Foot

Doc,

The past 12 months or so have been pretty traumatic for me.  I think it all started with some viral bug I caught.  I had a brief sore throat followed by some lymph node sensitivity, stomach cramps and period of weight loss.  Now pretty much recovered except for persistent weird pain/feelings in my feet (see below) and to a much lesser degree my hands.  I tested negative (Ab and DNA) out past 9+ months for all STDs.  Other than marginally high cholesterol and confirmed diagnosis of primary hyperparathyroidism (Ca & PTH) several blood work-ups including the following are all unremarkable.  Further

[Kevin Pho, MD]

Other than the calcium level, it seems that most of the workup has been non-revealing thus far.  

It may be possible that the calcium may be causing the symptoms - although typically, the levels need to be significantly more abnormal to cause such symptoms.

I would consider obtaining a vitamin B-12 level and obtain electrodiagnostic testing to rule out any nerve conduction deficit.  Another neurological opinion - preferably at a major academic medical center - can be considered.  

If the neurology workup continues to be non-revealing, a dermatology referral can be considered.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_b

[Mike-87]

Thanks.  B-12 test normal as stated in original question.  Nerve Conduction Velocity (NCV) test done about six months ago showed no degradation.

The only, only thing I have found after pouring over diseases, conditions, etc. on numerous medical websites that even comes close to describing what I may have going on in my feet and hands to a lesser degree is tarsal tunnel and carple tunnel.

I wonder if the combination of my low normal thyroid and hyperparathyroidism combined is enough to manifest in these symptoms.

Any other thoughts / comments?

Thanks again,
Mike