### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I m a 55yr. Old male.ive been told I have peripheral nuerathapy in my legs and feet.i notice at first some numbness in my feet years ago , but lately I ve had what feels like an intolerable burning pain from the balls of my hips what i sit on ,all the way to my toes but the worst pain feelsit comes from the upper outside of my feet .its just jolts of electric like pain.i have literally taken my fist and try to beat this sensation from the top of myfeet.my dr put me on 1800 mg. / day neurotin,seems to help but when I ron out of meds, oh shit look out .I can t live with this much less sit still,defin no sleeps . , Any thing please sincere Ken.Anderson

### output:

Dear patient Considering your case there are two possibilities 1. Peripheral neuropathy 2.lumbar disc prolapse with nerve root compression. Both have similar clinical symptoms except back pain in disc prolapse.  This needs to be investigated with EMG NCV of both lower limbs to confirm diagnosis.  If EMG NCV report is showing peripheral neuropathy diagnosis is confirmed. Next step is to search for the cause of neuropathy which may be 1. Diabetes Mellitus 2.  Vitamin B12 and riboflavin deficiency 3. Alcoholism 4. Lead poisoning. You should better consult neurophysician nearby you and get yourself examined and investigated thoroughly. If exact cause is fond and treated completely you should get long term relief. Till then continue treatment as advised.  All the best.