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What causes leg pain and tingling in feet in a 45-year-old male with abnormal blood test results?
General Medicine
Question #54053
40 days ago
604

What causes leg pain and tingling in feet in a 45-year-old male with abnormal blood test results? - #54053

SAURABH
$3

I have pain in legs along with tingling in feet.Report Values : SAURABH AGGARWAL Age: 45 Gender: M Glycated Hemoglobin (HbA1c) Value: 5.8 % Normal Range:4.2% - 5.7% MPV Mean Platelet Volume Value: 11.4 fL Normal Range:7fL - 9fL Cholesterol-Total, Serum Value: 272 mg/dL Normal Range:0mg/dL - 200mg/dL Triglycerides, Serum Value: 187 mg/dL Normal Range:0mg/dL - 150mg/dL HDL Cholesterol Direct Value: 61.9 mg/dL Normal Range:40mg/dL - 60mg/dL LDL Cholesterol Cal Value: 172.7 mg/dl Normal Range:0mg/dl - 100mg/dl VLDL Cholesterol Cal Value: 37.4 mg/dl Normal Range:0mg/dl - 30mg/dl Non - HDL Cholesterol, Serum Value: 210.1 mg/dl Normal Range:0mg/dl - 160.0mg/dl TSH Ultra - Sensitive Value: 7.493 µIU/ml Normal Range:0.38µIU/ml - 5.33µIU/ml SGOT/AST Value: 53 U/L Normal Range:3U/L - 50U/L SGPT/ALT Value: 97 U/L Normal Range:3U/L - 50U/L GGTP (Gamma GT) Value: 58 U/L Normal Range:5U/L - 55U/L SGOT/SGPT Ratio Value: 0.55 Ratio Normal Range:0.7Ratio - 1.4Rat

How long have you been experiencing leg pain and tingling?:

- More than 6 months

How would you describe the intensity of your leg pain?:

- Moderate — affects daily activities

Do you experience any other symptoms along with leg pain and tingling?:

- Numbness

Have you noticed any activities that worsen your symptoms?:

- Walking or standing for long periods

How is your overall energy level during the day?:

- Moderate — some fatigue

Have you made any changes to your diet recently?:

- No changes

Do you have any history of diabetes or thyroid issues in your family?:

- Yes, thyroid issues
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Doctors' responses

●Your blood test shows very difference.you need good advice and guidance. I will give you some medicine for this. Take helthy diet do yoga pranayam suryanamaskar. Take proper sleep avoid oily fatty street food. Low intake of milk. Do not sit long time avoide folding legs setting,take leg elevation. ●Kottamchukkadi Thailam gently massage 3 times a day . ●Balarishta 20 ml with warm water 2 times a day after food. ●Thyrokalp Tablet 2 tab 2 times a day after food. ●Liposem Tablets 2 tab 2 times a day after food. ●Yogaraja Guggulu Tablets 2 tab 2 times a day after food. ●Ksheerabala 101 Avarthy 1 tab 2 times a day after food ●Glymin Tablet 2 tab 2 times a day before food ●Myaxyl Capsules 1 tab 3 times a day after food. ●Do you have hypertension history?


0 replies

Hello, Your reports show. clear metabolic + hormonal + liver imbalance not just one issuee What your reports indicate -pre-diabetes (HbA1c- 5.8%) -High cholestrol (Total 272, LDL 172, TG high) -Hypothyroid tendency (TSH 7.4) -Fatty liver/ liver stress -Nerve symptoms (pain, tingling, numbness) In Ayurveda, Kapha + meda dushti-> cholestrol, weight/ metabolism, Agnimandya-> poor digestion and liver overload, Vata aggravation-> nerve pain, tingling, Ama (toxins)-> root cause linking all Treatment goals -correct metabolism and sugar trend -reduce cholestrol and fatty liver -support thyroid function -treat nerve pain and tingling -improve energy Internal management 1) Metabolic + liver correction (most important) -Amrutham kashayam= 15ml + 45 ml water twice daily before meals =works on liver detox, metabolism, inflammation 2) Cholestrol + Thyroid support -Kanchanar guggulu= 2 tabs twice daily after meals =helps thyroid balance, fat metabolism, lipid reduction 3) Sugar control + metabolic balance -Nishathakadi kwatha= 15ml + warm water twice daily bafter meals =insulin sensitivity, blood sugar trend 4) Nerve pain + tingling (very important) -Kshherbala 101 capsules= 1 cap twice daily after meals =best for numbness, tingling, nerve weakness External therapy -Dhanwantaram tailam= apply on legs daily + mild massage =reduces pain, improves circulation Diet this will decide your decide -light, warm food -more vegetables -millets, barley -early dinner Avoid -sugar, sweets -fried food -bakery items -alcohol very important for liver -excess carbs white rice, maida Your current “no diet change” is the main reason for worsening reprots Lifestyle -walk 40 min daily -avoid long sitting -weight control is must Yoga/pranayam -anulom vilom= metabolism + thyroid -kapalbhati= fat metabolism -pawanmuktasana= digestion Investigation -lipid profile -HbA1c -liver enzymes -TSH every 3 months Timeline -4 weeks= energy + digestion improves -6-8 weeks= cholestrol and sugar trend improves -3 months= visible metabolic correction This is reversible stage, but only if you act NOW Your condition is metabolic syndrome + thyroid + liver + nerve involvement Solution= strict diet + correct medicines + consistency Do follow Hope this might be helpful Thank you

