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I Have Had A Pain That Begins In One Area

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Posted on Mon, 29 Apr 2019
Question: I have had a pain that begins in one area and then moved to another. It is a very deep pain. First was right elbow to shoulder, then left hip to knee, and now right chest into back shoulder. Also with this one, I keep getting a feeling of electricity in my right leg between knee and inner ankle. What could this be?
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Follow up: Dr. Shyam B. Kale (46 minutes later)
I feel it's important to mention, I have had almost constant swelling in my feet, ankles and lower leg. Worse on left side than right. Have dealt with this for a couple years. Compression socks help as well as elevating but it doesn't go away. 3 months ago I went to the e.r. because I was having dizzy spells and was short of breath. My heart rate was 189 on arrival. Blood pressure was barely high, ekg was okay, xray of chest was clear, ultrasound of legs was clear although the technician had a very hard time on my left leg. They sent me home after my heart rate lowered with rest and told me to see my primary. It costs me more money than I have right now to see them and have yet to go. My family has a history of strokes, hypothyroidism, fibromyalgia, and breast cancer.
I am 5'6, weight 148 lbs, I am a smoker, no alcohol.
doctor
Answered by Dr. Shyam B. Kale (1 hour later)
Brief Answer:
may be nerve compression with muscle sprain.

Detailed Answer:
Hello,

I have gone through your query and here is my advice.

As per your history it may be nerve compression with muscle sprain.

Please let me know do you have history of injury, sprain, tingling or numbness in upper or lower limbs?

To confirm diagnosis I would suggest you to do MRI lumbar spine with whole spine screening after orthopedic consultation. You may require tab. pregabalin 75 mg with tab. nortriptylline 10 mg after consultation.

Till then you can take tab. acetaminophen 500 mg every 4 hourly. Apply diclofenac gel or spray with heat pads locally. These medications should be available over the counter.

As per past history and to evaluate bilateral leg swelling I would suggest you to do 2D echo to rule out any cardiac issue. To rule out other possibilities you may require liver profile, renal function test, TSH. Do blood pressure monitoring regularly.

Kindly avoid long standing. Use compression socks with leg elevation. Let me know I can assist you further.

Regards,
Dr. Shyam Kale.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Shyam B. Kale (2 hours later)
I do not have any history of injury or sprain and I haven't been involved in any really strenuous activity.
No numbness. I do wake up very stiff in the a.m. I also on occasion feel as if a drop of either really cold or really not water falls on me in different places. Mostly arms or legs. I had an MRI done but it has been a few years. I am not able to locate it at the moment, but there wasn't anything that stood out as abnormal. Ultrsound was done in my legs. As the technician moved around across the veins in my legs, she would squeeze, and then I could hear almost like a whooshing sound. She said that is how it should sound. There was one area when she never did get that sound like she did everywhere else but they told me it came back normal.
doctor
Answered by Dr. Shyam B. Kale (8 hours later)
Brief Answer:
please see detailed answer.

Detailed Answer:
Hello,

Thank you for your reply.

It may be due to nerve compression. Kindly do MRI and follow up with report.

Kindly do all measures as advised in previous answer. Do regular physical therapy.

Let me know I can assist you further.

Regards,
Dr. Shyam Kale.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Shyam B. Kale

General & Family Physician

Practicing since :2011

Answered : 3856 Questions

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I Have Had A Pain That Begins In One Area

I feel it's important to mention, I have had almost constant swelling in my feet, ankles and lower leg. Worse on left side than right. Have dealt with this for a couple years. Compression socks help as well as elevating but it doesn't go away. 3 months ago I went to the e.r. because I was having dizzy spells and was short of breath. My heart rate was 189 on arrival. Blood pressure was barely high, ekg was okay, xray of chest was clear, ultrasound of legs was clear although the technician had a very hard time on my left leg. They sent me home after my heart rate lowered with rest and told me to see my primary. It costs me more money than I have right now to see them and have yet to go. My family has a history of strokes, hypothyroidism, fibromyalgia, and breast cancer. I am 5'6, weight 148 lbs, I am a smoker, no alcohol.