I have unexplained acute onset of tingling in both my legs, nerve test shows no problem?

In May of this year, I had an acute onset of tingling in both my legs. Each leg was tingling from the top of the outer pelvis bone, above the hip joint, to the soles of my feet. The tingling was strong and constant, but was not accompanied by any pain or weakness.

I went to the E.R. because my blood pressure was also dangerously high at the time. They gave me something like valium and the blood pressure returned to near normal. (I have had slightly elevated blood pressure for several years, prehypertension.)

By the next morning, the tingling had subsided, but it continued to return now and then, never as severe, and never for as long. The frequency and severity of the tingling continued to decrease, but never completely went away.

I contacted my primary care physician to discuss the issue. She had me start vitamin B12 and had me do a nerve test of my legs. The nerve test (some electro-shock type of test) said everything looked great. She also started me on blood pressure medication, first hydrochlorothiazide, which gave me some mood side effects, then Losartan potassium, which seems to have gotten my BP very near normal.

Over time, I started to experience the same tingling in my hands and my forearms. I also started to notice that all the tingling seemed to be correlated with being in contact with a firm surface. (My hand tingles when I use my computer mouse, the soles of my feet tingle when driving, my legs tingle in bed if one lays across the other, etc.) Generally, if I change position, I can get the tingling to subside or mostly subside.

Over the last couple of days, the tingling in my right hand has increased in frequency and strength.

My primary care physician has been contacted, but she seems unsure what to think. I’m hoping for some other ideas.

SOME MEDICAL HISTORY:
I have the genetic bone condition osteopetrosis (not osteporosis). I wonder about the condition of the ultra-dense bones in my spine, and the spinal cord, but my primary care physician did not seem concerned about this when I mentioned it to her.

I also have metal-on-metal cobalt/chromium hip resurfacing replacements, from 2006. Recent blood tests show cobalt and chromium at very low levels, but not zero.

I am a 46 year old male. 6’0″, 265 pounds. I have had a yearly blood sugar check and it has always been normal. My primary care physician did another blood sugar check (some test that gives the blood sugar average over recent history) and it was normal as well.

ALLERGIES:
Clindamycin – rash. Likely sensitive to gluten, celiac test was “equivocal”. Have been on gluten-free diet for a few years.

MEDICATIONS:
Qnasl spray daily, vitamin D, vitamin B12, Losartan potassium

I appreciate any thoughts or help. Thank you!





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4 Answers on "I have unexplained acute onset of tingling in both my legs, nerve test shows no problem?"

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Dr Mahaveer
Member
Dr Mahaveer

hi
osteopetrosis does not have direct effect on the nerves as such. But due to dense calcification ,the neural foramen in the spine tend to reduce in size causing spinal nerve root compression. I think you should get a recent mri done to see if the foramen has narrowed.
Thanks

Dr. Ayman Darrag
Member
Dr. Ayman Darrag

Hi and welcome to question doctors.com from your history I don’t think that there is something clear enough can diagnose a specific case tingling in the arms goes away by changing position is nothing serious then vitamin b deficiency..
The Old tingling you have been suffering from yes almost caused by hypertension and I recommend doing lipid profile analysis to test 4 arterial changes you can also try doing an x-ray of the cervical region

shw12
Member
shw12

HI
HIP SURGERIES ARE ALMOST 10 YEARS OLD NOW AND THE WEAR AND TEAR OF THE IMPLANTS CAN BE RESPONSIBLE FOR THESE SYMPTOMS IF YOUR BODY IS ALLERGIC TO THE BIOPRODUCTS OF THE WEAR AND TEAR. THIS IS NOT THE ONLY REASON FOR TINGLING NUMBNESS BUT SHOULD BE CONSIDERED ON PRIORITY.

mrsshalini14
Member
mrsshalini14

Hello there
Its most probably due to peripheral neuropathy. Just taking vitamin supplements may help.
Hypocalcemia and electrolyte imbalance can also mimic the symptoms.
Get calcium and electrolytes checked.

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