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question:May 21, 2014, I had total hip replacement on the right hip. June 14 I experienced the most excruciating pain when I tried to stand. I was rushed by ambulance to the ER to find the stem had slipped down into the femur and my femur was fractured. Surgery was repeated, I went through lots of physical therapy, and then developed a large blood clot in the leg. Recuperating still, now I experience LOTS of heel pain and major burning in both heels. People have said it s pressure sores developing. I only see the skin peeling on my heels but no open sores appearing. Can you help?
answer:Cannot directly diagnose, treat, or prescribe without being there but can give general information.Pressure sores occur in the context of not being able to move and having all the weight bear down and hurt the circulation to an area and to mechanically abrade it. Furthermore, there can be INTERNAL soreness of the muscles when there is pressure onto the muscles as they are pressed onto bones inside. There are standard treatments:Not having continuing pressure on the area by repositioningNot having continuing pressure on the area by having a soft compressible spongey thing over it to absorb pressure. If there are open wounds putting medicated salves on it; possibly needing antibiotics.Aspirin like drugs help the pain often.
question:When stepping on the ball of my left foot I get severe pain across the top of my foot. It started as just annoying pain whenever I was on my feet for long periods of time ( I am a waitress) Now I cannot even make it three hours into my shift without it becoming unbearable pain
answer:cannot say what in your particular case without direct examination.But I can say everything that is in the foot includes bones, joints, tendons, circulation, and muscle. WIth a lot of pressure there can be stress fractures of the bone. They give intense, constant pain. The joints and tendons can get strained. This occurs most in the part of the foot with the most bend (the middle at the top or in the arch). This area goes up and down in pain during the day. It goes up with use, It hurts when that part is bent etiher by flexing the foot or by directly moving that area. Muscle can hurt; they have a particular muscle ache. There are not prominent muscles in the top middle of the foot, more joints and tendons. Circulation can make the whole foot ache and there has to be signs of poor circulation. The pain comes either with use, with blue swelling, or with lack of blood, being pale/white/cold and achy with use but would be the whole foot (really really doubtful in this case).Joints and tendons are helped with changes in shoes and activity, wtih aspirin like drugs, and rest with gradual buiding up use with physical therapy.
question:I HAVE TERRFIC PAIN IN MY RIGHT HEEL AND HAVE BEEN ICING IT REGULARLY BUT I DO NOT SEE ANY DIFFERENCE IN THE PAIN LEVEL. IS THERE SOMETHING I AM MISSING
answer:If you have been having more pain in the early morning hours andif it is at bottom of the heel and not at the back of heel ,most likely you are suffering from a condition known as plantar fascitis, which is not a worrisome condition.The soft tissue at the bottom of heel because of aging becomes inelastic and tight and cause pain ;more while walking.If the complaints are of short duration (less than six weeks) you will be benefitted with a short course of painkillers like diclofenac,physiotherapy including local ultrasonic rays and stretching exercises for the lower calf and plantar fascia .However you will need xrays and blood investigations like CBC,ESR, Blood Sugar, Sr.uric acid ,if you fail to get relieved after a week to ten days of the treatment.
question:Hi there. About 30 hours ago now, I was hit in the chin with a basketball really hard. I felt my head rattle in an unnatural way, and pain in my head. I brushed it off and kept playing for about 15 more minutes. When I got home, I felt pain in the front of my head, I felt a bit weak and disoriented. I slept a few hours later, for 8 hours, woke myself up every three to two hours. My symptoms now are fatigue, slight disorientation, and most recently, stomach pains, almost like cramps. I didn t go to the hospital, so I d like to know what else I should do to help myself?
answer:Cannot say in your particular case. Certainly signs of concussion include headache, disorientation, fatigue, wanting to withdrawal, being irritable and being irritated by light/noise/other sensory inputs. Concussions last at least hours and more likely days. There is increased risk for SERIOUS consequences if further injuries occur DURING a concussion and so, rest and avoiding further risk of concussions is strongly advised.But, this isn't irritation of the stomach. That can certainly occur with any stress. And in this case minor treatments like antacids are somewhat helpful.
question:I had a blood test taken 3days ago and it was the most painful blood test is ever had, I had a sharp needle pain in lower to where the blood was taken and a sharp shooting pain. I told the lady that took my blood but she insisted it didn t hurt :/ annoyed me. Now my arm feels numb and slightly tingly and I keep getting horrible twitches when I move my arm. ? Please help me ?
answer:this is very unusual, obviously. The type of pain and 'shooting' imply a nerve is hit. THere are not major nerves in that area but certainly everywhere there are SOME nerves. With neuropathic pain:1) short run any nerve pill such as a lidocaine patch (you need ONE, cut into 2 cm squares, apply one 2x2 daily), anti-seizure med, or amitryptiline are likely to work at quite low cost2) long term minor nerves usually grow back ok.cannot say in your particular case.
question:I am an amputee and have been so quite a long time. My problem is severe pain in the stump. On a scale of 1to10 it is a 10. These pains come on rather quickly about every few months and last at least a day. The pains come on every few minutes and last 10 or 15 seconds. The are very severe. I have talked to my Doctors about it but never a satisfied answer. I desperate and hope you can help. Thank you, Bobby
answer:quite a lot. Any 'nerve pill' is likely to work:lidocaine patchanti-epileptics such as gabapentinamitryptilineand many others. A neurologist or pain managment physician, heck a regular doc too, should be able to treat this without need of narcotics.