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

### input:
Last year I experienced a sudden onset of numbness and tingling in the bottoms of both feet about a month and 1/2 after surgery. I had a bunionechtomy (sp?) and also had an artificial joint put into my big toe, left foot. I was given a medication called Levaquin. I took one pill and immediately started feeling a tingling and numbness in my arms and hands. I called my doctor and he told me to stop the meds which I did, but then it was a few days later that I woke up with the numbness and tingling in my feet. I couldn t figure out what could have caused that so quickly. I was tested for Diabetes, but my A1C is normal. So they have no clue as to what is going on. I went to a Neurosurgeon and he couldn t find anything wrong. He did a test on me using needles, inserting them into certain parts of my legs and then sending an electrical current up through to my spine and back to see if I had a disruption in the nerve conduction. The results were negative. They showed no problems. I then started investigating the drug Levaquin and found out that one of the possiblities as a reaction to that drug is peripheral neuropathy and it can be permanent. It will soon be close to when I had the surgery last June and then got an infection at the end of July beginning of August and was given the drug Levaquin. Also about 2 weeks later I had developed a urinary tract infection and was given Cipro. What I didn t know was that Cipro was from the same family as Levaquin. They are both part of the fluroquinolones family. My question is what are the chances that I really have permanent peripheral neuropathy and that it was from the allergic reaction to the Levaquin and then like adding insult to injury being compounded by the Cipro drug? Still numbing and tingling away.....Thank you

### output:

Hi, thank you for providing the brief history of you. As you have this tingling and numbness feeling, according to my understanding you need a thorough clinical examination and MRI of lumbar spine. Since the history mentions you had surgery of the foot I suspect that due to abnormal weight-bearing on all feet there will be changes in the spine and some nerve root entrapment. With the thorough and deep understanding of your spine we can Chat Doctor. Also, for your problems you can discuss with your physician about Physical therapy as it will help improve the immune system and also the metabolism. Strengthening the muscles will even help to avoid major issues. Regards Jay In