I am having tingling sensation in my both feet since more than one year. I underwent treatment for l4-l5 problem. I am a diabetic. Is it due to spine problem or diabetes. I had taken treatment from neurologist also for a month. No response. Kindly advise medication.

Dr. Akshay Kumar SaxenaOrthopedist13yrs exp

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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually your issues can be either due to diabetes or spine, it is difficult to actually say without examining you in detail. But if there is no back pain issues, then it may be unlikely due to a spinal pathology. Anyway a proper examination and investigations can actually tell us whether the issues are due to spine or due to diabetes. We can initiate with medications for neuropathic symptoms like pregabalin or gabapentin in small doses with or without vitamin b12 supplementation for 2-3 weeks and see from there how it goes. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.  

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