
Suggest Treatment For Severe Leg Pain After An Aortic Valve Replacement

September 1, 2009 , I had an Aortic Valve replacement, ( Artificial ) due to a clot going thru my heart.
I'm on blood pressure meds and warfarin..
I have No Ins.. can't afford it..
I'm having sever pains in both feet, it feels like the nerve endings in my feet are firing on all cylinders.
I Do Not have any problems with my sugar, I have had that checked with my local general nurse and doctor when I had my DOT Physical done last month.
Provide more clinical details and reports , possibility of neuropathy
Detailed Answer:
Hello XXXXXXX
I have gone through your question and understand your concerns.
Pain in lower limbs mostly involving feet may be due to peripheral neuropathy.
The first step should be to get a nerve conduction study done.
Blood investigations require liver function test, renal function test, serum immunoelectrophoresis for myeloma, vitamin B12, thyroid profile besides blood sugar check.
Is there any skin changes, blackening or ulcers in lower limb?
Any Swelling in lower limbs, weakness, difficulty in walking or gripping footwear?
Any back pain, urinary complains?
Any symptoms in upper limbs?
Please upload all your reports regarding this.
Pain modulators like pregabalin, amitriptyline may be started with methylcobalamin.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist

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