A member asked:

On a daily basis my grandma has intense pain in her legs. she's almost 90. doctors say it's circulation related and give pain meds. what will help?

13 doctors weighed in across 5 answers

Multifactorial: Most problems in elderly are multifactorial. Intense pain at rest is possibly circulation, and rest pain if not treated under these circumstances could start showing up as gangrene. Other more common problems are neuropathy (nerve pain) , and referred pain from arthiritis. One can start by checking the circulation first, do a good neurological exam and also some basic blood work.

Answered 7/2/2015

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Dr. Pedro Hernandez answered

Specializes in Geriatrics

PVD vrs Others: If she has had signs of atherosclerosis in any part of the body like coronary arteries causing angina or heart attacks, or strokes or mini-strokes, or if she has carotid disease or stenosis is very likely she has pad or peripheral vascular disease caused by cholesterol plaques. This causes pain in the legs after walking but progresses until pain is at rest. The legs may be colder, toes bluish.

Answered 9/28/2016

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Dr. Nassir Azimi answered

Specializes in Interventional Cardiology

Depends: Neuropathy can cause pain as can spinal disease. Arterial insuffiency from pad can also cause pain. She would need a doctor to examine her and do some tests to differentiate.

Answered 10/1/2016

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Dr. Pedro Hernandez answered

Specializes in Geriatrics

Part 2 leg pain: If the drs told u she has poor circulation most likely she is not a candidate for surgery or procedures ( bypasses or stents) to improve her circulation so the only thing possible is to put her on Aspirin or other ( plavix, (clopidogrel) aggrenox, pradaxa, or even warfarin but more risky)and maybe cholesterol pills if tolerated. If pain is severe no choice but to treat the pain. Others :neuropathy, arthritis..

Answered 6/24/2014

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Dr. Peter Kurzweil answered

Specializes in Internal Medicine

First, a diagnosis: Hx & px, in the hands of an experienced competent clinician gives the answer probably >90% of the time: the tool between the ears is the most important one physicians have (and the least paid for). Elderly female, severe, both legs are key hx given; also , what makes it better or worse, describe pain..Tests wil confirm: lumbar stenosis, pvd, peripheral neuropathy...Then we'll know what will help.

Answered 11/6/2021

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Related Questions

A member asked:

Which type of doctor can help with poor circulation in legs?

6 doctors weighed in across 2 answers