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Capt T S Asokan, Now aged 65, worked in the merchant navy till 1993, due to mild heart condition. Since then in business leading a very active life style. Had cardio stenting in Sept 2015.  Doing HIIT twice weekly from 2016 Mar onwards. Started feeling fatigued since end 2018. Consulted Cardiologist, TMT and echo done- negative result. On a subsequent  review in Mar 2020 Dr suggested Sleep study as the fatigue was more during morning hours. Border line for Sleep Apnea. Subsequently difficulty in wearing under garments and trousers while standing, Slight foot slap noticed on right foot.  Later consulted Neurologist who suspected Peripheral Neuropathy.

MRI, Blood immunology test, PET CT scan, Nerve Conductivity Study test carried out, Dr suggested Physiotherapy and Alternate medicine for Peroneal Neuropathy of Right Lower limb. As the fatigue was increasing went to Sree Chitra Institute of Neuro Sciences. They carried out thorough physical examination and also EMG of all limbs tongue etc and have now diagnosed LMN-MND in March 2021. Now treating with Aravon-IV injection, Riluzole tabs and also homeopathic treatement hoping to arrest/slow  the progress of the condition.