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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swelling And Pain In Legs. Had Ankle Block And Ultrasound, Arteries Normal. History Of Being Diagnosed Having PAD. Opinion?

Hello, I am worried about a disease that I was diagnosed with 2 years ago. PAD. Just yesterday another vascular surgeon said that my arteries look fine. He thinks it all back problems that are making my legs swell and hurt. I was just wondering if there's one test better then another. I've had an ankle block and ultrasound. I am gonna go for another opinion.
Sat, 14 Sep 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M.Forum.
Since you mentioned that there is ankle block and swelling and pain in legs , these are not clear finding for us as physical examination reveal another thing.
As you stated that you are a patient of Peripheral arterial disease ( PAD) , 2nd opinion is that your swelling may be due to back problem.
However it is very difficult to evaluate a diagnosis without complete examination & reports.
In my opinion the most foremost reason may be ,
1 Kidney involvement ( edema i.e. swelling over legs and ankle), so consult a primary physician and get in blood for serum creatinine, urea, uric acid level.
2 Due to hypoproteinemia ,so again blood and urine examination will find out the cause.
3 Of course arteries or venous blockage may be the reason , but this is most uncommon reason as I have seen.
So don't be in panic consultation with a primary care physician will yield good result for you.
Dr. HET
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Swelling And Pain In Legs. Had Ankle Block And Ultrasound, Arteries Normal. History Of Being Diagnosed Having PAD. Opinion?

Hello, Thanks for the query to H.C.M.Forum. Since you mentioned that there is ankle block and swelling and pain in legs , these are not clear finding for us as physical examination reveal another thing. As you stated that you are a patient of Peripheral arterial disease ( PAD) , 2nd opinion is that your swelling may be due to back problem. However it is very difficult to evaluate a diagnosis without complete examination & reports. In my opinion the most foremost reason may be , 1 Kidney involvement ( edema i.e. swelling over legs and ankle), so consult a primary physician and get in blood for serum creatinine, urea, uric acid level. 2 Due to hypoproteinemia ,so again blood and urine examination will find out the cause. 3 Of course arteries or venous blockage may be the reason , but this is most uncommon reason as I have seen. So don t be in panic consultation with a primary care physician will yield good result for you. Dr. HET