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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Pain In The Feet And Lower Legs Be Treated?

I have RRMS and Fibromyalgia which makes it difficult to tell which disease is causing which symptom. I see my neurologist monthly for pain meds, migraine, depression, and gabapentin to help with the nerve pain in my feet and lower legs; however, I never see him, I only see his PA and she is an idiot. So, is there a way to tell what disease is causing what? and Doesn t a specialist actually have to SEE YOU at least some time during the year?
Tue, 17 Jul 2018
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Causes of your difficulties may be neuropathy or ischemic issues. Neuropathic are seen in diabetics or injury of spine nerves. If this is not your case then these symptoms are indicating circulatory problems in legs which are common in this age and there may be present atherosclerosis that obstructs blood vessels and causes pain and blisters to form. You should do Doppler ultrasound of the leg or CT angiography to rule out such obstructive changes and then it can be treated properly by medications or by surgical and radiological procedures. Also, you should have Aspirine and have elastic stockings applied, and should avoid cold environment and long walks. In most cases it can be managed with medications but sometimes surgery may be required in severe cases.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Severe Pain In The Feet And Lower Legs Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Causes of your difficulties may be neuropathy or ischemic issues. Neuropathic are seen in diabetics or injury of spine nerves. If this is not your case then these symptoms are indicating circulatory problems in legs which are common in this age and there may be present atherosclerosis that obstructs blood vessels and causes pain and blisters to form. You should do Doppler ultrasound of the leg or CT angiography to rule out such obstructive changes and then it can be treated properly by medications or by surgical and radiological procedures. Also, you should have Aspirine and have elastic stockings applied, and should avoid cold environment and long walks. In most cases it can be managed with medications but sometimes surgery may be required in severe cases. Hope I have answered your query. Let me know if I can assist you further.