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

### input:
a few years ago I accidentaly cut through my hamstring with a stanley knife,it was avery deep cut and I had the wound stitched up,about 18 months later I had nerve twitching in the calf muscles of the same leg and then both legs I am still having problems-do you think this is due to the old injury Regards

### output:

Hello dear, The twitching sensation of calf muscles in both legs can not be attributed to the hamstring injury in one leg, 18 months earlier. The symptoms as mentioned in your post can be due to:1. Compression of nerve fibers and blood vessels due to maintenance of incorrect posture.2. Entrapment of nerve fibers at the Lumbosacral spine or lower limbs.3. Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, vitamin B 12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy secondary to any fluctuation in blood pressure or blood sugar levels. Symptomatic relief can be obtained by intake of cervicogenic agents (like Vitamin B6, vitamin B 12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & vitamin D needs to be added in his diet. Physiotherapy & postural exercise will also be helpful. If symptoms still persist, kindly consult a Neurologist & get his complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels, Doppler scan of lower limb blood vessels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms. Wishing you a Good Health. Take care.