|Ankles and peripheral neuropathy
Jan 21, 2003
Over the past year I have been noticing that both my ankle and toe joints are becoming increasing stiff. When I first put weight on them after standing, both the ankle and toe joints crack loudly many times. My calf muscles are also very tight indeed. I have read (though goodness knows where) that PN can cause joint collapse. Have you had any similar problems in your experience - what could this be?
Many thanks for any suggestions.
| Response from Dr. Henry
In some patients peripheral neuropathy can be associated with muscle stiffness which can translate into stiffer joints. The 3TC can aggravate peripheral neuropathy. AN evaluation by a neurologist can sometimes sort out the possible etiology (HIV versus drugs versus other conditions). Treatment to relieve the symptoms is sometimes helpful. Consideration of massage/acupuncture or other alternative approaches (see www.daair.org) can be useful for some patients. Joint damage/collapse is usually not a problem but occcasionally patients can damage their feet if they lack any sensation whatsoever (see that in syphilis and diabetes for example). KH
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