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What Causes Pain In Lower Limbs?

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Posted on Mon, 20 Jul 2015
Question: Treatment for pain in lower legs possibly due to poor circulation.
Email is YYYY@YYYY
doctor
Answered by Dr. Neeraj Kumar (16 minutes later)
Brief Answer:
Give more details.

Detailed Answer:
Hello dear,
Pain in lower limbs can be due to many causes. commonly muscular calf pain, neuropathic pain, vascular ischaemic pain are encountered.
You need to provide more details about diabetes, smoking, pedal edema, skin changes.
Also duration of illness is important.
Treatment for poor circulation secondary to vascular etiologies may benefit with pentoxyphylline.
Please do get for further information with more details.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Neeraj Kumar (1 hour later)
To provide more detail:
No diabetes
No to smoking. Now 71 and last smoked when 16.
No pedai edema
No skin changes
No illegal drugs

Years with pain - many years, but has gotten to the point where I am not able to get a full nights sleep. I must get up and start doing some project to take my mind off the pain; but this is cutting into a full night of sleep. Then I end up needing to take naps during the day.

I believe this is inherited as my father's brothers also talked about this problem. His 4 brothers lived longer than he did. Father passed at 84 from pheumonia resulting from 20 years of parkinsons; his 4 brothers lived into 90's.

Do you provide a prescription for pentoxifyline, if appropriate? Do I continue with aspirin, Aleve and Celebrex? Do I continue with the one a day fish oil I take?
doctor
Answered by Dr. Neeraj Kumar (1 hour later)
Brief Answer:
Require investigation

Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Reviewing your history, I will advise you to get investigated for
1) Neuropathy: Require nerve conduction study, blood test, testing for myeloma and other relevant investigation.
2) Restless leg syndrome: Pain occurs mostly in calf in night with urge to move legs. Also seen in family members. Require fasting iron profile.
Benefits with dopamine agonist.
I don't think it's vascular.

pentoxifyline does not fit in the scenario and will not be needed for you.

Do I continue with aspirin, Aleve and Celebrex?
Since I do not know the reason for the prescription of these medicines in your case, so I cannot discontinue.

Do I continue with the one a day fish oil I take?
It has some side effects, so I would not suggest these.

I would suggest you to consult a neurologist for proper examination and evaluation.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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What Causes Pain In Lower Limbs?

Brief Answer: Give more details. Detailed Answer: Hello dear, Pain in lower limbs can be due to many causes. commonly muscular calf pain, neuropathic pain, vascular ischaemic pain are encountered. You need to provide more details about diabetes, smoking, pedal edema, skin changes. Also duration of illness is important. Treatment for poor circulation secondary to vascular etiologies may benefit with pentoxyphylline. Please do get for further information with more details. Hope you found the answer helpful. Regards Dr Neeraj Kumar Neurologist