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Suggest Treatment For Severe Leg And Foot Pain Along With Back Pain
Question: 67 year old female in good health /runner etc. developed leg and foot pain after all regular reasons checked diagnosis with back problems piching nerve two years later she has had two back fusions and two other back procedures remains with same pain no back pain all in legs and foot. Has had steroid injections, tens, spinal stimulation trial, pain pump trial all did not help currently on opiods morphine. Question do doctors do Radiofreuecy abulation or another procedure to bloc nerve just at the calf nothing in back helps her. All paind very intense in legs and feet. Lyrica fentanyl pathc nothing helping.
Brief Answer:
Nerve conduction study and EEG are necessary first.
Detailed Answer:
Hello and thanks for using HCM.
I have read your question and understand your concerns.
Neuropathic pain caused by peripheral nerves involvement should be considered in this case.
Peripheral neuropathy due to nerve(s) compression during their pathway ( tunnel syndromes ), or due to other possible conditions that may damage peripheral nerves ( diabetes, viral infections, side effects of drugs, alcohol abuse, heavy metals toxicity, low vitamin B12 levels, neuroma, etc.) should be considered and evaluated further.
Besides peripheral nerves involvement, failed back spine surgery (FBSS) syndrome may be taken in consideration too.
In case of FBSS, systems of spinal intrathecal release of opioids ( morphine ), should be considered, since all other treatments failed to improve pain.
Nerve conduction study and EMG are necessary as additional tests to understand better this condition.
If nerves are found to be damaged outside spinal cord after the nerve conduction study, release surgery, local injections and ablation may be performed also.
Hope you found the answer helpful.
Let me know if I can assist you further.
Greetings.
Nerve conduction study and EEG are necessary first.
Detailed Answer:
Hello and thanks for using HCM.
I have read your question and understand your concerns.
Neuropathic pain caused by peripheral nerves involvement should be considered in this case.
Peripheral neuropathy due to nerve(s) compression during their pathway ( tunnel syndromes ), or due to other possible conditions that may damage peripheral nerves ( diabetes, viral infections, side effects of drugs, alcohol abuse, heavy metals toxicity, low vitamin B12 levels, neuroma, etc.) should be considered and evaluated further.
Besides peripheral nerves involvement, failed back spine surgery (FBSS) syndrome may be taken in consideration too.
In case of FBSS, systems of spinal intrathecal release of opioids ( morphine ), should be considered, since all other treatments failed to improve pain.
Nerve conduction study and EMG are necessary as additional tests to understand better this condition.
If nerves are found to be damaged outside spinal cord after the nerve conduction study, release surgery, local injections and ablation may be performed also.
Hope you found the answer helpful.
Let me know if I can assist you further.
Greetings.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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