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What Causes Fatigue, Leg Pain And Ankle Swelling While Treating Spondylosis?
Posted on
Tue, 2 Jun 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 2 Jun 2015
Answered on
Tue, 23 Jun 2015
Last reviewed on
Question : I have already furnished my question regarding my blood pressure. I would like to have your opinion.
Ihave been having hypertension since last 19 years. I am taking Cilicar 10mg, Losar 25 mg at night, homocheck , maccalvit 500 mg and urimax .4 mg (twice on alternate days) for my prostate enlargement. My systolic pressure is generally high around 145 + though it varies and comes down upto 130 sometimes and diastolic pressure has gradually comedown from 90 to 65-70. My pulse rate is around 58-60.
I had thelium stress test during Jan2014, 2D echo in April2014 and again stress Test in Dec 2014 which all came out normal. During XXXXXXX 2015 I had blood test and my Total Cholestral Level was 145, LDL at 76 and HDL at 60. Since last 4 months I developed some fatigue and pain in my legs with a slight swelling of my ankles and while walking I get pain on my shoulders and back . I do have spondylosis problem with a relatively weak back but this dull pain in the upper portion of my back while walking is something new. But the pain disappears once I keep walking for more than 20 minutes. I went for LP-PLA2-PLAC test during May 2015 whivh came elevated at 229.
I went to my cardiolologist who has advised me to take torve 40 mg -statins for lipid control, IMDUR 30 mg for blood supply, and Ecospirin 150 mg, Losar h 50 mg in addition to existing medicines. He has suggested that if I dont find any improvement, to go for angiogram to check if any block is there that may be the cause for elevated systolic pressure.
please let me know if I am on right track.
Ihave been having hypertension since last 19 years. I am taking Cilicar 10mg, Losar 25 mg at night, homocheck , maccalvit 500 mg and urimax .4 mg (twice on alternate days) for my prostate enlargement. My systolic pressure is generally high around 145 + though it varies and comes down upto 130 sometimes and diastolic pressure has gradually comedown from 90 to 65-70. My pulse rate is around 58-60.
I had thelium stress test during Jan2014, 2D echo in April2014 and again stress Test in Dec 2014 which all came out normal. During XXXXXXX 2015 I had blood test and my Total Cholestral Level was 145, LDL at 76 and HDL at 60. Since last 4 months I developed some fatigue and pain in my legs with a slight swelling of my ankles and while walking I get pain on my shoulders and back . I do have spondylosis problem with a relatively weak back but this dull pain in the upper portion of my back while walking is something new. But the pain disappears once I keep walking for more than 20 minutes. I went for LP-PLA2-PLAC test during May 2015 whivh came elevated at 229.
I went to my cardiolologist who has advised me to take torve 40 mg -statins for lipid control, IMDUR 30 mg for blood supply, and Ecospirin 150 mg, Losar h 50 mg in addition to existing medicines. He has suggested that if I dont find any improvement, to go for angiogram to check if any block is there that may be the cause for elevated systolic pressure.
please let me know if I am on right track.
Brief Answer:
Let us try a slightly different approach, I feel that it will work.
Detailed Answer:
Dear XXXX,
I appreciate the detailed reports that you have submitted.
I have carefully noted the medications you have been taking, in a chronological order. WE can discuss in detail, about your diagnoses, prognoses and management, if not cure at best then palliation at worst.
Let us take a new, proven approach to your problem. We can discuss, on and on about the vast batteries of tests that you have undergone. We can make speculations and hypotheses about whether things are going "in the right direction or not"
I seriously think and feel that, having 11 years of experience with patients who were just like your kind self, I feel that you must feel better about your yourself, and focus on the positive aspects of your situation.
A high lipid profile is just that... It is a snapshot of your body and it's functioning.
And once LP-PLA2-PLAC screens have been done, as you mentioned in your query,
you have taken the necessary medications.
It seems to me that you are indeed on the right track. There IS a probability that these medication MAY not solve the issue. It's just a probability.
You know the number of tests, that you have undergone. You might know too, that
mostly speaking, some came out "normal".
Dear XXXX, I will pinpoint stress as the major factor that triggers off everything from cortisol fluctuations to BP disturbances.
I would consider a neurogenic claudication to be one of the probable causes of your back problem, particularly when you mention that active range of movement, causes a palliation.
I hope that I have sent the right message across. You are indeed on the right track.
However if you wish a detailed discussion about the medications and the relevant diseases, then I am very agreeable and will help you out there rather profusely.
Please feel free to write to me anytime.
Dr. Neel Kudchadkar
Medical Doctor
Healthcaremagic
Let us try a slightly different approach, I feel that it will work.
