<s>[INST] Hi, I ve had fluttering feelings in groin, side, legs, really lots of places suddenly this past week. Even keeping me awake at night. Very short, spasm feelings. But doesn t really feel muscular. I am a DVT/PE survivor on multiple thinners. Is this related and should I worry? [/INST] Hi, thank-you for providing the brief history of you A thorough clinical examination is advised. As these symptoms are due to either of the factor, may be a DVT issue or may be a pinched nerve in the lumbar spine. Post thorough clinical examination may be Doppler scan or an MRI is advised for ruling out the other one. In my cases with such symptoms we do clinical examination and use the possible test like Doppler scan or MRI of lumbar spine and treatment is guided accordingly. For DVT issue - blood thinners and physical therapy for strengthening the muscle groups and also getting flexibility in the muscles. For Pinned nerve - simple painkillers for symptomatic relief, physical therapy - therapeutic ultrasound therapy, TENS therapy and exercises to strengthen the core, pelvic floor and lower limbs. Regards Jay In Chat Doctor.  </s>