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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 25745
Experience:  Over 20 yrs of Family Practice
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My wife has unidentified swelling in her foot. She has been

Customer Question

My wife has unidentified swelling in her foot. She has been to 12 doctors and no one can seem to determine the cause. The recent recommendation is to have a pain block injection to see if that stops the swelling/pain. Should we be considering alternative treatments?
Submitted: 2 years ago.
Category: Health
Expert:  Dr. Chip replied 2 years ago.
Hi--how long has this been going on and is there pain involved? What part of the foot is swollen and have any studies been done?
Customer: replied 2 years ago.
Foot is swollen at the top, where the toes meet the foot and partially around the ankle. No trauma or impact. Some moderate pain/discomfort.

She has had MRIs, ultrasounds, etc. All normal results.
Expert:  Dr. Chip replied 2 years ago.
OK--was any injury or trauma involved with this?
Customer: replied 2 years ago.
Hi, as I mentioned, no trauma. She woke up one morning and it was swollen.
Expert:  Dr. Chip replied 2 years ago.
OK. You mentioned a pain block injection--can you tell me a bit more about what her doctor said about that?
Customer: replied 2 years ago.
The pain block should block the pain and may reduce swelling. It's called a sympathetic pain block. He's not sure if it will work. We're also concerned about the risks with an injection into her spine wheeln a clear diagnosis hasn't presented itself.
Expert:  Dr. Chip replied 2 years ago.
I understand. Has she had an MRI of the spine and perhaps a ct scan of the abdomen and pelvis?
Customer: replied 2 years ago.
She has had a lumbar spine MRI that came back normal. She has not had a ct scan of her ab and pelvis. What are your thoughts there? Should she delay the pain block?
Expert:  Dr. Chip replied 2 years ago.
OK--this could be something called sympathetic reflex dystrophy which is a nerve inflammation problem usually seen after injuries but not always. The pain block would help with that but I think she also needs nerve conduction studies of the leg to check for SRD and I would also get the ct of the abdomen and pelvis to make sure she doesn't have a mass there that could be blocking the lymphatic flow from her leg.
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 25745
Experience: Over 20 yrs of Family Practice
Dr. Chip and 7 other Health Specialists are ready to help you
Customer: replied 2 years ago.
She has done an ultrasound of the veins and arteries and everything was normal. Would that rule out a need for a ct scan?
Expert:  Dr. Chip replied 2 years ago.
No--that was to check for a clot in the leg veins but it wouldn't rule out a pelvic mass

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