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Proximal diabetic neuropathy, also known as diabetic amyotrophy, is a complication of diabetes mellitus that affects the nerves that supply the thighs, hips, buttocks and/or lower legs. Proximal diabetic neuropathy is a type of diabetic neuropathy characterized by muscle wasting, weakness, pain, or changes in sensation/numbness of the leg.
Feeling this would indicate an organic cause of the paresis. If the examiner does not feel the "normal" leg's heel pushing down as the patient flexes the hip of the "weak" limb, then this suggests functional weakness (sometimes called "conversion disorder"), i.e. that effort is not being transmitted to either leg. [citation needed]
The predominant symptoms of NC involve one or both legs and usually presents as some combination of tingling, cramping discomfort, pain, numbness, or weakness in the lower back, calves, glutes, and thighs and is precipitated by walking and prolonged standing. However, the symptoms vary depending on the severity and cause of the condition.
Gowers's sign is a medical sign that indicates weakness of the proximal muscles, namely those of the lower limb. The sign describes a patient that has to use their hands and arms to "walk" up their own body from a squatting position due to lack of hip and thigh muscle strength. It is named after William Richard Gowers. [1] [2]
Typically, symptoms are only on one side of the body. [3] Certain causes, however, may result in pain on both sides. [3] Lower back pain is sometimes present. [3] Weakness or numbness may occur in various parts of the affected leg and foot. [3] About 90% of sciatica is due to a spinal disc herniation pressing on one of the lumbar or sacral ...
Common early symptoms include frequent tripping and falling and difficulty going up stairs. Foot drop in one or both feet can occur. [14] Part of the cause for this dysfunction is the early involvement of the quadriceps muscles. [1] Weakness of the tibialis anterior muscle is responsible for foot drop. Another common early symptom is trouble ...
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Numbness and tingling in an arm or leg [1] [2] Paleness [1] [2] of the skin of the arm or leg; Muscle weakness of an arm or leg, [1] [2] possibly to the grade of paralysis [2] Later symptoms are closely related to infarction of the tissue supplied by the occluded artery: Blisters of the skin in the affected area [1] Shedding of skin ...