Which Specialist to See for Heart and Nerve Issues in Seniors? - Family Medicine

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When dealing with health issues in seniors, particularly those involving both heart and nerve-related symptoms, it's essential to approach the situation with a comprehensive understanding of the potential underlying conditions. Given your mother's age and the symptoms she is experiencing, it would be prudent to consult with multiple specialists to ensure a thorough evaluation.

1. Cardiologist: Since your mother has a history of heart problems and has previously been on heart medication, the first step should be to see a cardiologist. The symptoms of heart issues can sometimes manifest as sensations in the legs, such as the "ants crawling" feeling or numbness. A cardiologist can perform necessary tests, such as an electrocardiogram (ECG), echocardiogram, or stress tests, to evaluate her heart function and determine if there are any ongoing issues that need to be addressed.

2. Neurologist: The sensations of tingling or crawling in the legs, along with occasional numbness, could indicate a neurological issue. A neurologist specializes in disorders of the nervous system and can assess whether there are any nerve-related problems, such as peripheral neuropathy, which is common in older adults and can be caused by various factors, including diabetes, vitamin deficiencies, or previous injuries. They may conduct nerve conduction studies or imaging tests to evaluate the nervous system's health.

3. Primary Care Physician (PCP): It is also advisable to involve her primary care physician in this process. The PCP can coordinate care between the specialists and provide a holistic view of her health. They can review her medical history, current medications, and any other symptoms she may have, which can be crucial in diagnosing her condition accurately.

4. Physical Therapist: Given her history of back injury from lifting heavy objects, a physical therapist may also be beneficial. They can assess her mobility and strength and provide exercises to improve her condition, which may alleviate some of the nerve symptoms if they are related to muscle or joint issues.

5. Geriatrician: Since your mother is a senior, consulting a geriatrician could also be beneficial. Geriatricians specialize in the care of older adults and can help manage multiple health issues, ensuring that all aspects of her health are considered, including medication management, chronic disease management, and functional assessments.

In summary, your mother should ideally see a cardiologist to evaluate her heart health, a neurologist to assess her nerve symptoms, and possibly her primary care physician to coordinate her care. Depending on the findings, referrals to other specialists, such as a physical therapist or geriatrician, may also be warranted. It’s essential to address both her heart and nerve issues comprehensively to ensure she receives the best possible care.