severe to right leg and foot
(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
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 DPMDISCLAIMER