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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Leg Pain

Hi, I m 34 (180 cm, 74kg). I ve had pain in both of my legs when sitting for about 12 years. The pain starts after 15 minutes sitting and it’s pretty bad. There is itchy/burning pain between my calves and ankles and it feels like my legs are squeezed in this area. At the same time there is dull and kind of bursting pain in feets (and it feels like there are heavy) and dull/itchy pain in the back and middle of upper legs (nothing in the buttocks). Sometimes there are tingling sensation starting middle of upper downwards. It feels like I need to raise my feet a little bit from the floor and move my them all the time (that’s what I do from time to time during the day) There was minor varicose vein removed on my right leg (no more visible veins there since then) and you can see vein on my left leg but there are not varicose(I’m skinny by the way) When I stand up it feels like 70-90% of pain is gone. There is no pain when I walk. Also there is tingling sensation if I lay down and bend my knees, so I feel these sensation from knees downwards. It feels like there is problem with circulation but why it’s starts straight away after sitting? I know some people who have pretty bad veins on legs but they don’t have that bad pain like me. It drives me crazy Thanks Max
Tue, 25 Aug 2015
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case.

As per your symptoms there is venous insufficiency [varicose vein].

Dilated vein need investigation like venous Doppler and valve study.

Many of my patients find relief with laser treatment for varicose vein.

For these symptoms analgesic and neurotropic medication can be started.
Till time you can consult physiotherapist for help.
Physiotherapy like ultrasound and interferential therapy will give quick relief.
I will advise to check your vit B12 and vit D3 level.

Vitamin E supplement with carnitine has good results.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy
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Suggest Treatment For Severe Leg Pain

Hello, I have studied your case. As per your symptoms there is venous insufficiency [varicose vein]. Dilated vein need investigation like venous Doppler and valve study. Many of my patients find relief with laser treatment for varicose vein. For these symptoms analgesic and neurotropic medication can be started. Till time you can consult physiotherapist for help. Physiotherapy like ultrasound and interferential therapy will give quick relief. I will advise to check your vit B12 and vit D3 level. Vitamin E supplement with carnitine has good results. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy