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The response to the question below was authored by Marc Mitnick DPM

severe to right leg and foot

by Immaculeta
(Baton Rouge, LA, USA)

I was diagnosed with right high ankle sprain in 2002, ever since I have been in severe pain to that leg, I have had several lumbar blocks and physical therapy without success. I was on Duragesic patch for 6 years and and other pain medicines. I was able to get out patch last year. My doctor diagnosed my problem as lumbar radiculopathy but I hardly have back pain accept when my pain become uncontrollable that feel pain on my lower back. I have constant severe burning, aching,shooting pains, constant tingling sensations, and numbness to my lower leg and lateral side of my foot. The worse pain is in the lump that formed on upper lateral thigh closer to my hip, this pain in my upper thigh does not respond to any treatment at all. It does not allow me to sleep at. It seems to be worst at night. I cannot sleep on my right side due to this severe pain. Slight touch to the areas produces severe pain. Every time I'm having bowel movement, I will feel severe tingling sensation to my lower leg. I have difficulty explaining these to people. Last year I changed my physician who diagnosed me with RSD. My most fear now is my injured leg has developed multiple lumps, my muscle seem to be collapsing and my toes will suddenly locked up together with severe pain, sometimes it takes more that two minutes to unlocked them. I recently, started acupuncture with reputable doctor and I have gotten noticeable pain relief to my lower leg but the upper thigh remain the same.My doctors cannot explain to me what caused the formation the large lump to my upper thigh. Please help.

RESPONSE

Hi Immaculeta,

From your description it does sound like a radiculopathy, but how it is related to your initial high ankle sprain is a mystery to me. Perhaps when you fell, you also did some damage to your back.
So as a foot specialist I am not sure I can be of much help, but the thing that does concern me is the lump on your leg.
If no doctor knows what it is and it is not a muscle herniation of some sort, then it should be biopsied.
A needle biopsy would be a good place to start as it is a simple, relatively painless procedure.
A second option would be an MRI of the lump. In many instances the radiologist can tell what type of lump you have through an MRI.
In any event you need an accurate diagnosis before you can have any treatment that will rid you of the pain in that growth.

Marc Mitnick DPM
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Columbia University Department of Rehabilitation

ScienceDirect

Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician

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Poland

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New Jersey

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Evansville, IA

Dear Marc

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San Diego, CA

Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!

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Albany, NY

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Whichita, KS

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Colorado

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Colorado

Wonderful advice

by: Anonymous

This is the best site for foot problem info.

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location unknown

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Canada

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North Carolina

Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown

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Florida

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New Jersey

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a mom

location unknown

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Bellevue, WA

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Jodi

location unknown

severe to right leg and foot

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