Detailed Answer:
Dear XXXX,
I appreciate the detailed reports that you have submitted.
I have carefully noted the medications you have been taking, in a chronological order. WE can discuss in detail, about your diagnoses, prognoses and management, if not cure at best then palliation at worst.
Let us take a new, proven approach to your problem. We can discuss, on and on about the vast batteries of tests that you have undergone. We can make speculations and hypotheses about whether things are going "in the right direction or not"
I seriously think and feel that, having 11 years of experience with patients who were just like your kind self, I feel that you must feel better about your yourself, and focus on the positive aspects of your situation.
A high lipid profile is just that... It is a snapshot of your body and it's functioning.
And once LP-PLA2-PLAC screens have been done, as you mentioned in your query,
you have taken the necessary medications.
It seems to me that you are indeed on the right track. There IS a probability that these medication MAY not solve the issue. It's just a probability.
You know the number of tests, that you have undergone. You might know too, that
mostly speaking, some came out "normal".
Dear XXXX, I will pinpoint stress as the major factor that triggers off everything from cortisol fluctuations to BP disturbances.
I would consider a neurogenic claudication to be one of the probable causes of your back problem, particularly when you mention that active range of movement, causes a palliation.
I hope that I have sent the right message across. You are indeed on the right track.
However if you wish a detailed discussion about the medications and the relevant diseases, then I am very agreeable and will help you out there rather profusely.
Please feel free to write to me anytime.
Dr. Neel Kudchadkar
Medical Doctor
Healthcaremagic
Above answer was peer-reviewed by :
Dr. Shanthi.E
As I said my LIPD profile/test are normal and not high as mentioned in your reply.. Only the LP- PLA2 is on the higher side. This is one reason why i desired to know if I should take statins though my Doctor opined it is more preventive. I do feel that my pain could be due to nuero claudination but my doctor perhaps desires to rule out cardiac issue if any by suggesting angiogram. My concern was is it absolutely necessary to undergo Angio given the fact that my Thelium test and stress tests were negative during the last one year. All other blood tests also do not show any alarming bells. My ECG was normal except that my systolic is on the higher peripheral while dastoli is on the lower end of the sprectrum. i request you to clarify if the medications indicated are Ok and if there could be any serious side effects I should be aware of. Should I undergo any tests to determine if there is any neurological issues. Thank you very much for your advice.
Brief Answer:
This is better approach to your issues. Please read in detail and comment.
Detailed Answer:
Dear XXXX,
Let us take action.
1. I would state with confidence, that your medications are rather warranted.
2. It is not an absolute necessity to undergo angiography. However, if you were to undergo it, you would feel more at ease, at peace given a normal angiogram, and the final ruling out of these issues, once and for all.
3. I would honestly say that there would be some side effects, not of a serious type, the one we call as a "Major drug interaction". Every medication and a regimen has a plethora of side effects. These must be endured as a cost benefit of the series of medication. Generally, we can replace these errant medications with others of the same family, to minimize side effect profiles.
4. You can undergo tests for neurological issues. It is good to rule out illnesses, most of them phantoms of the mind. Plus, you will have the added benefit of having taken pre-emptive action, against any future neurological sequelae.
5. This is my firm opinion.
6. As regards the faux pas of my mentioning your lipid profiles were high, it happens to have been a gross typo.
7. You can query further if you wish, as I would wish you to get better, armed with documentation (tests) to back your peace of mind.
You're OK, right now, Yes.
Regards,
Dr. Neel Kudchadkar
This is better approach to your issues. Please read in detail and comment.
Detailed Answer:
Dear XXXX,
Let us take action.
1. I would state with confidence, that your medications are rather warranted.
2. It is not an absolute necessity to undergo angiography. However, if you were to undergo it, you would feel more at ease, at peace given a normal angiogram, and the final ruling out of these issues, once and for all.
3. I would honestly say that there would be some side effects, not of a serious type, the one we call as a "Major drug interaction". Every medication and a regimen has a plethora of side effects. These must be endured as a cost benefit of the series of medication. Generally, we can replace these errant medications with others of the same family, to minimize side effect profiles.
4. You can undergo tests for neurological issues. It is good to rule out illnesses, most of them phantoms of the mind. Plus, you will have the added benefit of having taken pre-emptive action, against any future neurological sequelae.
5. This is my firm opinion.
6. As regards the faux pas of my mentioning your lipid profiles were high, it happens to have been a gross typo.
7. You can query further if you wish, as I would wish you to get better, armed with documentation (tests) to back your peace of mind.
You're OK, right now, Yes.
Regards,
Dr. Neel Kudchadkar
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Answered by
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