
Suggest Treatment For Numbness In The Toes

The real pain is in the 2nd toe to the right of the big toe of the right foot.
At night in bed there is no pain - just numbness in all my toes ( the past 2+ years ).
At lunch time I have real pain, so I take a nap for 1-2 hours All is pain free until 8-9 PM and the pain comes back big time.
About 2 years ago my DR. said I was getting Neroopatree ...
So what do you think might be going on? I'm 75 and tests say I have Parkensons, too. XXXXXXX
1-520-299-2256 YYYY@YYYY
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Swelling and redness of feet causes
Detailed Answer:
Hi XXXXXXX thanks for asking from HCM.
I can understand your concern. The swelling in both feet with pain and redness is suggestive of some inflammatory pathology. It can be
- Raynaud's disease - It can cause swelling, redness, pain followed by bluish discolouration of feet. There are multiple episodes. It occurs in those who are having
autoimmune disorder, smoking history, doing work requires drilling.
- Peripheral vascular disease - There are many types of peripheral vascular diseases. The involvement of small and medium sized arteries in both feet can cause severe redness, swelling, pain, abnormal pigmentation, ulceration.
- Cellulitis or necrotising fascitis - It is a type of infection. As infection usually involves one side limb, it is uncommon in your case.
- Chronic venous insufficiency - The poor venous drainage can cause pooling of blood in gravity dependent areas. It can cause swelling and rest of the symptoms.
- Some systemic illness like heart disease, liver disease.
I advise you to consult physician. He will examine your
- pulses
- lower limb swelling
- heart and abdomen
After this, he will be able to localise the cause. To confirm diagnosis, few specific tests might be needed like
- Color doppler of limb vessels
- ECHO and ECG
- Ultrasound of abdomen
This will confirm the diagnosis. Further treatment will depend upon the diagnosis.
If you need any kind of help, do let me know. I will be happy to help you.
Thanks. Take care.

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