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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Severe Pain In The Legs Indicate?

I got up from bed not feeling well one day last Oct 31 told my husband my leg was hurting so bad I was going into the Hospital (my leg had been hurting for around 3 months Before I even told him) I got to the ER and told them I thought I might have a Blood clot I was right Now I am on Coumadin and my Dr. can t seem to get me set on a amount My INR and PTINR are always too high or too low if my INR is HIGH My PTINR is very low If My INR is low my PTINR is above 20 at it s lowest, and I know that is not good. do you know of anything I can be doing to change this . And I quit smoking as soon as I found out I have blood clots so now I don t drink smoke, or eat meat, I feel I am doing all the healthy living I can I ride my bike ad walk my dogs, every other night taking turns on what night I am doing what , I am on other medication, for RA. Morphine 30 x2 a day ml ,Norco 10/325 ml x2 a day for breakthrough pain ,Prozac 30 1x day, Xanax as needed no more that 2 a day 0.2.5, and Topamax 100 ml a day for Migraines..
Mon, 27 Aug 2018
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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 Aspirine 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.

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What Does Severe Pain In The Legs Indicate?

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 Aspirine 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.