July 21, 2024

A 55-year-old man developed numbness and burning in his legs, numbness in his hands, tinnitus, extreme weakness, intense pain, cramps at night and at rest, palpitations, paresthesias (pins and needles sensation), headaches, shortness of breath and orthostatic hypotension. In addition, “Fatigue was intense and incapacitating, accompanied by anxiety, difficulty concentrating, mental fogginess and sleep disturbances,” […]

The patient was admitted to the emergency department for acute back pain that had been progressively worsening over an 8-week period. The pain began 5 weeks after a minor surfing accident. Repeated X-rays and additional tests were normal. “The intensity of the pain is greater at night and the patient sleeps little. These pains are