain a symptom diary documenting progression and functional limitations.
Next Steps
Before the consultation, I would like to know:
1. Duration of symptoms
* When did the symptoms first start?
* How quickly have they progressed?
2. Sensory symptoms
* Any numbness, tingling, pins-and-needles sensations, or reduced sensation?
3. Fatigability
* Does the weakness worsen with repeated activity and improve with rest?
4. Muscle changes
* Any muscle twitching, cramps, or visible muscle wasting?
5. Functional difficulties
* Difficulty writing, buttoning clothes, opening jars, climbing stairs, getting up from a chair, walking, or maintaining balance?
6. Bulbar symptoms
* Any difficulty swallowing, chewing, speaking, or changes in voice?
7. Spinal symptoms
* Any neck pain, shoulder pain, back pain, or symptoms radiating from the neck into the arms?
8. Medical history
* Diabetes, thyroid disorders, vitamin B12 deficiency, autoimmune conditions, recent infections, or current medications?
Answered
Let others know if this answer was helpful
Not finding what you need? Ask Practo AI
FREE
Chat with Practo AI on Whatsapp
Need in person consultation with neurologist
Next Steps
Vitamin b12 test
Answered
Let others know if this answer was helpful
Not finding what you need? Ask Practo AI
FREE
Chat with Practo AI on Whatsapp
Not finding what you need? Ask Practo AI
FREE
Chat with Practo AI on Whatsapp
Thank you for the query .
First of all tell me if you have any diagnosis of diabetes or thyroid disease .
If not , get them checked in case you have not . Along with Vitamin B 12 levels .
You need to get a physical examination done for this condition .
Do you have also got any neck pain or low back pain ?
Next Steps
Consult me for the same
Answered
Let others know if this answer was helpful
Not finding what you need? Ask Practo AI
FREE
Chat with Practo AI on Whatsapp
Articles you may like
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.