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Si te Duelen las Piernas, Hacé Esta Prueba Simple — Transcript

by Dr. Martín - Neurologo · 986 words · 149 segments · language en · Watch on YouTube

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  1. 0:00If your legs hurt, be careful. Don't
  2. 0:03automatically assume it’s neuropathy
  3. 0:05or a circulation problem. There is a
  4. 0:07series of questions that changes
  5. 0:09everything. Does the pain appear when
  6. 0:11walking, is it worse at night, do your
  7. 0:13legs swell? And even though they might
  8. 0:16seem like similar things, each of those
  9. 0:18answers points to a different problem.
  10. 0:21That’s why, today I’m going to
  11. 0:23teach you a simple rule to know if your
  12. 0:25symptoms are due to nerve, artery, or
  13. 0:28vein issues. And stay until the end,
  14. 0:31because confusing these causes can make
  15. 0:34you waste months, spend money on the
  16. 0:36wrong treatments, and worse yet, still
  17. 0:38not improve. So, let’s start with the
  18. 0:42clues that make us think more about
  19. 0:45neuropathy. When the problem is in the
  20. 0:49nerves, people often describe it simply
  21. 0:52as pain, as burning, stinging, tingling
  22. 0:55, pricking, or electric shocks. Even as
  23. 1:00numbness in the skin. And something
  24. 1:03very typical is that these symptoms
  25. 1:05don’t always depend on exertion; they
  26. 1:08can appear while sitting, lying down,
  27. 1:10or even at rest. In fact, the most
  28. 1:14typical thing by far is that at night,
  29. 1:16the burning, tingling, or shocks become
  30. 1:19more intense and get worse. A very
  31. 1:23characteristic sensation can also
  32. 1:25appear, like walking on cotton, as if
  33. 1:27the sole of the foot doesn’t feel the
  34. 1:29ground well or as if the touch were
  35. 1:31more dulled, distant, or less clear. So
  36. 1:35, another important fact is pain from
  37. 1:38touch. Some people are bothered by the
  38. 1:41touch of a sheet, a tight sock, or even
  39. 1:44hot water in the shower. When that
  40. 1:47appears, it strongly points toward pain
  41. 1:50of nervous origin. That’s why if what
  42. 1:55predominates is burning, electricity,
  43. 1:57pricking, numbness, the feeling of
  44. 2:00walking on cotton, and nighttime
  45. 2:02worsening, then we must seriously think
  46. 2:04about neuropathy. But here comes the
  47. 2:08confusion, right? Does every burning
  48. 2:10sensation in the legs mean neuropathy?
  49. 2:13So, how do we differentiate it? The key
  50. 2:17here isn't just how the pain feels; the
  51. 2:19key is when it appears, because when
  52. 2:22there is a circulatory problem,
  53. 2:25especially if it is arterial, the pain
  54. 2:27typically increases as you walk. And
  55. 2:31that is a key piece of information to
  56. 2:33pay close attention to. If the pain
  57. 2:36appears while you walk and forces you
  58. 2:38to stop, then improves when you rest
  59. 2:41for a few minutes, and returns when you
  60. 2:43resume walking. Then we are no longer
  61. 2:47talking about just any pain, and
  62. 2:48certainly not about neuropathy. In that
  63. 2:52case, the two major causes we must rule
  64. 2:55out are an arterial problem in leg
  65. 2:57circulation, which is usually the most
  66. 3:00common, or lumbar spinal stenosis in
  67. 3:03the back. At first, this pain may only
  68. 3:07appear when walking long distances, but
  69. 3:10over time, it appears after walking
  70. 3:12shorter distances and becomes
  71. 3:14increasingly intense. In addition,
  72. 3:18during the day, you will feel
  73. 3:20significant tiredness or a sensation of
  74. 3:22heaviness in your legs. There is
  75. 3:25another detail that often causes a lot
  76. 3:27of confusion: cold feet, but here we
  77. 3:29must distinguish between two important
  78. 3:31things. In neuropathy, many people feel
  79. 3:35their feet are cold, but from the
  80. 3:37inside, like an internal sensation of
  81. 3:38cold, even though when you touch the
  82. 3:40foot, the temperature may be normal. In
  83. 3:44contrast, when the problem is
  84. 3:46circulatory, the foot can be truly cold
  85. 3:48to the touch, and that is a major
  86. 3:50difference. Whether you touch it
  87. 3:53yourself or someone else does, you will
  88. 3:55notice that the temperature is
  89. 3:56genuinely lowered. Furthermore, with
  90. 3:59circulatory problems, you will notice
  91. 4:02more significant changes in the skin.
  92. 4:04For example, the leg may look shinier,
  93. 4:07with less hair, the foot will look
  94. 4:10paler, and the nails can become more
  95. 4:12brittle. And very importantly, any
  96. 4:16wound, blister, or cut on the foot may
  97. 4:18take a long time to heal. And if a
  98. 4:22wound on the toes, heel, or sole of the
  99. 4:25foot doesn't close, that is no longer
  100. 4:27just leg pain. That is when the
  101. 4:29circulation must be examined. But be
  102. 4:32careful, because if the problem is not
  103. 4:35in the arteries but in the veins, the
  104. 4:38pattern changes quite a bit, because in
  105. 4:41venous problems, it is typical to have,
  106. 4:44likely, many varicose veins in the legs
  107. 4:46, accompanied by a heavy feeling in the
  108. 4:49legs during the day, which worsens from
  109. 4:52morning until night, along with color
  110. 4:55changes in the ankles that gradually
  111. 4:57darken and spread up the leg. the leg,
  112. 5:01as you can see in the image. And
  113. 5:04finally, swelling appears at the end of
  114. 5:06the day, which improves by elevating
  115. 5:08the legs. And in these cases, more than
  116. 5:12an electric tingling or the sensation
  117. 5:14of tiny needles in the skin, the
  118. 5:16sensation is one of itching. And before
  119. 5:20we get to the rule I promised you at
  120. 5:22the beginning, if listening to this
  121. 5:24makes you feel that no one ever fully
  122. 5:26explained if your issue comes from your
  123. 5:29nerves, circulation, or spine, know
  124. 5:31that I am also offering online
  125. 5:33consultations to review each case in
  126. 5:35more detail and determine which studies
  127. 5:37and treatments would make sense so you
  128. 5:39can get better. You can schedule your
  129. 5:43consultation by scanning the QR code
  130. 5:45you see on the screen or through the
  131. 5:47link I have pinned in the first comment
  132. 5:49. Now, there is something fundamental
  133. 5:51in this video that I want you to
  134. 5:52remember, and it is this simple rule.
  135. 5:55If it burns and tingles like
  136. 5:56electricity and gets worse at night,
  137. 5:59think of your nerves first. If the pain
  138. 6:02appears when walking and improves when
  139. 6:04you stop, especially if there are skin
  140. 6:06changes, think of your arteries. And if
  141. 6:09your legs feel heavy, swell, and
  142. 6:11improve when you elevate them, think of
  143. 6:14your veins. I would like you to tell me
  144. 6:17which symptoms you recognize in your
  145. 6:19case and if you have been able to
  146. 6:21improve with your doctors 'treatments.
  147. 6:23I will be reading all your comments to
  148. 6:25prepare the upcoming videos. See you
  149. 6:27next time. Yeah.

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