Doctor insights on:
What Is The Best Treatment For Leg Pain
Options: You have multiple options, the mainstay of treatment are interdisciplinary and include physical therapy, acupuncture, medications (anti-inflammatories, nerve pain agents) and epidural steroid injections. Depending on your response surgery may need to be considered. There continue to be emerging technologies to treat sciatica in a minimally invasive fashion. ...Read moreSee 2 more doctor answers
Depends on type: Leg ulcers may be caused by arterial disease or they are often caused by chronic venous insufficiency which is a problem that causes to much pressure to be in the veins near the skin. These ulcers are generally on the ankle mostly on the inside of the leg. The skin is ofter brown in that area. A venous specialist can diagnose and treat this condition. Our cure rate with venous ulcers is 97%. ...Read moreSee 2 more doctor answers
Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read moreSee 1 more doctor answer
Control glucose: Most important is to control ur blood sugar-w/o that it will likely cont to progress. Tx aimed @ sx include oral: gabapentin, pregabalin, some antidepressants (ex duloxetine), more & topical: capsaicin, lidocaine, tens, more. Dfclt to predict who will respond to which the best. Lots of choices & i gen talk thru in's & out's of many & decide together which to try 1st, etc. May need combo top + oral. ...Read moreSee 1 more doctor answer
Depends on the cause: Your pain could due to trauma (fracture, sprain, arthritis, inflammation), infection, metabolic conditions (gout), poor circulation, musculoskeletal or biomechanical abnormality and different neurologic conditions (neuropathy). A thorough history and physical exam and possibly some laboratory and radiology exams are needed to determine the exact cause. ...Read moreSee 1 more doctor answer
Swelling: It really depends on the cause. If its both feet and legs it may be due to congestive heart failure, low protein in the blood or chronic venous changes. You need a full evaluation by a doctor. The treatment depends on the cause. Sometimes elevation helps, other times medications are needed. Usually cutting back on salt intake is helpful also. ...Read moreSee 1 more doctor answer
See a rheumatologist: There's no one best way to manage arthritis pain or achieve pain relief.Once a diagnosis of arthritis has been made, effective management of arthritis involves three specific strategies: 1) Patient education, 2) Body rehabilitation, and 3) Pharmacological (medical) management. See a rheumatologist for evaluation and professional management. ...Read more
Stop walking: The initial treatment for leg claudication is to stop walking on the painful leg. Increased fluid intake, an asprin, NSAID or other blood thinning medication may be appropriate. Al leg ultrasound may be prudent and sometime atherosclerotic or thombisis medication may be necessary. This pain should be evaluated by your healthcare provider. ...Read moreSee 1 more doctor answer
Depends on cause: It depends on the cause of the ulcer. If it's due to stasis ulcer (decubitus), then a dressing such as duoderm is helpful. Also, bec there is usualky secondary bacterial infection, tipical and/or antibiotics may be necessary. ...Read more
Diagnosis: There is never a best treatment without first obtaining an accurate diagnosis. Consultation with an md is the only way to obtain the information about why, and then a best treatment can be planned for. Good luck! ...Read more
MUSCLE PAIN: Best treatment would be to have a full evaluation by a neurologist to understand what specifically contributes to the muscle problems. Then that cause is treated directly if possible (sometimes with antispasmodics or anti-inflammatories). ...Read more
Lower Back Pain: Conservative therapy works well for most patients with lower back pain. The use of prevention is the best - exercise, stretching, and strengthening. During the acute phase of pain - nsaids or acetaminophen, if not contraindicated, and heat and/or ice, usually work well. ...Read moreSee 2 more doctor answers
Spine Pain Options: This pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injections. ...Read moreSee 2 more doctor answers
Leg ulcers: Great qustion, but too general to answer. It depends on what type of ulcer you are dealing with: pressure ulcers require that pressure is redistributed; vein ulcers require compression; and arterial ulcers require that you try to fix the arteries. For the wound itself, we strive for moist healing but removing the devitalized tissue by mechanical or chemical means. ...Read moreSee 1 more doctor answer
First of all: the type of arthritis must be determined. In general ASPIRIN is pretty much an accepted treatment (exception GOUT which may get worse with Aspirin) Suffices to say..get your joint pain evaluated first by your PCP then a referral to a RHEUMATOLOGIST may be advisable Hope this helps!] Dr Z ...Read more
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