Neurological or cardiac problem

[adamritch]

Approximately 2 months ago I finished taking a PT test [Army].  My physical performance was well below my normal and has only decreased. One day soon after, I was warming up with a easy-pace jog and from my top lip to my toes, my body felt like it was on pins and needles/ asleep.  Whereas I used to run 6 miles, I am now fighting to run 1/2 mile without struggling, with no significant decrease in frequency.  Also, I have constant headaches and joint pain (esp. in my hips).  Finally, I have very little energy to attempt to perform at my prior levels.  Note: For the past 3 weeks, I have completely rested and not exercised, but the physical symptoms are still present.  I fractured my ankle in August 2007 and I still feel joint pain on the medial side of my left ankle.  Would this past injury add to my symptoms?  Is it thyroid problems? cardiac? neurologic? DVT? or any combination thereof?

Thanks

[adamritch]

Thank you for the reply.  I currently do not experience any problems with HPT, blood sugar, or cholesterol levels.  These lack of "obvious" signs have lead me to a factor of mere speculation.  Again, thank you for the information.

[PaulMD]

Hi.

All the differential diagnoses that you are considering are valid.  However, I believe that the primary problem lies within the blood vessels supplying your lower limbs.  Inadequate arterial supply, which can be caused by high cholesterol and other factors, can indeed cause these symptoms.

For some individuals, no obvious cause for arterial insufficiency can be seen.  These are diseases termed as peripheral arterial occlusive disease. Though the exact mechanism is unknown, treatment can still be given.

I suggest you discuss with your doctors regarding evaluating both the arterial and venous blood flow of your lower extremities, through angiogram and venous dupplex scan respectively.  Also correct any underlying causes such as hypertension, high blood sugar, or high cholesterol levels.

Regards.