Suggest treatment for pain and burning sensation on thighs

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Posted on Tue, 16 Jun 2015 in Bones, Muscles and Joints
Question: Hello dr. I m suffering from pain in right leg thigh and lower leg having chilli like burning sensation on thigh and lower leg and feet sole is spongy like feel done spinal mri and leg emg ncv but all the reports are normal.
my history of sickness ia that I was suffering from pain in right testes since last 8 months USG and colour droppler for scrotum and abdomen and pelvis were done with a findings of mild hydrocele in right testes and spermatocele in left and defrostic calcification in right kidney shown to Urologists and Gp from time to time reveal nothing except eosinophil count of 20 but after taking hetrazen for a month which was was come down to 5 in last month now testicle pain remain 20% however the hydrocele in now both the testies increases
doctor
Answered by Dr. Sagar 5 hours later
Brief Answer:
Your pain might be due to neuritis of the peripheral nerves.

Detailed Answer:
Hello
Welcome to HCM.
I appreciate your concerns.
I have gone through your question very well.
It is clear that your pain and burning sensation is not related to testicular cause.
As you have told your hydrocele is now increasing so you can go for the specific treatment that is surgery..
Your finding in the kidney as you said is probably an incidental finding..If it does not bother you then dont worry.
Now about your thigh and leg pain.
As the history you have given it looks like a spinal pathology that is causing nerve entrapment.
But your lower Spinal radiology is totally normal you said.
So this may be due to-
neuritis of the peripheral nerve supplying the skin
chronic pain syndrome,drug induced etc.
sometimes carbamazepine might help in this type of pain..
Other treatments are accupuncture therapy,SSRI therapy.
lumber sympathectomy done in resistant cases.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Sagar 14 hours later
As the eosinphil count 20 was suggestive of filarial infection and after taking hetrazen eosinphil came down to 5 . There after the leg pain and burning sansetation oncreasea is it due to infections or as you suggested neuritis of the peripheral nerves. In which direction the treatment should be done please advice
doctor
Answered by Dr. Sagar 9 minutes later
Brief Answer:
You can start NSAID and low dose steroid.

Detailed Answer:
hello,
what is the meaning of oncreasea??or it is a typo error.
You can start NSAID tablet like diclofenac and low dose methyl prednisolone that is steroid.
It will stop the inflammation of those nerves..
Also consult your neurologist before taking the drugs.
Hope this is helpful.
Regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Sagar

General & Family Physician

Practicing since :2014

Answered : 374 Questions

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