• Amruthotharam Kwath (200 Ml) - Kerala Ayurveda (Amruthotharam Kwath 200 Ml) — x2 • Kanchanar Guggulu (Kanchanaragulgulu Gulika 60 Nos) - Kerala Ayurveda (Kanchanaragulgulu Gulika 60 Nos) — x1 • Nisakathakadi Kwath (200 Ml) - Kerala Ayurveda (Nisakathakadi Kwath 200 Ml) — x2 • Ksheerabala 101 Avarti Capsule (100 Nos) - Kerala Ayurveda (Ksheerabala 101 Avarti Capsule 100 Nos) — x1 • Dhanwantharam Thailam - Kerala Ayurveda (Dhanwantharam Thailam 200 Ml) — x1


0 replies

In Ayurveda, these symptoms suggest a combination of Vata Vyadhi (nerve/musculoskeletal imbalance) and Kapha-Medas (metabolic/lipid accumulation) obstructing the channels (Srotas). I have prescribed medications for your condition take them consistently and you will se results , wait for 5-6 weeks to see results because ayurveda works on root cause so it takes time . ✅ Do’s • Favor “Vata-pacifying” and “Kapha-reducing” foods. Use warm, cooked meals with spices like ginger, garlic, and cinnamon to boost metabolism. •Engage in low-impact movement. Since walking long periods hurts, try gentle yoga (Vajrasana or Pawanmuktasana) to improve leg circulation without strain. • Drink warm water throughout the day to assist the liver and thyroid function. ❌ Don’ts • Limit fried foods, processed sugars, and excessive dairy, which can further elevate cholesterol and HbA1c. • In Ayurveda, sleeping during the day (Diva-swapna) can worsen Kapha and thyroid-related sluggishness. • Avoid cold showers or air conditioning directly on the legs, as cold increases Vata and intensifies tingling.


0 replies

Hello dear, Based on these laboratory findings and symptoms, there are several metabolic factors likely contributing to the leg pain and tingling (paresthesia). ​The high Total Cholesterol (272 mg/dL) and LDL (172.7 mg/dL) suggest impaired circulation and potential plaque buildup, which can cause leg heaviness. ​ An elevated TSH (7.493 µIU/ml) can cause muscle cramps, joint pain, and “Pins and Needles” sensations. ​ An HbA1c of 5.8% puts the patient in the pre-diabetic range, where peripheral nerve irritation can begin. ​ Elevated ALT (97 U/L) and AST suggest fatty liver changes (NAFLD), often linked to high cholesterol. ​ ​In Ayurveda, these symptoms indicate a Vata imbalance secondary to Margavarodha (blockage of channels). The high cholesterol and liver markers represent an accumulation of Ama (toxins) and Medas (excess fat), which obstructs the flow of Vata, leading to Shoola (pain) and Suptata (numbness/tingling). The thyroid involvement suggests a slowed Dhatu Agni (tissue metabolism). ​ ​The following protocol focuses on clearing the channels (Srotoshodhana) and calming the nervous system. Prescription : ​1. Liposem Tablet This is a specialized formulation for hyperlipidemia. It helps mobilize fat and clear arterial blockages. ​Dose: 2 tablets twice daily after food. ​2. Sahacharadi Kashayam Specifically indicated for ailments of the lower limbs, including sciatica and tingling. It balances Vata in the legs. ​Dose: 15 ml mixed with 45 ml of lukewarm water, twice daily, 30 minutes before food. ​3. Varanadi Kashayam Effective for obesity, fatty liver, and thyroid dysfunction by improving metabolism and scraping away excess Medas. ​Dose: 15 ml mixed with 45 ml of lukewarm water, twice daily, 30 minutes before food (can be taken alongside Sahacharadi). ​4. Sahacharadi Thailam (External) For local application to improve circulation and reduce tingling. ​Usage: Warm the oil slightly and apply to the legs with a gentle downward massage before bathing.


