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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.
Symptoms are typically unilateral, seen in about 78% of cases, but may be bilateral. [4] [2] The most common symptom is pain, paresthesias, or dysthesias on the anterolateral surface of the thigh that extends just above the knee. [3] [8] [5] [2] [6] [4] (The term "meralgia paraesthetica" combines four Greek roots to mean "thigh pain with ...
Paresthesia, also known as pins and needles, is an abnormal sensation of the skin (tingling, pricking, chilling, burning, numbness) with no apparent physical cause. [1] Paresthesia may be transient or chronic, and may have many possible underlying causes. [ 1 ]
Peripheral neuropathy may first be considered when an individual reports symptoms of numbness, tingling, and pain in feet. After ruling out a lesion in the central nervous system as a cause, a diagnosis may be made on the basis of symptoms, laboratory and additional testing, clinical history, and a detailed examination.
These symptoms include pain, weakness, and tingling of the legs, [5] which may radiate down the legs to the feet. [6] Additional symptoms in the legs may be fatigue, heaviness, weakness, a sensation of tingling, pricking, or numbness, and leg cramps, as well as bladder symptoms. [6]
Those with femoral nerve dysfunction may present problems of difficulties in movement and a loss of sensation. [medical citation needed] The patient, in terms of motor skills, may have problems such as quadriceps wasting, loss of knee extension and a lesser extent of hip flexion given the femoral nerve involvement of the iliacus and pectineus muscles. [3]
Among the signs and symptoms of polyneuropathy, which can be divided (into sensory and hereditary) and are consistent with the following, are: [1] Sensory polyneuropathy – ataxia, numbness, muscle wasting and paraesthesiae. Hereditary polyneuropathy – scoliosis and hammer toes
Other symptoms may include: [31] Pain, aches, and/or cramps in the buttocks, hip, or thigh; Muscle atrophy (muscle loss) of the affected limb; Hair loss of the affected limb; Skin that is smooth, shiny, or cool to the touch in the affected area; Decreased or absent pulse in the feet; Cold and/or numbness in the toes