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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Leg Pain. Diagnosed Facets Syndrome. Recommended Cortisone Injections. How To Get Relief From Pain?

Hi, I am a 37 year old female. I have suffered with leg pain for over 2 years. My doctor recommended that I start doing cortisone injections as I was diagnosed with facets syndrome which may be why the pain in my legs and fee. Last week I woke up with terrible pain in both legs but worse in the right. I noticed that vains in my leg looked swollen, fluid filled like pockets. Afraid of a blood clot I went to the er which they preformed a ultra sound of my legs and did not find any blood clots. Now it comes and goes but very painful. what to do next?
Mon, 25 Nov 2013
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General & Family Physician,  's  Response
hello There!
thank you for asking.
i want you to know that fcet syndrome is a challenge for a diagnostician and is often confused with Discogenic pain. And i want to tell you that physical therapy is the mainstay here you need. Superficial heat. cryotherapies and manipulation therapies etc under the expertise of good physio therapist will be necessary.

here is the list of medication you can select from.

1-Nonsteroidal Anti-inflammatory Drugs
a-Ibuprofen (Ibuprin, Motrin, Advil)

2-Muscle Relaxants
a-Cyclobenzaprine (Flexeril)

3-Opioid Analgesics
a-Oxycodone (OxyContin, OxyIR, Roxicodone)

4-Antidepressants
a-Amitriptyline (Elavil)

5-Antidepressant, Selective Serotonin/norepinephrine Reuptake Inhibitor (ssnri)
a-Duloxetine (Cymbalta)

You need a proper posture, activity modification, and avoidance of strenous excercises.Positions that cause pain should be avoided. Avoid longer bed rests.

And yes your doctor is right. If the above mentioned treatments are not helping then Steroids injection are necessary.

Stay in touch with your doc and do as i told you to.

Good luck

S Khan
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Suffering From Leg Pain. Diagnosed Facets Syndrome. Recommended Cortisone Injections. How To Get Relief From Pain?

hello There! thank you for asking. i want you to know that fcet syndrome is a challenge for a diagnostician and is often confused with Discogenic pain. And i want to tell you that physical therapy is the mainstay here you need. Superficial heat. cryotherapies and manipulation therapies etc under the expertise of good physio therapist will be necessary. here is the list of medication you can select from. 1-Nonsteroidal Anti-inflammatory Drugs a-Ibuprofen (Ibuprin, Motrin, Advil) 2-Muscle Relaxants a-Cyclobenzaprine (Flexeril) 3-Opioid Analgesics a-Oxycodone (OxyContin, OxyIR, Roxicodone) 4-Antidepressants a-Amitriptyline (Elavil) 5-Antidepressant, Selective Serotonin/norepinephrine Reuptake Inhibitor (ssnri) a-Duloxetine (Cymbalta) You need a proper posture, activity modification, and avoidance of strenous excercises.Positions that cause pain should be avoided. Avoid longer bed rests. And yes your doctor is right. If the above mentioned treatments are not helping then Steroids injection are necessary. Stay in touch with your doc and do as i told you to. Good luck S Khan