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Suggest Treatment For Pain In The Calf Muscle

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Posted on Tue, 3 Oct 2017
Question: can you tell me why my calves hurt cause im coming off pain meds, im taking potasium like I was told and they still are so painfull I almost cant walk. What med should I ask my doctor to stop the pain.
doctor
Answered by Dr. Panagiotis Zografakis (28 minutes later)
Brief Answer:
what's the cause?

Detailed Answer:
Hello,

has your doctor identified a potential cause? Did you have any injuries? Have you checked your CPK (creatine phosphokinase), 25-hydroxy-vitamin D levels and ESR (erythrocyte sedimentation rate)? Have you done any other tests? Do they hurt all day long or does it come and go? And when does it hurt if it's not all the time? Is it related to exercise or rest?

Please provide as many details as you can, as it may help me to get a better idea of your situation.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (6 minutes later)
its related to me coming off of pain meds , oxycontin 15 mgs daily and roxycodone 5 mgs daily.
doctor
Answered by Dr. Panagiotis Zografakis (7 minutes later)
Brief Answer:
your doctor may consider a NSAID

Detailed Answer:
You haven't answered most of the questions, so I can't get even the slightest idea about the cause of pain. Leg pain requires orthopedic assessment not only for the legs but also for the back as compression of the spinal nerves may cause pain elsewhere. Vitamin D levels (25-hydroxy-cholecalciferol) should be measured. CPK is an enzyme that increases when there's damage to the muscles. A myositis for example may cause pain, disability and high CPK levels. ESR is a broad test that may raise concerns for autoimmune disorders in some cases.

Since you're allergic to tylenol, your doctor may consider prescribing a NSAID to you as a short-term treatment. Other drugs that may help include drugs effective against neuropathy (like pregabalin or gabapentin). Of course the dosage of the opioids can be titrated to ease the pain without getting too many side effects like sleepiness, constipation, etc.

I hope you find my comments helpful!
Kind regards!
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
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3816 Questions

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Suggest Treatment For Pain In The Calf Muscle

Brief Answer: what's the cause? Detailed Answer: Hello, has your doctor identified a potential cause? Did you have any injuries? Have you checked your CPK (creatine phosphokinase), 25-hydroxy-vitamin D levels and ESR (erythrocyte sedimentation rate)? Have you done any other tests? Do they hurt all day long or does it come and go? And when does it hurt if it's not all the time? Is it related to exercise or rest? Please provide as many details as you can, as it may help me to get a better idea of your situation.