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Suggest treatment for swelling and pain in feet

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Posted on Tue, 15 Jul 2014
Question: I have swollen feet especially the left one, and it is so painful, have been diagnosed with lymphedema, what can I do to alleviate the pain and or burning on this foot?
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Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
Nip th evil in the bud, symptoms will subside

Detailed Answer:
Thank you for asking!
Your symptoms are all because of lymphedema and it needs management.
The goal of lymphedema therapy is to restore function, reduce physical and psychological suffering, and prevent the development of infection. In secondary lymphedema, the underlying etiology (ie, neoplasm, infection) should also be properly treated, in order to relieve the lymphatic obstruction.
Pharmacotherapy
The following medications are used in to manage lymphedema:
Benzopyrones (eg, coumarin, flavonoids)
Retinoidlike agents (eg, acitretin, topical tazarotene)
Anthelmintic agents (eg, albendazole)
Topical skin products (eg, ammonium lactate lotion, topical urea)
Antibiotics (eg, cefazolin, clindamycin, penicillin G)
Nonpharmacotherapy
Conservative measures for managing lymphedema include the following:
Maintenance of appropriate hygiene and skin care
Use of complex physical therapy (first-line treatment) and compression stockings
Weight loss (if overweight)
Avoiding trauma
Avoiding constrictive clothing
Elevating affected limb
Surgical option

Surgical treatment is palliative, not curative, and it does not obviate the need for continued medical therapy. Procedures are divided into physiologic (to improve lymphatic drainage) and excisional (removal of the affected tissues to reduce the lymphedema-related load) surgeries.

Surgical intervention is reserved for case which do not improve with conservative measures or for cases in which the extremity is so large that it impairs daily activities and prevents successful conservative management.

try pneumatic pump compression therapies fo the relief. Discuss manual lymphatic drainage according to the Vodder and/or Leduc techniques option with your doctor.Topical emollients and keratolytics, such as ammonium lactate, urea, and salicylic acid, have been recommended to improve secondary epidermal changes.
In nut shell, burning and pain is due to the lymphedema. Unless that resolves the symptom will persist. try to keep the leg raised from the body and meanwhile symptomatic management is the key.
Stay in touch with your doctor and let them fix the etiology for the lymphedema.
I hope it helps. Take good care of yourself. Dont forget to close the discussion please.
May the odds be ever in your favour.
Regards
S Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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Suggest treatment for swelling and pain in feet

Brief Answer: Nip th evil in the bud, symptoms will subside Detailed Answer: Thank you for asking! Your symptoms are all because of lymphedema and it needs management. The goal of lymphedema therapy is to restore function, reduce physical and psychological suffering, and prevent the development of infection. In secondary lymphedema, the underlying etiology (ie, neoplasm, infection) should also be properly treated, in order to relieve the lymphatic obstruction. Pharmacotherapy The following medications are used in to manage lymphedema: Benzopyrones (eg, coumarin, flavonoids) Retinoidlike agents (eg, acitretin, topical tazarotene) Anthelmintic agents (eg, albendazole) Topical skin products (eg, ammonium lactate lotion, topical urea) Antibiotics (eg, cefazolin, clindamycin, penicillin G) Nonpharmacotherapy Conservative measures for managing lymphedema include the following: Maintenance of appropriate hygiene and skin care Use of complex physical therapy (first-line treatment) and compression stockings Weight loss (if overweight) Avoiding trauma Avoiding constrictive clothing Elevating affected limb Surgical option Surgical treatment is palliative, not curative, and it does not obviate the need for continued medical therapy. Procedures are divided into physiologic (to improve lymphatic drainage) and excisional (removal of the affected tissues to reduce the lymphedema-related load) surgeries. Surgical intervention is reserved for case which do not improve with conservative measures or for cases in which the extremity is so large that it impairs daily activities and prevents successful conservative management. try pneumatic pump compression therapies fo the relief. Discuss manual lymphatic drainage according to the Vodder and/or Leduc techniques option with your doctor.Topical emollients and keratolytics, such as ammonium lactate, urea, and salicylic acid, have been recommended to improve secondary epidermal changes. In nut shell, burning and pain is due to the lymphedema. Unless that resolves the symptom will persist. try to keep the leg raised from the body and meanwhile symptomatic management is the key. Stay in touch with your doctor and let them fix the etiology for the lymphedema. I hope it helps. Take good care of yourself. Dont forget to close the discussion please. May the odds be ever in your favour. Regards S Khan