it can be due to calcium or magnesium deficiency. Should also the patient check his sugar level, in case he has diabetus,long terme diabetus can induce peripheral neuropathy (toxicity over the small nerves). Also it can be due to a herniated disc disease (the lowest disc between the vertebra (Lumbar 5 and sacral vertebra). it can be also due to increase in uric acid in blood. finally it can be due to a vascular disease, specially in smokers, as they might be developping an arterial disease.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.