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What Causes Intermittent Pain In The Legs While On Evion And Ecosprin?

Posted on Mon, 11 Sep 2017

Question: I am a 82 year old male. I have been having an intermittent pain on some days ( at any time of the day) in both my legs for the last one year. The pain is mainly in calf region. The calf region is stone hard.There is no discoloration and no part is swollen.The pain aggravates if I walk or stand for long period as I am an advocate by profession. Once triggered it does not subside for hours even if I lie flat on the bed. If I try to stretch my leg I get a muscle catch. I have undergone angioplasty in 2014. I am non diabetic, spiritual and have an overall good health. I have no vices. Currently I am not taking any medication for this pain except the ones prescribed by my doctors post my surgery. These are tab Evion 400 ; Ecosprin and TelvasH40

Answered by Dr. Aashish Raghu (42 minutes later)

Brief Answer:
Muscle cramps, Deep vein thrombosis or Baker's cyst

Detailed Answer:
Hi there

Thanks for the query

There are many possible causes of this pain like muscle cramps, clot formation or cyst.

Drink fresh Lemonade everyday. Drink adequate amount of water daily. Get your blood pressure checked regularly. Go for daily brisk walking for 20 minutes.

Need to rule out possible clot formation called Deep vein thrombosis or formation of cyst behind the knee due to arthritis called Baker's cyst.

I would advise you to get a 2D colour Doppler of the veins in the calves to look for clot. Formation of clot can be dangerous as I'd can travel to the heart and cause it to stop.

The Doppler will also be able to rule out Baker's cyst.

Keep the limb elevated. Avoid massaging or prodding about the calves.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr.Aashish Raghu

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (39 minutes later)

Thank you for your answer. We will do the 2D colour Doppler as proposed and keep you posted on the results. Do you think the existing medicines (Evion 400 ; Ecosprin and TelvasH40) post angio have a role to play in this ache ?

Answered by Dr. Aashish Raghu (3 minutes later)

Brief Answer:
Telvas can cause muscle breakdown

Detailed Answer:
Telvas is known to cause muscle breakdown in some patients which can cause muscle pain and kidney failure. You can get your Blood urea and Serum creatinine tested as well as Serum Muscle CPK blood test to find out.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (11 minutes later)

Thank you for the update.

Answered by Dr. Aashish Raghu (1 minute later)

Brief Answer:
Get well soon

Detailed Answer:
You're welcome. Do follow up on your progress.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (36 minutes later)

Just a quick one. Can I reduce the potency of Telvas tab ?

Answered by Dr. Aashish Raghu (21 hours later)

Brief Answer:
Only by your Doctor

Detailed Answer:
The dose adjustment needs to be done according to blood pressure measurement.

This needs to be done by your Doctor only.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (12 days later)

In continuation to my earlier questions to you and as advised I have undergone the required Pathology, Color Doppler and MRI test and have uploaded the test results for your perusal.

Request you to please go through these test results and let me know the further course of action.

Just to recall my case was relating to intermittent pain in my calf muscles.

Answered by Dr. Aashish Raghu (2 hours later)

Brief Answer:
No reports attached

Detailed Answer:
Hi XXXXXXX

There are no reports attached in this query.

Please consult with the Healthcare Magic team to help upload your reports.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Aashish Raghu (2 hours later)

Sorry ! Reports attached.

Answered by Dr. Aashish Raghu (17 minutes later)

Brief Answer:
Analysis

Detailed Answer:
Hi XXXXXXX

Thanks for uploading the reports

I have viewed all of them.

You seem to have some kidney dysfunction because of high Serum Creatinine and reduced Glomerular filtration rate.

This could be because of the hypertension. You also have raised HbA1c such could be due to improperly controlled diabetes mellitus.

Your spine MRI shows multiple level slip disc. This could be the cause of pain in your legs due to compression of the nerve roots in the spine by the slip discs.

You also have Vitamin D insufficiency which can be the cause of muscle cramps.

It is advisable to avoid kidney toxic drugs, get your high blood pressure and diabetes under control. You can get Epidural steroid injection to give you relief from your slip disc.

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

Above answer was peer-reviewed by : Dr. Vaishalee Punj