Suggest Treatment For Burning Sensation In Legs

Posted on Mon, 13 Jul 2015

Question: Respected Doctor,
My brother, 54 Years, has been suffering from burning of legs below knee for last 2 years. After treatment from local Doctors, he had gone to Apollo Specialist Hospital XXXXXXX and treated by a XXXXXXX Neurologist. No improvement still now. Burning is strong and unbearable. He is now mentally broken down and lost hope.
MRI report is as under :-
- Anterospondylotic changes at all lordosis.
- Disc degeneration with postero and bilateral posterolateral disc bulge at L4-L5, intending the thecal.
- Disc degeneral with anterospondtlotic changes at from c$ to C7.
- Postero disc prolapse at C6-C7 level with compression effect on the spinal cord with signal changes at - thecal sac.

All other pathological/radilogical/sonological, no abnormality.

Would you kindly suggest some remedial measures/treatment for relief from such burning of legs ?

He took medicines for couple of months as below :-

1. Tab Tryatomer 1 gm 1/2 per day for 20 days
2. Maxgalin 50mg OD bedtime for 20 days
3. Cap Polybion

Thanking , with regards.

Answered by Dr. Vaibhav Gandhi (1 hour later)

Brief Answer:
I will advise him epidural injection shot.

Detailed Answer:

Hello,

I have studied your case.

As he is not getting relief with conservative treatment I will advise him epidural injection shot.
Epidural steroid may help for long term pain relief, you can consult orthopaedic surgeon for this.
You can consult orthopaedic/spine specialist doctor.
If there is no relief with all conservative measures then surgical decompression of spine may help.

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 to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaibhav Gandhi (44 hours later)

Respected Sir,
Good Evening.
I am happy with your advise. I will contact with a local specialist and XXXXXXX Orthopaedic Surgeon tomorrow or day after tomorrow. Just you kindly answer my one more query.
There must be some side effects of Epidural Steroid Inj. But is serious and long term side effects very common ? (Patient will not be informed).

Thanks & regards.

XXXX (sister of patient) 19/06/2015, XXXXXXX

E-mail : YYYY@YYYY

Answered by Dr. Vaibhav Gandhi (14 hours later)

Brief Answer:
Now with advance technology epidural steroid is very safe procedure

Detailed Answer:
Hello again,

Now with advance technology epidural steroid is very safe procedure ,but documented side effect include,
As with all invasive medical procedures, there are potential risks associated with lumbar epidural steroid injections. In addition to temporary numbness of the bowels and bladder, the most common potential risks and complications include:

Infection. Severe infections are rare.
Dural puncture ("wet tap"). A dural puncture occurs in 0.5% of injections.
Bleeding. Bleeding is a rare complication and is more common for patients with underlying bleeding disorders.
Nerve damage. While extremely rare, nerve damage can occur from direct trauma from the needle, or from infection or bleeding.

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 to answer your queries.

Wishing you good health.

Take care.
Regards
Dr Vaibhav Gandhi.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar