Suggest Treatment For Pain Post Injury And Nerve Damage
this & what or who do I need to see other than my gp to treat this ?
Needs further Investigation to find the cause
Detailed Answer:
Hello
Thanks for posting
I have gone through your query and understand your concern. To understand better I would like to know-Is your gait is normal?
Is there any bluish/blackish discoloration of skin of foot?
These symptoms may be caused by any disease which interferes with the blood and nerve supply of the legs. Although many medical conditions can cause but Diabetes is the most common cause leading to nerve damage that is neuropathy. In neuropathy, the leg nerves tend to become damaged first, at their furthest ends in the feet. This leads to tingling and numbness in the feet as well. The other cause is diminished blood supply to limbs. For this color Doppler study is the investigation of choice.
Do you smoke and take alcohol?
Beside diabetes other common causes are-
Chronic kidney disease (uraemia)
Vitamin deficiency (vitamin B12 and occasionally vitamin B6)
Low thyroid hormone levels
Vasculitis (inflammation of blood vessels)
My advice for you would be get following blood test done to find out the cause -
Fasting and after meal(pp) blood sugar test, Urine routine and microscopic test, Thyroid profile, Level of vitamin B12,Blood urea and serum creatinine level.
Looking forward to your reply.
Take care
By gait you mean walk ? And no its not normal before and after planter fascia heel release. Physio and chiro weekly to keep body function. Have to walk on tippee toes while it sleeps.
color doppler study is must beside quit smoking
Detailed Answer:
Hi
It's good to see you.
After going through your reply, three possibilities comes to me-
1.Long term and excessive smoking leads to inflammation of blood vessel leading to decrease flow of blood (Burger's disease).For this color Doppler study is the recommended test.
2.For hyper echogenic opacity in foot neurologists is the right person to visit.Please share more about this in your reply.
3.To assess kidney function in view of blood in urine,my suggestion would be to have blood test for serum creatinine.
Please quit smoking.
Hope this helps
All the best
Detailed Answer:
You are welcome.
Please come back and may share the reports. To reach me directly you may log in at http://bit.ly/drmchugh for any future queries.
Wishing you good health and early recovery.
Regards
May consult specialist doctor in another city
Detailed Answer:
Hello
You are welcome. As you are not satisfied with the local doctor, it’s my sincere advice to visit another medical centre nearby to your city (Sydney).
Hope I could do more for you.
Take care
You may share the diagnosis with me
Detailed Answer:
Hi
What did the doctor said?You may share if you like.
All the very best and get well soon.
As follows
Detailed Answer:
Hello
I do understand your concern. If you have any queries do not hesitate to ask, I would be glad to answer them.
Wishing you good health
Take care
Answered by
Dr. Mukesh Chugh
Orthopaedic Surgeon, Joint Replacement
Practicing since :1997
Answered : 1619 Questions