Dear Patient, Thank you for sharing these detailed symptoms. To ensure we provide the most precise, safe, and effective care plan during your upcoming consultation, could you please provide a bit more context on the following clinical details? Medical Diagnosis: Have you already consulted a neurologist or orthopedician for these symptoms, or underwent any diagnostic tests (like an MRI, EMG, or blood work)? Onset & Progression: Approximately how many weeks or months ago did the weakness first begin in your right hand? Functional Impact: Are you experiencing any difficulty with fine motor tasks (like buttoning a shirt or writing), or noticing any changes in your balance and walking stability? Our Specialized Care Options To make your assessment as seamless and comfortable as possible, we offer two flexible consultation models across Delhi NCR: Expert Home Physiotherapy: A senior therapist will visit your home with specialized diagnostic and rehab equipment, allowing us to evaluate your movement patterns and daily activities in your own environment. In-Clinic Comprehensive Evaluation: You can visit our fully equipped facility for a deep-dive biomechanical and neuromuscular assessment. Please let us know your preferred location and your answers to the questions above so we can finalize your appointment. Warm regards, Dr. BANDAY PT Mission Stance Physiotherapy Clinic and Rehabilitation

The burning sensation in your hands, legs, and potentially your feet strongly indicates nerve irritation or inflammation. Issues in the cervical spine (neck) can sometimes cause radiating weakness, fatigue, and altered sensations down both the arms and legs. Severe deficiencies (such as Vitamin B12) or metabolic imbalances can cause progressive nerve burning and muscle weakness.

The symptoms described are concerning because they appear to be progressive, started on one side and are now affecting both upper and lower limbs. The combination of muscle weakness, muscle fatigue with sustained activity, difficulty holding objects, difficulty keeping the arms raised, and burning sensations in the hands, legs, and feet suggests that a thorough neurological and neuromuscular evaluation is warranted. Several different conditions can present with these symptoms, including disorders affecting the peripheral nerves, neuromuscular junction, muscles, cervical spinal cord, or metabolic/nutritional causes. Additional information would be helpful, including: • How long the symptoms have been present and how quickly they are progressing. • Whether there is numbness, tingling, muscle twitching, muscle wasting, balance problems, or falls. • Any difficulty with walking, climbing stairs, swallowing, speaking, chewing, or breathing. • Whether symptoms worsen with activity and improve with rest. • Past medical history, medications, family history of neurological disease, and recent infections or illnesses.

The combination of worsening weakness, burning sensations, muscle fatigue, and the involvement of both your arms and legs indicates this is likely not a minor muscle or posture issue. It requires a detailed neurological and musculoskeletal examination. ​Recommended Actions: ​Manage Fatigue: Avoid strenuous activities that heavily increase your tiredness. ​Stay Active Gently: Keep up light mobility work and stretching exercises. ​Track Symptoms: Carefully monitor any new shifts in your grip strength, walking ability, balance, or physical sensations. ​Seek Expert Care: Arrange a timely evaluation with a neurologist and a physiotherapist.

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The pattern of progressive weakness, burning sensations, muscle fatigue and involvement of both upper and lower limbs suggests that this may be more than a simple muscle or posture-related problem and needs a thorough neurological and musculoskeletal evaluation. ✔️ Avoid activities that significantly increase fatigue ✔️ Maintain gentle mobility and stretching exercises ✔️ Monitor any changes in grip strength, walking, balance or sensation ✔️ Ensure timely assessment by a neurologist and physiotherapist

Consult a neurologist

⚠️ Disclaimer This advice is based on the information provided and is for educational purposes only. It does not replace a physical examination or medical diagnosis. * ⚠️ Progressive weakness affecting both arms and legs with burning sensations needs a detailed physiotherapy evaluation. *

As per as symptoms - warrants a detailed neurological evaluation.

Need proper assessment to suggest proper treatment.

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.

Hi you need physical consultation.

Hey there! It can be due to various causes. As I can check your age is 40. Hormonal, vitamin or may be neurological.  Please visit a doctor for examination and consult me online for life style modification and exercises. Regards

Need in person consultation with neurologist

Please consult a neurologist ASAP.

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 ?