Leg tingling: look to body fluids
I ama 71-year-old male. Every week I do up to 200km of hard roadbike riding, 5km of ocean swimming plus running and such. I am on Lipitor (20mg daily) to lower my cholesterol. Recently I have been experiencing tingling in my calves and thighs, particularly after exercising. Is it possible that the Lipitor might be causing these symptoms? Or is it just old age? I AMloath to attribute any of your symptoms to just old age’’, particularly as you sound fitter than any other person I know. The tingling could be related to the Lipitor, however the myalgia that can occur, albeit rarely, with Lipitor is more commonly characterised by muscle pain than tingling.
Stopping the Lipitor for a week or so should give you the answer. It would be best to discuss this with your doctor, who can check for a number of other possible diagnoses, such as nerve irritation secondary to back problems, as well as being able to advise you on an alternative medication if it turns out that Lipitor is the culprit. I suspect the more likely explanation for your muscle tingling is going to be a disturbance of your fluid and/or electrolyte balance, especially given the length of time you spend exercising and the fact it is summer. As people get older they do become more prone to such disturbances, even if they have been following the same regimen for years. I ama 59-year-old male and for the past month have experienced a dull pain at the bony prominences on both sides of my left elbow. Tennis elbow and golfer’s elbow has been suggested, but I play neither. I have been a musician for most of my life and wonder whether my piano playing has anything to do with it. I notice my left arm is considerably weaker at the gym. Should I be cutting down on the weights training? THE most common problem causing pain in the elbow is an overuse injury. Both tennis elbow and golfer’s elbow are examples of overuse injuries related to a particular movement common to those sports; you don’t have to be a player.
Your elbow pain could be the result of your piano playing, especially if anything has changed recently — such as the height of the piano stool, which could change the stresses at your elbow. It could also be caused by the weight training if you are lifting weights that are too heavy or lifting them incorrectly. Other possible diagnoses include arthritis of the elbow joint or bursitis. You really need to get your elbow examined by a doctor to get an accurate diagnosis. It is probably best to rest the elbow at this stage, or at least modify the exercise program until the pain, and presumably the inflammation, settles down. I ama 44-year-old woman and about to have a vaginal hysterectomy after years of suffering a prolapsed uterus. Approximately how long will it take to recover from this surgery? I was hoping to go on holiday six weeks afterwards. GENERALLY women recover more quickly from a vaginal hysterectomy than from an abdominal hysterectomy. Nonetheless, it is still recommended you refrain from lifting any substantial weight for four to six weeks post-operatively, or doing any significant exercise aside from walking until this time. By six weeks chances are you will have recovered — but I wouldn’t plan too strenuous a holiday.
I made a mistake last week in the question about the kilojoules in alcohol. There are 29 kJ in every gram of alcohol, so a standard drink which contains 10g of alcohol will contain at least 290 kJ. Linda Calabresi is a Sydney GP and executive editor of www.6minutes.com.au, a news service for Australian doctors. Send your queries to firstname.lastname@example.org