Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
172 Doctors are Online

What could be the cause of swelling and tingling in feet and difficulty in walking with normal blood report ?

User rating for this question
Very Good
Answered by

Internal Medicine Specialist
Practicing since : 1998
Answered : 1579 Questions
Question
Age 60 years, height 1.75m, weight 90 Kgs
I am not a diabetic and blood tests show normal sugar, cholestorol and creatinin levels
Problem: swelling and tingling in feet, discomfort throughout the day, difficulty in walking, some pain but very moderate
Posted Fri, 27 Apr 2012 in Bones, Muscles and Joints
 
 
Answered by Dr. Jasvinder Singh 25 minutes later
Hello,

Thanks for posting your query.

Swelling of the feet is called pedal edema and is caused by accumulation of an excessive amount of watery fluid in cells or intercellular tissues. It can be due to cellulitis, congestive heart failure, kidney disease, arthritis, high altitude (less likely from your location), high salt intake and any blood clot in the veins causing DVT. Are you taking some medicines like laxatives? Abusing these can also cause bilateral pedal edema.

Tingling sensations can be due to nerve damage, low thyroid disease or vascular deformity. You have to get a NCV( nerve conduction velocity) test done to assess the damage to the nerves. Till that time, wear flat slippers and take some vitamin B12 which is helpful in nerve injuries. If symptoms persist then you have to get your blood sugar levels also checked as it can be due to peripheral neuropathy.

In your case, since you are having pain and tingling, I suggest you an immediate physician consultation. You need to get blood tests, kidney function tests, electrolyte levels, ECG and stress ECHO, venous Doppler of the legs, Vitamin B 12 levels, NCV (nerve conduction velocity) and urine tests done.

Till that time, follow these lifestyle measures to alleviate the symptoms:
1) Increase muscle activity with walking, avoid standing in place for long periods of time and avoid sitting with the feet dependent.
2) Limit salt intake and stop taking any laxatives (if you are taking them).
3) Elevate the legs when sitting and wear leg wedges while sleeping, support socks and proper fitting shoes and socks.
4) Keep your fluid intake adequate by taking plenty of fluids.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
Above answer was peer-reviewed by
 
Follow-up: What could be the cause of swelling and tingling in feet and difficulty in walking with normal blood report ? 2 hours later
Thanks for the response.Please clarify point wise:
What type of specialist should I consult....should I consult cardio vascular deptt of a good hospital? Any specialist and hospital you would like to suggest.

my blood tests for diabetes, kidney function, cholesterol, vitamin b12 levels have been done a month before and are good...within the normal, acceptable range

I do not take any laxatives.

I drink 2 litres of water first thing in the morning.

What are leg wedges referred by you? What are support socks? From where can I buy them?Any specs for them.

I am having difficulty in walking though I do go for morning walks...after some time the legs appear stiff and foot swollen. What other exercise would be useful?

Any suggestions on diet...I am overweight...height 1.75m and weight 90Kgs, broad frame
 
 
Answered by Dr. Jasvinder Singh 10 hours later
Hello again,

Thanks for writing back.

You should consult a physician, cardiologist and a neurologist for these symptoms and get the above mentioned investigations done.

You can consult any good hospital like AIIMS, XXXXXXX XXXXXXX hospital or Apollo Delhi.

It is good that most of your tests are normal. In this case, it is important to rule out any heart causes and arthritis as well.

Leg wedges and support socks are basically worn to relieve lower limb oedema. You can get them from any good surgical instruments shop in Delhi.

Since you are having swollen feet after morning walks, you can do cycling at home.

Regarding diet, other than salt restriction no particular diet is to be avoided.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards,
Above answer was peer-reviewed by
 
Follow-up: What could be the cause of swelling and tingling in feet and difficulty in walking with normal blood report ? 3 hours later
Thanks Dr XXXXXXX .your guidance is very useful.
Following on the previous questions, please inform:
1.Specifications for leg wedges and support socks for making the correct purchase
2.Are support stocks available over the counter or need a doctor's prescription
3.My BP is 90/140 and has stayed like this for couple of years...I take tenormin25. Could my problem be a reason why BP never reaches 80/120.
4.My thumb nail has blackened, more of right leg than left, ...would this also be because of the same cause?
5.Is this problem same as venous insufficiency?

Thank you once again for your valuable directions and very prompt interactions.
With best wishes and regards,
J.M.Pant
+0000
 
 
Answered by Dr. Jasvinder Singh 21 hours later
Hello Pant,

Thanks for writing back. I will try answering your questions one by one:

1) The leg wedges and support socks are according to the size and you can even get foam leg wedges which are more comfortable. Surgical market is a good place in Delhi where you can get both of these and good standrad ones.

2) You do not need a doctor's prescription for support socks and a good pharmacist or surgical instruments shop will help you out.

3) If you are having high blood pressure inspite of taking the antihypertensive Tenormin 25, then it is very essential to have less salt intake and exercise regularly to decrease the BP. Other than that, you need to get the dose monitored or additional hypertensives prescribed from your physician.

4) This black thumb nail can be due to compromised blood supply to the toes which can be the cause of pedal edema, however it is important to rule out other causes like nail infections and subungual hematomas as well. Get a color doppler study done when you consult a cardiologist to see the vascular supply to the lower limbs and feet.

5) Venous insufficiency is when the veins have problems sending blood from the legs back to the heart. It is caused by problems in one or more deeper leg veins.
It causes swelling of lower limb and skin changes in the feet as well as nails. It can be due to DVT (as mentioned earlier), varicose veins or stasis dermatitis (less likely) and a color doppler can clarify the picture. It is not the same as swelling legs but swelling legs is a symptom of venous insufficiency.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. Best wishes.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Procedures

The user accepted the expert's answer

Ask a Sports Med Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor