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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Leg Pain

hi.i am suffering from the pain in leg after a fracture in the 5th metatarsal region.had a mri last day that shows 1.Edema of soft tissues surrounding base of 1st metatarsal is seen. 2. Edema is also seen involving medial talar tome. 3. Slight edema is seen involving anterior part of cuboid and lateral cuneiform bones.findings may suggest possibility of complex regional pain syndrome(type-1). 4.Bones appear bright on T1 and T2WIs suggestive of ostopenia. The doctor has prescribed for hot water fermentation and voveran tablets as an anti inflammatory medicine but i have a reaction with diclofenac composition.So can i take signoflam tablets for the same as i am taking it for the past 3 days and for how long i can take it to reduce edema.
Mon, 17 Jun 2019
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General Surgeon 's  Response
Hi,

Causes of your difficulties may be neuropathy or ischemic issues. Neuropathic are seen in diabetics or injury of spine nerves.

If this is not your case then these symptoms are indicating circulatory problems in legs which are common in this age and there may be present atherosclerosis that obstructs blood vessels and causes pain and blisters to form.

You should do Doppler ultrasound of the leg or CT angiography to rule out such obstructive changes and then it can be treated properly by medications or by surgical and radiological procedures.

Also, you should have Aspirin and have elastic stockings applied, and should avoid cold environment and long walks.

In most cases, it can be managed with medications but sometimes surgery may be required in severe cases.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Leg Pain

Hi, Causes of your difficulties may be neuropathy or ischemic issues. Neuropathic are seen in diabetics or injury of spine nerves. If this is not your case then these symptoms are indicating circulatory problems in legs which are common in this age and there may be present atherosclerosis that obstructs blood vessels and causes pain and blisters to form. You should do Doppler ultrasound of the leg or CT angiography to rule out such obstructive changes and then it can be treated properly by medications or by surgical and radiological procedures. Also, you should have Aspirin and have elastic stockings applied, and should avoid cold environment and long walks. In most cases, it can be managed with medications but sometimes surgery may be required in severe cases. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon