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