[41F] Experiencing chronic foot pain and leg swelling

Patient Description

A 41-year-old female presents with excruciating foot pain and significant leg swelling. The patient reports the presence of lumps on both feet, initially appearing on the sides and now extending to the bottom arches, causing a sensation akin to walking on sharp rocks. The pain is described as sharp, shocking, and throbbing, with an electric shock-like feeling upon touch, and is exacerbated by walking or any activity. The patient has tried warm Epsom salt soaks and ice baths without relief. The leg swelling is severe, with the legs swelling to two to three times their normal size daily, and does not subside. Symptoms have gradually worsened over four years. The patient has experienced weight fluctuations, losing and gaining between 20 to 50 pounds over a few weeks. Despite these symptoms, there have been no injuries to the feet, and no diagnostic tests have been conducted. The patient has a family history of neuropathy on the father's side and has been diagnosed with neuropathy herself. There are no known allergies, and the patient is not currently on any medications. No pre-existing conditions were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, it seems like your symptoms could be related to a few different issues:

  1. Peripheral Neuropathy: Given your family history and your own diagnosis, the sharp, shocking, and throbbing pain in your feet could be due to neuropathy. This condition involves damage to the nerves outside of the brain and spinal cord, which can cause pain, numbness, and weakness, particularly in the hands and feet. Treatment often involves managing symptoms with medications, physical therapy, and addressing any underlying causes.

  2. Lymphedema or Lipedema: The significant swelling in your legs that worsens over time could be due to lymphedema, which is a condition where excess fluid collects in tissues causing swelling, or lipedema, which is an abnormal buildup of fat in the legs. Both conditions can cause swelling and discomfort. Treatment may include compression therapy, exercise, and in some cases, surgery.

  3. Weight Fluctuations: Rapid weight changes can be due to a variety of factors, including fluid retention, hormonal changes, or dietary factors. It's important to monitor these changes and discuss them with a healthcare provider to determine the underlying cause.

What you can do

Foot Pain and Neuropathy:

  • Consider consulting a neurologist or a pain specialist for a comprehensive evaluation and management plan.
  • Over-the-counter pain relievers or prescribed medications for neuropathy may help manage the pain.
  • Gentle exercises and physical therapy can help maintain mobility and reduce discomfort.
  • Use MDandMe to journal your symptoms and track any changes or patterns over time.

Leg Swelling:

  • Elevate your legs when sitting or lying down to help reduce swelling.
  • Wear compression stockings to help manage swelling and improve circulation.
  • Stay active with low-impact exercises like walking or swimming to promote circulation.
  • Keep track of your weight and swelling using MDandMe to provide detailed information to your healthcare provider.

Weight Fluctuations:

  • Maintain a balanced diet and regular exercise routine to help stabilize your weight.
  • Monitor your weight changes and discuss them with your healthcare provider to rule out any underlying conditions.

What you should look out for

While your symptoms are concerning, they do not appear to be immediately life-threatening. However, you should seek medical attention if you experience:

  • Sudden or severe increase in pain or swelling
  • Signs of infection, such as redness, warmth, or fever
  • Difficulty walking or performing daily activities due to pain or swelling

Remember, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan. They can provide you with the most accurate information and appropriate care for your condition.

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2 mo ago

People Also Ask


What is peripheral neuropathy and how does it affect the feet?

Peripheral neuropathy is a condition where the peripheral nerves, which are outside the brain and spinal cord, are damaged. This can lead to symptoms such as sharp, shocking, and throbbing pain, numbness, and weakness, particularly in the feet and hands. It can make walking and other activities painful and difficult.


What are the differences between lymphedema and lipedema, and how can they cause leg swelling?

Lymphedema is a condition where excess fluid collects in tissues, causing swelling, often in the legs. Lipedema is an abnormal buildup of fat in the legs, which can also cause swelling and discomfort. Both conditions can lead to significant leg swelling, but they have different underlying causes and may require different treatments.


How can rapid weight fluctuations impact overall health?

Rapid weight fluctuations can be due to fluid retention, hormonal changes, or dietary factors. These fluctuations can impact overall health by affecting metabolism, cardiovascular health, and can be a sign of underlying health issues that need to be addressed by a healthcare provider.


What are some effective ways to manage severe foot pain associated with neuropathy?

Managing severe foot pain associated with neuropathy can involve consulting a neurologist or pain specialist, using over-the-counter or prescribed medications, engaging in gentle exercises and physical therapy, and tracking symptoms to identify patterns and triggers. Elevating the feet and using compression stockings may also help reduce discomfort.


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