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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling And Discoloration On Legs?

I have had this issue for 2 years and my doctors still aren t sure what is going on.My lower legs swell, are discolored, warm and tender, with pain shocks lasting only seconds. I have RA and had a tendon replaced in my foot 5 years ago. I had tests ran by a vein specialist, shows no clots, GOOD blood flow and heart beat. My doctor says no infection or diabetes. The vein specialist said leaking veins.This continues to get worse. I was taking Cimzia for my RA and have stopped for 5 weeks now under doctors direction. Still no relief. I have been taking methotrexate still for RA.
Wed, 5 Apr 2017
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Orthopaedic Surgeon 's  Response
Hi i am Dr Ahmed Aly
thanks for using HealthcareMagic site ,
I had gone through your question and understand your concerns ..

From your given history your swelling could be due to an old trauma , cardiac or renal problems .
If your edema is bilateral this is a sign of underlying systemic disease if cardiac output exceeds its output ( heart failure ) or your kidneys cannot wash or flush your venous system .in rare cases your medication may cause such symptoms if used for long periods .
You have to maintain leg elevation , avoid standing or bending your knees for along time and use hot foments with topical gels of anti-inflammatory .wearing compression stockings will be helpful to push up blood towards the heart and increase your venous return .
If you have not examined your arterial system by Doppler U/S you may need to check them up in very rare cases arterial system clots or atherosclerosis may occur and cause such edema.
I recommend full lab investigations and follow them up with your physician for proper evaluation and management of the exact underlying cause .

Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health,
Any further clarifications feel free to ask.
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What Causes Swelling And Discoloration On Legs?

Hi i am Dr Ahmed Aly thanks for using HealthcareMagic site , I had gone through your question and understand your concerns .. From your given history your swelling could be due to an old trauma , cardiac or renal problems . If your edema is bilateral this is a sign of underlying systemic disease if cardiac output exceeds its output ( heart failure ) or your kidneys cannot wash or flush your venous system .in rare cases your medication may cause such symptoms if used for long periods . You have to maintain leg elevation , avoid standing or bending your knees for along time and use hot foments with topical gels of anti-inflammatory .wearing compression stockings will be helpful to push up blood towards the heart and increase your venous return . If you have not examined your arterial system by Doppler U/S you may need to check them up in very rare cases arterial system clots or atherosclerosis may occur and cause such edema. I recommend full lab investigations and follow them up with your physician for proper evaluation and management of the exact underlying cause . Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.