Hi, I had earlier posted above few questions so that I can gather additional information related to your health concerns. It is possible you are encountering some technical glitches to access this site properly or you may be not in a position to reply, so what I will do is post an initial answer here based on the amount of information I have received through your initial question here, please go through it when your time permits & when you can, and please get back to me if you want to discuss this further.
Once again I am sorry to hear your health situation in the form of various symptoms you are having as you have mentioned above.
Please see there are several underlying health conditions that can cause the types of symptoms you are having as mentioned below;
Rheumatological or autoimmune connective tissue disorders
Severe forms of osteoarthritis
Nutritional deficiencies like low protein in the blood
Certain vitamin deficiencies like B12 or folate deficiency
Endocrine disorders like thyroid diseases
Anemia related conditions
Certain types of infections
Heart, lung, kidney or liver diseases
Changes in the electrolytes in the blood
Obstruction to the venous blood flow in the legs or pelvis/Circulation disorders
Peripheral neuropathies (primary conditions affecting the peripheral nerves)
Myopathies (primary conditions affecting the muscles) etc
I am not telling all these above possibilities are applicable in your case, I am trying to provide you with a list like this because these are the various possibilities we see in our clinic when someone presents with the type of symptoms you have mentioned above
This needs to be further evaluated and investigated to find out the precise cause for these symptoms. In this regard you may try to see your doctors in the clinic, preferably a neurologist so that you can receive a thorough neurological examination in the clinic followed by certain relevant neurological investigations too that may include the following;
MRI scan of the spine
X ray of the joints
Blood tests including ESR, CRP, ANA, RA factor, Anti Ro, Anti La, thyroid tests, Serum complements, RPR, Lyme antibodies etc
EMG/Nerve conduction study for the legs and back – which is a nerve & muscle test
Doppler Ultrasound of the legs etc
And any other tests as necessary and then treated appropriately depending upon the test results
In the meantime you may try one or more of the following treatments that can help you with getting relief from the severe symptoms you have been suffering from;
Keeping the legs in elevated position as much as possible to help in reducing the swelling
Elastic compressors to the legs
Heat or Cold therapy in the form of Heat pads or hot compress, cold compress or cold packs etc (overall cold therapy is better for the swelling, whereas for the pain & stiffness heat therapy is usually better)
Using one of the over the counter anti-inflammatory pain killers such as Naproxen (Aleve) or Ibuprofen (Motrin, Advil) etc
Using one of the over the counter locally acting creams or sprays of anti-inflammatory pain killers (Muscle rubs) like Myoflex or Biofreeze etc
Epsom Salt Compress or Epsom Salt Soaking, or Epsom Salt Bath can help too
Massage Therapy is another treatment that is very useful to treat these types of symptoms
Gentle strengthening & gentle stretching exercises of the leg & back muscles – provided you are able to do it & tolerate it now, otherwise to not to try this immediately now, you may try this when you start feeling better
If symptoms do not improve with the above treatment measures then one or more of the following additional treatment measures can be considered;
Trigger point therapy (if any trigger points are present)
Stronger prescription anti-inflammatory painkillers like Tramadol
Nerve-pain pills like Gabapentin, or Amitriptyline
Muscle relaxants like Baclofen, or Tizanidine
A course of oral steroids
Narcotic pain killer like Lortab or Percocet
Short wave diathermy
Infra-red light therapy
TENS (Transcutaneous Electric Nerve Stimulation)
Interferential therapy etc
I am not telling all these above mentioned treatments are required in your case; I am trying to provide a list of the various treatment options like this so that you are familiar with various treatment options that are available for your condition and you may try to use them as necessary. If you see any of the above treatments you have already tried please disregard them and you may explore the treatment options which you may have not yet tried. And also please try to see a Dr, preferably a neurologist in the clinic so that you can receive a thorough examination in the clinic followed by the above mentioned investigations and then treated appropriately depending upon the test results.
To summarize once again;
1) Please see there are several different health conditions that can cause the types of symptoms you are having
2) The examples of such conditions include as mentioned in the above list
3) Please try to see a neurologist in the clinic so that this can be thoroughly evaluated/examined & investigated further to find out the precise cause for these symptoms
4) In the meantime please try one or more of the above mentioned treatments to help in reducing the various symptoms you are having including pain, stiffness, swelling, and other symptoms
5) Please see this type of health situation or health condition can be diagnosed and successfully treated, so please not to be scared or not to lose hopes, please try to see a neurologist asap and try to undergo a thorough neurological examination & neurological investigations as discussed above and then treated appropriately for the best results.
Please go through the above answer which is based on what information I had gathered from your original question. If you want to discuss this further or if you need any additional clarifications please reply to me, and also please try to provide me the additional information I had requested earlier through the questions I had posted above, and I am available here for further discussions until you are satisfied. And please take a moment and kindly click a positive rating (preferably 5 Star/Excellent) to credit for the time & effort put by me in answering your health question, and this is the only way I will be credited for my service to you. If you have follow-up or additional questions you can ask them after the rating too.
Wishing you the best health!
All the very best!
Assuring you the best services!
Dr Subbanna MD