Conversation: The conversation between human and AI assistant.
[|Human|] Hello Doctor, This is regarding my mother s health. She is of 65 years old. She doesn t have any B.P. , diabetics as per her every 3 months checkup . But she is very badly suffering with pricking sensation, burning and pinching in her both feet . She is suffering it from the last 4 years . But sometimes the pain is unbearable throughout the day . She cannot stand or walk for more time. Otherthan this she has no other complaints. Please please kindly tell me the reason for this pain and also the proper specialist for this problem . They stay in a town. She could show to a specialist in Vizag in Andhra Pradesh in India. Please kindly tell me your advise . We are very greatful to you.
[|AI|]  Dear enquirer Thanks for your query The pattern of symptoms your mother has suggested either peripheral neuropathy that is affection of the nerves of the legs or remote possibility of spinal cord problem. The investigations which mainly would help are1. Nerve conduction studies of the upper and lower limbs2. Vitamin B 12 and vitamin D levels3. If indicated Protein electrophoresis4. Urine BJ Proteins5. ESR, RA Factor and CRP Before all these she needs proper assessment by a neurologist. Thus, I Suggest book an appointment with neurologist at VIZ AG at earliest. Depending upon this test treatment for general symptomatic relief as well as for treatment of underlying condition can be planned.