[39M] Experiencing leg pain, numbness, and itching

Patient Description

A 39-year-old male reports a few weeks of aching and throbbing leg pain, rated 9 out of 10 in severity, localized at the ankle and exacerbated by standing. The pain is alleviated when legs are propped up. Additionally, there is numbness and pain radiating down both sides of the legs. The patient also experiences itching on the arms, chest, and around the eyes, which is a new symptom. There is a history of a T11 compression fracture and L1 burst fracture over a year ago. The patient underwent a thyroidectomy 3 years prior and is currently taking Losartan, HCTZ, and Levothyroxine. No known allergies to medications have been reported. The patient has also noticed swelling in the legs and shortness of breath.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Peripheral Neuropathy: This condition is characterized by damage to the peripheral nerves, which can result in symptoms such as numbness, tingling, and pain in the hands and feet. It is often associated with conditions like diabetes, but can also be caused by certain medications, infections, and other factors.

    • Treatment usually involves managing the underlying condition and may include medications to control symptoms.
  • Venous Insufficiency: This condition occurs when the veins in the legs are not effectively returning blood to the heart. This can cause symptoms such as leg pain, swelling, and itching. Standing or sitting for long periods can worsen these symptoms.

    • Treatment typically involves lifestyle changes such as elevating the legs, wearing compression stockings, and exercising regularly.
  • Allergic Reaction or Dermatitis: The itching you're experiencing on your arms, chest, and around your eyes could be due to an allergic reaction or a type of skin inflammation called dermatitis. This could be caused by a variety of factors, such as exposure to certain substances or medications.

    • Treatment usually involves avoiding the triggering substance and may include medications to control symptoms.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

In the meantime, here are some steps you can take:

  1. Try to identify any new substances you've been exposed to that could be causing an allergic reaction. This could include new medications, foods, or personal care products.
  2. Elevate your legs when possible to help reduce swelling and improve blood flow.
  3. Avoid standing or sitting for long periods. Try to move around and stretch regularly.
  4. Keep your skin moisturized to help alleviate itching. Avoid scratching as this can worsen the condition and potentially lead to infection.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Increased swelling in your legs or feet
  • Chest pain or discomfort
  • Difficulty breathing or shortness of breath
  • Sudden or severe pain in your legs or feet
  • Changes in skin color or temperature in your legs or feet
  • Any other symptoms that concern you or worsen over time

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common causes of peripheral neuropathy?

Peripheral neuropathy can be caused by diabetes, certain medications, infections, traumatic injuries, and other conditions that damage the peripheral nerves.


How can venous insufficiency be managed at home?

Venous insufficiency can be managed at home by elevating the legs, wearing compression stockings, exercising regularly, and avoiding prolonged standing or sitting.


What might cause itching on the arms, chest, and around the eyes?

Itching on the arms, chest, and around the eyes could be due to an allergic reaction, dermatitis, or exposure to new substances such as medications, foods, or personal care products.


What are the potential side effects of Losartan, HCTZ, and Levothyroxine?

Losartan can cause dizziness, fatigue, and kidney function changes. HCTZ may lead to electrolyte imbalances and dehydration. Levothyroxine can cause symptoms of hyperthyroidism if the dose is too high, such as increased heart rate and anxiety.


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