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Suggest Treatment For Muscle Cramps And Pain In The Foot

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Posted on Thu, 7 Jul 2016
Question: Painful morning foot and leg kramps lasting for 1 to 2 hrs
doctor
Answered by Dr. Anshul Varshney (29 minutes later)
Brief Answer:
I need details.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
Your leg cramps could be due to acute condition like dehydration or could be because of Chronic diabetic neuropathy.
I need following details for a better help:
1. How did the pain appeared?
2. Any numbness over your feet?
3. Any problem in walking?
4. Any Back pain?
5. Any Acute fever or loose motions?
6. How is your blood sugar?
7. Have you got your Vitamin D level and Vitamin B12 level done?
Revert with the asked details for a better help.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Anshul Varshney (5 hours later)
1 pain set's on instantly on wake up
2 some numbness during the day
3 walking feels like not in complete control... with some dizziness at times
4 lower back pain due to arthritis in the area
5 no fever
6 blood sugar is well under control
7 vitamin levels are top's according to my Intern.Any suggestions ...other than more Mag. and Pho. intake
doctor
Answered by Dr. Anshul Varshney (7 hours later)
Brief Answer:
Seems to be compression neuropathy

Detailed Answer:
Hi, it seems you have low back compression, that is causing the nerve compression and pain along.
I would advise you to get a MRI lumbo-sacral spine done. Also you should get Serum Calcium and Vitamin D3 levels, ESR, CRP, Rheumatoid factor.
For pain i advise following:
1. A combination of Pregabalin and Methylcobalamine
2. To do hot fomentation of the affected area.
3. To apply Diclofenac ointment locally.
4. To get physiotherapy done particularly Ultrasonic heat massage.
5. SSRI like Duloxetine helps in long term.
But if the compression is very severe, causing motor weakness , tingling on any side of the body then surgical intervention would be required
I hope it helps you.
If you have any further query, please ask me.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest Treatment For Muscle Cramps And Pain In The Foot

Brief Answer: I need details. Detailed Answer: Welcome To HCM. I am Dr Anshul Varshney. I understand your concern. Your leg cramps could be due to acute condition like dehydration or could be because of Chronic diabetic neuropathy. I need following details for a better help: 1. How did the pain appeared? 2. Any numbness over your feet? 3. Any problem in walking? 4. Any Back pain? 5. Any Acute fever or loose motions? 6. How is your blood sugar? 7. Have you got your Vitamin D level and Vitamin B12 level done? Revert with the asked details for a better help.