Suggest Treatment For Leg Pain Along With Burning Sensation In The Knees

Posted on Sat, 19 Aug 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 19 Aug 2017 Answered on

Tue, 12 Sep 2017 Last reviewed on

Question : My doctor is looking for my constant leg pain during my sleeping which includes a burning sensation in my knees . He has done extensive blood work : Lyme test,rheumatoid and inflammatory arthritis test were all negative. Just received this info this week and I have an appointment on the 24th. Have any idea what I may find out?
Thank you XXXXXXX XXXXXXX

Answered by Dr. Lekshmi Rita Venugopal (1 hour later)

Brief Answer:
Need to rule out peripheral neuropathy and peripheral artery disease

Detailed Answer:
Hello XXXXXXX XXXXXXX
Thank you for trusting HealthcareMagic

Legs pain along with burning sensation could likely be peripheral neuropathy (damage to nerves) or peripheral artery disease (blockage in blood flow to the legs).

Physical examination and neurological examination can give an idea regarding whether the nerves or blood flow is affected.
With pain more marked during the night, neuropathy is a more possible cause

There are various causes for peripheral neuropathy including Diabetes, vitamin B12 ,b6 and folate deficiency, excessive alcohol use and thiamine deficiency, hypothyroidism etc .Blood investigations like Complete metabolic profile ,HBA1c, thyroid function test, nerve conduction study, Doppler blood flow analysis are needed at this point

Please be advised to follow up with your doctor as scheduled. Nerve pain is best treated with anti seizure medications like Neurontin.
Meanwhile you can use Tylenol for pain and apply capsaicin cream to the area of pain especially during night when you are having problems with lidocaine patch.

Hope this answers your questions
Please address further questions here
Regards
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Lekshmi Rita Venugopal (2 hours later)

Thank you for the information. it has been very helpful and will be part of my inquiry next week at my appointment. I know that he approves of WEB MD site and we on occasion have talked about it.
Again thank you for the procedures that you suggest. XXXXXXX XXXXXXX

Answered by Dr. Lekshmi Rita Venugopal (3 minutes later)

Brief Answer:
You are welcone

Detailed Answer:
And thank you for trusting us
Plese address any more questions or concerns here
If you do not need further clarifications, Please rate and close this discussion
Wishing you good health
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Raju A.T