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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In The Lower Leg?

i do not have any back pain at all what i do have is chronic paib in the bottom part of my right leg. i am unable to make it to my bed with a walking stick i have had 3 epidurals, i think l3 and l4 nerve radiation 7 days in hospital on ketamine drip. none o these have worked last week i had day procedure of caudal epidural, facet block,and sacrilige injection i am in so much pain that i am going crazy i am on so much medication, i just took a endone just to settle me down the pain is still there i am begging for help i knowif i do not ge some relief they will have to taje ne to a ostch hospital please please is there an answer kindest regards mary
Mon, 25 Mar 2019
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General Surgeon 's  Response
Hi,

Causes of your difficulties may be neuropathy or ischemic issues. Neuropathic are seen in diabetics or injury of spine nerves.

If this is not your case then these symptoms are indicating circulatory problems in legs which are common in this age and there may be present atherosclerosis that obstructs blood vessels and causes pain and blisters to form.

You should do Doppler ultrasound of the leg or CT angiography to rule out such obstructive changes and then it can be treated properly by medications or by surgical and radiological procedures.

Also, you should have Aspirin and have elastic stockings applied, and should avoid cold environment and long walks.

In most cases, it can be managed with medications but sometimes surgery may be required in severe cases.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Severe Pain In The Lower Leg?

Hi, Causes of your difficulties may be neuropathy or ischemic issues. Neuropathic are seen in diabetics or injury of spine nerves. If this is not your case then these symptoms are indicating circulatory problems in legs which are common in this age and there may be present atherosclerosis that obstructs blood vessels and causes pain and blisters to form. You should do Doppler ultrasound of the leg or CT angiography to rule out such obstructive changes and then it can be treated properly by medications or by surgical and radiological procedures. Also, you should have Aspirin and have elastic stockings applied, and should avoid cold environment and long walks. In most cases, it can be managed with medications but sometimes surgery may be required in severe cases. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon