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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Deal With The Night Pains In Type 1 Diabetes?

Hi. My spouse has had Type 1 diabetes for 41 years. She had a leg angioplasty 3 months ago and has been suffering with night pains, cramps and coldness in the affected leg since. We have tried calf and anterior tibialis massage with Magnesium sulfate lotion, Pnf stretching exercises for the ankle and toes. She also ingests a magnesium carbonate drink in the evenings. Her walking program has not been going well because of her foot and calf pain. Do you have some suggestions on how to deal with the night pains and cold sensations? thank you.
Thu, 3 May 2012
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HIV AIDS Specialist 's  Response
SHE HAS GOT SUCH PAIN DUE TO ISCAHEMIA OF ARTERIES OF LEG,SEE WHTHER ASPIRIN AND OTHAER ANTICOAGULANTS AND DILATORS LIKE PENTOXYPHYLLINE ADDED AS MEDICINE OR NOT.
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Orthopaedic Surgeon Dr. Aashish Raghu's  Response
Hi there.

Thanks for the query.

It appears that the night pains, cramps and coldness is due to a block in the blood vessels that supply blood to her leg.

Massaging may not really help much.

Kindly avoid her walking much now as her leg has compromised blood supply.

She may take Aspirin, under medical supervision after a meal as this may be of s0me benefit in reducing the vascular pain.

Keep good control of her Diabetes with proper diet, exercise, regular monitoring and required medication.

She needs to consult Vascular surgeon. A Doppler scan will be necessary to find the block and after that the intervention can be decided. Surgical intervention may be necessary.

Kindly do not delay.

Wishing good health.

Regards,

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How To Deal With The Night Pains In Type 1 Diabetes?

SHE HAS GOT SUCH PAIN DUE TO ISCAHEMIA OF ARTERIES OF LEG,SEE WHTHER ASPIRIN AND OTHAER ANTICOAGULANTS AND DILATORS LIKE PENTOXYPHYLLINE ADDED AS MEDICINE OR NOT.