Restless leg syndrome (RLS) is a common and sometimes
devastating condition. I see it quite frequently
in many of my chronic pain patients. In
fact, it contributes to quite a bit of chronic pain, because of the difficulty
it causes in terms of getting a good night's rest, and because it in and of
itself can be rather painful. And there
are diseases associated with chronic pain which can result in so-called
Restless Leg Syndrome is a nighttime condition that has a huge impact on
daytime functioning for those afflicted.
The diagnosis of RLS is mostly arrived at through interviews
with the patient, and basically involves four important features:
is a compelling need to move, usually associated with unpleasant
sensations in the legs, which have been described variously as painful,
electric or "creepy-crawly."
sensations of RLS are worse or exclusively present at rest.
sensations are at least partial...
Medical errors are a fact of life. Doctors do everything they can to reduce errors whenever possible. In the world of orthopedics leg length discrepancy after total hip replacement (THR) is one of the more common types of error. Dr. Clark and his associates from the University of Iowa Hospitals report on this problem. Patients who are unhappy with the results of their THR often have a leg length discrepancy. This is an unexpected and uncomfortable result. Sometimes there is pain involved because of nerve damage. Problems can occur with walking and balance. Severe neurologic symptoms are possible. What can be done to prevent this from happening? Dr. Clark advises orthopedic surgeons to do three things. First assess the patient for leg differences carefully before surgery. Ask the patient if the legs feel equal. Do they use a shoe lift? Ask about the history of any conditions that can have an effect on leg length. Second, check for muscle tightness and measure for length differences. These...
Alternative Names Pain - heel Home Care Rest as much as possible for at least a week. Apply ice to the painful area. Do this at least twice a day for 10 to 15 minutes, more often in the first couple of days. Take acetaminophen for pain or ibuprofen for pain and inflammation. Wear proper-fitting shoes. A heel cup, felt pads in the heel area, or an orthotic device may help. Night splints can stretch the injured fascia and allow it to heal. Additional steps: Apply moleskin to avoid pressure if you have bursitis. See a physical therapist to learn stretching and strengthening exercises. These help prevent plantar fasciitis or Achilles tendinitis from returning. Call your health care provider if Your pain is getting worse despite home treatment There is little progress after 2 to 3 weeks of home treatment Your pain is sudden and severe You have redness or swelling of your heel or you cannot bear weight What to expect at your health care provider's office Your doctor will take your medical history and perform...
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