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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Excruciating Pain In The Legs?

I recently had cellulitis in both lower legs. I have had this condition in the past, due to being diabetic, but this time it was especially bad and required 6 weeks of heavy duty antibiotics to clear it up. I was left with 2 small patches on my right leg which were slightly weepy but not really troublesome. The District Nurse put 2 small patches of Inadine on them with a covering dressing and told me to come back in a week. When I went back, the patches were actually slightly larger and more weepy. She then put a large folded piece of Inadine on my leg and bandaged it and told me to come back in a week. This was on a Wednesday and on the following Monday I had an appointment at my hospital diabetic clinic. Over the weekend the leg had been very painful with stabbing pains and a burning sensation. I told my diabetic doctor about it and he got a nurse to remove the dressing. The skin between the 2 patches of broken skin was like dead skin, white and puffy. The nurse said she had always been told to leave Inadine on no longer than 48 hours. She then redressed it with a similar sized wad of Inadine and told me to tell the D.N. what had happened with the pain. I saw her on Wednesday and she decided that she would leave off the Inadine and just put on a non-adhesive dressing and bandage. This was on 2nd July and I am still suffering from pains in my leg and the places are still weeping. I have been using honey on a sterile dressing to try and heal it, but the area between the sores is still tender and scarred. What would you suggest to help heal these 2 small open places? I have lost confidence in the ability of the D.N. to look after it. I feel that the Inadine has damaged the skin and I don t know how to cope with it. The pain is often excrutiating like a knife being pushed into my leg.
Thu, 18 Aug 2016
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Dermatologist 's  Response
Hi
Welcome to HCM
From the severity and duration of your symptoms, I suggest you consult a surgeon once to determine if you need a deeper cleaning and dressing. Also he/she might suggest an ultrasound to see if there is any swelling or collection of pus inside. Leaving the dressing on for long periods has caused your wounds to remain wet and not heal.
You will need regular cleaning and dressing.
Infection will need to be treated with antibiotics.
It's necessary to see if there is any infection spreading below the skin.
Hope this helps. Do consult a surgeon.
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What Causes An Excruciating Pain In The Legs?

Hi Welcome to HCM From the severity and duration of your symptoms, I suggest you consult a surgeon once to determine if you need a deeper cleaning and dressing. Also he/she might suggest an ultrasound to see if there is any swelling or collection of pus inside. Leaving the dressing on for long periods has caused your wounds to remain wet and not heal. You will need regular cleaning and dressing. Infection will need to be treated with antibiotics. It s necessary to see if there is any infection spreading below the skin. Hope this helps. Do consult a surgeon.