HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Does My Ultrasound Scan Report Indicate?

default
Posted on Tue, 25 Apr 2017
Question: I had a Heart Catheterization several weeks ago and that same evening I got sever pain in my rt calf. I was taken back to ER and they did an ultrasound and they found no Bloot clot. They Pain continued all weekend so on Monday morning I could not take the pain any longer I went back to the ER and they did another ultra sound but found no Blood clot again, but that Dr. suggested doing an MRI the MRI showed no Blood clot but there was damage in the calf. The result came back that if they had not been told that I didn't have a blood clot by the ultrasound the MRI Dr would have said I had a blood clot. I was given Naproxen and oxycodone. we are going on my 3rd week with this and I am still in pain I take the Naproxen but the oxy makes me sick so I don't take it. I am scheduled for another ultrasound. If this one shows no blood clot can you please tell what else could be the problem. I am sick of being in pain I can't even stand on leg without a cane. Any suggestions?
doctor
Answered by Dr. Rishu Saxena (28 minutes later)
Brief Answer:
Nerve injury.

Detailed Answer:
Hi,
Thanks for asking your query.

Many times when a person has pain in right leg after cariac XXXXXXX it is due to irritation of a nerve in that area called the saphenous nerve. This condition, called “saphenous neuralgia”, is sometime seen after incisions in the groin for surgery on the femoral artery and it can also be seen after XXXXXXX procedures, during which a needle and catheter are placed into the femoral artery. Inflammation in the area is thought to irritate the nerve and cause the symptoms of pain shooting down the thigh. Patients can experience pain along the inner aspect of the thigh and it can also extend down to the inner aspect of the knee. The pain is often described as a “shooting pain” or an “electrical shock kind of pain.” It can also be associated with numbness in the same area. Some patients have both numbness to the touch and shooting pains down the inner thigh. The diagnosis is usually a “clinical diagnosis.” That is to say, CT scan or an ultrasound test (for example) will not show irritation of the nerve. It is important to first rule out a problem with the artery (such as a pseudoaneurysm or an infection, for example) and vein (such as a blood clot for example). You mentioned in your question that color doppler was normal so most likely its neuralgia. The diagnosis of “saphenous neuralgia” is usually made by a vascular specialist after ruling out any other abnormalities of the artery and vein.If you have not been seen by a vascular surgeon, I recommend that you do so. In my experience, the discomfort associated with “saphenous neuralgia” usually improves or resolves completely. Frankly it mat it take many months, however. Sometimes consultation with a neurologist is appropriate.

Suggestions=
Ask your cardioogist to add pregabalin 75mg once daily along with anti inflammatory. Pregabalin is good in neuropathic pain.
MRI should be done to see functioning of nerve.

Thanks.


Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Rishu Saxena

Cardiologist

Practicing since :2012

Answered : 696 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does My Ultrasound Scan Report Indicate?

Brief Answer: Nerve injury. Detailed Answer: Hi, Thanks for asking your query. Many times when a person has pain in right leg after cariac XXXXXXX it is due to irritation of a nerve in that area called the saphenous nerve. This condition, called “saphenous neuralgia”, is sometime seen after incisions in the groin for surgery on the femoral artery and it can also be seen after XXXXXXX procedures, during which a needle and catheter are placed into the femoral artery. Inflammation in the area is thought to irritate the nerve and cause the symptoms of pain shooting down the thigh. Patients can experience pain along the inner aspect of the thigh and it can also extend down to the inner aspect of the knee. The pain is often described as a “shooting pain” or an “electrical shock kind of pain.” It can also be associated with numbness in the same area. Some patients have both numbness to the touch and shooting pains down the inner thigh. The diagnosis is usually a “clinical diagnosis.” That is to say, CT scan or an ultrasound test (for example) will not show irritation of the nerve. It is important to first rule out a problem with the artery (such as a pseudoaneurysm or an infection, for example) and vein (such as a blood clot for example). You mentioned in your question that color doppler was normal so most likely its neuralgia. The diagnosis of “saphenous neuralgia” is usually made by a vascular specialist after ruling out any other abnormalities of the artery and vein.If you have not been seen by a vascular surgeon, I recommend that you do so. In my experience, the discomfort associated with “saphenous neuralgia” usually improves or resolves completely. Frankly it mat it take many months, however. Sometimes consultation with a neurologist is appropriate. Suggestions= Ask your cardioogist to add pregabalin 75mg once daily along with anti inflammatory. Pregabalin is good in neuropathic pain. MRI should be done to see functioning of nerve. Thanks.