0 replies

Your symptoms (leg pain, tingling, numbness) with these reports point to a combination of metabolic + nerve imbalance. In Ayurveda, this is mainly a Vata aggravation with Meda (fat) and Agni disturbance. likely Causes pre-diabetic state HbA1c 5.8% → early stage of Prediabetes → causes nerve irritation (tingling, numbness) High cholesterol & triglycerides Indicates Meda Dhatu vriddhi (fat imbalance) → blocks channels (Srotorodha) → poor circulation → leg pain thyroid imbalance High TSH → hypothyroidism → causes heaviness, fatigue, nerve symptoms Liver overload high SGPT/SGOT/GGT → weak Agni + Yakrit (liver) dysfunction → toxin accumulation (Ama) → nerve + muscle pain Vata disorder (main root) Symptoms = tingling, numbness, pain → classic Vata Vyadhi Rx 1. Yograj Guggulu – for Vata + joint/nerve pain Arogyavardhini Vati – for liver + cholesterol Ashwagandha – nerve strength + fatigue Triphala – detox + metabolism correction Bhumiamla churna - 2-3 gm powder twice a day after meal 2. External Therapy Daily Abhyanga (oil massage) with warm sesame oil Focus on legs + feet → improves nerve circulation 3. Diet Correction Avoid: Fried, oily, sugar, bakery items Heavy dinner


0 replies

Details suggest there is Disturbed metabolic activity Fatty liver, hypothyroidism, increased cholesterol, prediabetic condition symptoms of peripheral neuropathy According to Ayurveda this is Vaat & kaph related and there is Ras, Rakt, Med strotas disturbance which we need to focus on. Please take following medicine 1) Arogyavardhini vati - 2 tab twice a day after food with water 2) punarnava mandur - 1 tab twice a day after food with water 3) mahayograj guggul - 1 tab twice a day after food with water 4) Kanchnar guggul - 1 tab twice a day after food with water 5) Dashmoolarisht+Ashwagandharisht - 20 ml twice a day after food with water 6) Gandharvaharitaki churna - 1/2 tbs daily at night before bed 7) Mahanarayan Oil - for External application & massage therapy Must Avoid Fried food, bakery, maida, baked items, fermented foods Sugar, sweets, cold drinks, any carbonated drinks Excess curd (especially at night) Non-vegetarian, alcohol, smoking


0 replies

Hello Saurabh Aggarwal, Your reports show high cholesterol, Triglycerides, also Thyroid hormones are not normal, and liver also shows slightly higher parameters. Start with For leg pain’ + Tingling sensation start with Cap. Lumbagest 1-0-1 after food with water Myaxyl tablet 1-0-0 after food with water Ashwagandha lehyam 0-0-1tsp after dinner with water Apply kottumchukkadi tailam external application on affected area once daily. For Thyroid Start with Thyrokalp 1-0-1 after food with water For liver strengthening Tablet Heposem 1-1-1 after food with water Avoid processed foods, fast foods, sugary foods, fried foods. Long walks in open air if possible. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily.


0 replies

1.Liposem tablet 2 tab twice daily with water after meals 2.Ksheerbala 101 avarti capsules 1 cap twice daily with warm milk after meals 3.Mahayograj guggulu 2 tab twice daily with water after meals 4.Varunadi kwath 20 ml with 20 ml water twice daily after meals 5.Kottamchukkadi taila - massage with warm oil twice daily on legs Vital Lifestyle Rules Avoid “Diva-swapna” (Daytime Sleeping): This is critical in your case as it increases Kapha and slows down the thyroid/liver further. Dietary Shift: Since your HbA1c is in the pre-diabetic range, strictly avoid sweets, white rice, and maida. Focus on Barley (Yava) and Millets. Warmth is Key: Drink only lukewarm water throughout the day. Avoid cold showers, as cold increases the tingling sensation.


0 replies

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