Download FREE Practo app
Get ₹200 HealthCash
Body weakness
Hello Doctor, I am experiencing severe weakness, sharp pain in my calf muscles, and lower back pain sometimes .My Hemoglobin, TSH, Blood Sugar, and Electrolytes are all completely normal. Could this be a Vitamin D3 or B12 deficiency, and which further tests or treatments do you recommend?"
Answers (23)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Hello dear From the history, vitamin D/B12 deficiency are possible, but they should not be assumed to be the cause. Severe weakness with calf pain deserves a little broader evaluation like
25-OH Vitamin D
Vitamin B12
Serum ferritin + iron/TIBC/transferrin saturation
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+149
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Get tests done for calcium, magnesium, vit d3,b12 and share results.
If obese, reduce weight.
For pain take tab intagesic m.r one every 8hours for 4 to 5 days, after meals.
Syp calcimax p 5m.l morning and evening for 4 weeks.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Calcium and magnesium deficiency also test for lab
Next Steps
Consult with me
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
It can be due to various causes being vitamin deficiencies, other nutritional deficiencies,autoimmune, and stress related.
Next Steps
Do consult with a physician and evaluate further
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
I understood your concern and noted the problem as well .I need to ask few more details to make a diagnosis and start treatment and advice which suits you. You can discuss via whatsapp on 971*66*33*129 or book here on practo.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Need proper evaluation please consult for assessment and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Possibility of dehydration symptoms following a viral fever.
Could be due to vitamin deficiency if symptoms persistent for long time.
Next Steps
Hydrate yourself.
Health Tips
consult doctor for local examination
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
If you had recently fever episode this could be post viral fever symptoms. If you don't have any history of fever then you need to provide more information about your routine activities and can get your vitamin B12 levels and vitamin d3 levels checked. Can consult me for further guidance.
Next Steps
tab paracetamol 500 mg if fever with pain
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Normal Hb, sugar, thyroid and electrolytes are reassuring, but these symptoms need examination rather than assuming a vitamin deficiency.
I would check vitamin B12 and 25-OH vitamin D, along with calcium/magnesium and kidney function; calf pain may also be muscular or nerve-related.
Please avoid starting high-dose supplements without reports.
Next Steps
Please see a physician for calf and back examination. Seek urgent care if one calf is swollen, red or warm, or if you develop breathlessness or chest pain. You may book a Practo consult or visit Synergy Multispeciality Hospital, Miraj for assessment.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Jadhav nikhitha
General Physician
3 yrs exp
Adilabad
Hello. Severe weakness with calf muscle pain and intermittent low-back pain can have several causes, including vitamin D or B12 deficiency, iron deficiency, calcium/magnesium abnormalities, muscle or nerve-related conditions, and others. Normal Hb, TSH, blood sugar and electrolytes are reassuring but do not by themselves rule out vitamin deficiencies.
Treatment should ideally be based on the examination and test results rather than starting calcium or vitamin D blindly.
Next Steps
Consult a physician for examination and consider testing 25-OH vitamin D, vitamin B12, ferritin/iron profile, calcium, magnesium, phosphate and renal function. Seek urgent assessment if calf pain is unilateral or associated with swelling, warmth/redness, or if chest pain/breathlessness develops.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Amit Kumar Sharma
General Physician
4 yrs exp
Lucknow
Hello. From the history provided, a deficiency of Vitamin D3 or Vitamin B12 is certainly possible given the symptoms of calf muscle and lower back pain, despite normal Hb, TSH, and sugar levels. However, a broader evaluation is recommended. You may consider getting tests done for 25-OH Vitamin D, Serum Vitamin B12, and a complete iron profile (Serum ferritin, iron, TIBC). Also, a detailed clinical evaluation including complete dietary and lifestyle history would be helpful. Please consult a doctor in person or via proper consultation with these reports for accurate diagnosis and prescription."
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Zahra Fathima Khan
General Physician
17 yrs exp
Delhi
Hi! Get your vitamin d and b12 levels and iron profile done.
We need complete history, evaluation and menstrual history as well to assess the condition and help you
Next Steps
Follow a healthy diet and lifestyle. Exercise regularly and sun exposure of 10-15 minutes daily.
Consult me on Practo to further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Reesha Varshney
General Physician
1 yrs exp
Hathras
Yes this could be due to vit d and b012 deficiency
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Jitendra Tarasingh Rathod
General Physician
1 yrs exp
Akola
I would suggest testing Vitamin D, B12, calcium, magnesium, phosphate, and CK levels. A clinical examination is needed to rule out musculoskeletal or neurological causes.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Ms. Roshan Begam H
General Practitioner
2 yrs exp
Tiruvannamalai
Hello mam
Severe weakness and muscle pain can be related to vitamin D or B12 deficiency, but testing is needed before treatment. Consider checking Vitamin D, B12, calcium, magnesium and CK based on clinical assessment.
For further evaluation and management, consult me through Practo
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Jayesh P Nanda
General Physician
22 yrs exp
Mumbai
Hi
Need to know wether you have standing job for long hours, any family histry , recent infection,
Need to run few more tests and proper history is must
Next Steps
Maintain hydration , eat fresh fruits and add milk in your routine. , get good sunlight,
Health Tips
Visit near by physician for further evaluation,tc
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Lasima Noor Sayyed Muyyeri Kandi
General Physician
8 yrs exp
Kannur
As you have leg pain and lower back pain.would like to know more about your symptoms.
1. Is the pain present in one leg or both legs?
Do you have any difficulty walking?
When did the pain start?
Does the pain worsen while walking?
Do you have any numbness or tingling in your legs?
Do you have persistent low back pain as well?
Next Steps
i would suggest doing an ultrasound first
then an x ray lower back
Health Tips
don't do vigorous massaging over the calf area.
do emergency consultation if you have any symptoms of breathlessness,symcope or chest pain
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Your Hemoglobin, TSH, sugar, and electrolytes being normal doesn't rule out a vitamin D or B12 deficiency. Those need their own specific blood tests and aren't picked up on a routine panel.
Next Steps
Ask your doctor for a vitamin D and vitamin B12 blood test. Low levels of either can cause exactly this pattern of weakness, calf pain, and back ache.
Health Tips
Please don't start any vitamin D or B12 supplement on your own before testing. The right strength depends on how low your levels actually are.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
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.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
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.