小腿酸胀,关节疲惫,脚背刺痛发烫。多次检查,原因不明

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楼主 (文学城)

一年前开始小腿肿胀,刺痛。现在走路后感觉很累,脚背刺痛发烫.看了几个医生,做了各种检查,胸部X-RAY,腹部CT,妇科B超,心脏超声波。心脏没有问题,也不是通风,高血糖。做了腿部超声波检查,没有发现血栓,只是说左腿血流不畅。但我现在走路双腿都感觉越发劳累,膝关节更严重,有些水肿。每天也在补D和各种维他命。左肾多年前发现结石。我一直担心血栓,又担心淋巴水肿。大家有什么建议?谢谢!

https://bbs.wenxuecity.com/health/924346.html

米兰之夜
肿的部位是脚的那个部分,大拇趾侧?小趾侧?
米兰之夜
再有,小腿的刺痛感,发生在大拇趾侧?小趾侧?
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脚腕上面,小腿部分肿胀严重。脚背发烫
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刺痛不在脚趾,在小腿和脚背
米兰之夜
就是说,脚肿和小腿痛的位置都比较靠中?
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嗯,现在感觉整个小腿和膝关节都酸累,走路后更严重
米兰之夜
是不是足灼热综合征,给你个链接,中西医都有解释

链接

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谢谢!我来看看。我有每天吃小剂量阿司匹林
h
hw999
你的腹部CT包括髋部吗?膝关节的疼痛可能和髋关节有关。

你的腹部CT包括髋部吗?膝关节的疼痛可能和髋关节有关。

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腹部CT只包括腹部内脏器
P
Pinkazalea
找风湿免疫科医生了吗?
N
NiceSeeker
查一下是否缺钾。
晓青
检查一下腰。
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谢谢!血检出来不缺钾
白镜天
我要是你,停服。仔细体会身体的反应,再决定继续是服还是不服。
羽绒服
这种情况,看看中医吧

如果是我,可能找针灸师先在局部拔罐放血。吃上面,一样一样减少刺激食物,好比辛辣,冰激凌,海鲜,羊肉。

白镜天
能讲讲吃小剂量阿司匹林的历史吗?多大年龄开始?为什么开始?医生告诉你吗?此病发作前一个月,都吃过或注射过什么药?
R
Redcheetah
泡溫泉,
白镜天
这个连接很好,值得一读。但,病因有多种,还需自我判决。
欲千北
是每天都如此还是一阵一阵的发作? 一天中什么时候最严重?最轻微?有季节性吗?左侧还是双侧?
f
fuz
请照几张双脚的照片(背、侧、板、趾)传上来
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照片如下

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脚背和脚趾见内

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谢谢!我只看过心血管专科,那我再找免疫医生看看?
f
fuz
俺个人认为:脚气(真菌感染),继发性(淋巴)脉管炎,下肢轻度水肿。先治脚气,其它症状自然好转。

http://health.people.com.cn/n1/2016/0713/c404177-28550855.html

https://www.haodf.com/zhuanjiaguandian/yinjiebjmu_3269745266.htm

 

 

你这毛病始于去年六月下旬,先是足背肿,以后漫延至小腿。

第一张照片可看到小腿、踝部的肿胀,皮肤颜色没变,看不见静脉突起、结节,符合淋巴性水肿的特点。点

从足背的照片看,静脉清晰,无曲张,没有静脉炎(血栓)的仼何表像。

趾甲周边有明显的白絮状物和轻微红肿;趾甲前缘增厚,粉变;趾间皮肤也有变化。这些都是脚癣的典型特征。

你自述:足背热、疼,这是典型的淋巴管炎症状。关节酸疼,也是真菌感染的症状。

 

上边那二个链接里讲了脚气和腿肿的关系。

 

治疗足癣有内服、外涂两种方式。

你的情况比较复杂,有些真菌已经进到体内,引起淋巴管炎。需要服用药物才能彻底清除体内的真菌。

同时配合外用药膏治疗足趾。

 

及早看皮肤科医生。

 

多余的话:这种情况,不适合用中药治疗。饮食营养、物理疗法、锻炼等作用有限。

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谢谢!
n
newgarden246
It might be Baker Cysts, AKA popliteal cysts

Your hip, ankle joint and the spine might dysfunction, or osteoarthritis,   and result in the knee joint misalignment leading to joint capsule injury and inflamation, and has developed a pouch filled with fluid. You feel full or tight on medial aspect of calf. 

When the pouch is big enough, it can obstruct blood flow up the leg. When the muscles in the legs can not contract normally, the blood in the vein might be congested in the related leg and the foot. With time, it will become the risk of Deep Vein Thrombosis (DVT). 

If it is the case, you should go to see manual therapists, like qualified chiropractors or massage therapists, who are good at restoring myoskeletal structures and functions. 

Good luck!

 

s
syn
I have the exact symptoms as what the tread poster said in her p

And I feel your reply is making more sense. On top of those symptoms (I dont have white dry dead skins and fugus on my feet/toes),but I do have very thick and hard layers like callus built up on the bottom of my feet, I have to use foot razor at least once a month to remove them. When I walk a bit faster for about 10min or run for about a few minutes I started to feel the numnious on my feet and knees hurt as well as the calves, the areas are also warm to touch. I have to stop for a few minute to wait for the numnious to go away then resume the walking. Another symptom I have is the unsettle feeling on my knees and down, especially of my ankles when try to sleep. I have to twist my ankles to ease that ticklling feeling, and it makes cracking sounds. 

I believe overweight is one of the cause of this as well as what I am, is that right?

With my new infos, are your suggestions the same or you can kindly suggest others to help with diagnosis. 

thanks.

拉库赛
有没有查过甲状腺

我前一段时间也是脚背一阵阵发烫,膝盖肿,特别是晚上厉害白天就好了,然后晚上又不行了。 查了是甲状腺的问题

五德
看中医吧

位置循的是胃经, 金不生水,肾阳不足.自己做艾灸关元足三里

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是甲减引起的吗?我上次查有点儿甲减,不严重,所以没有给我开药。不知是不是现在严重了
白镜天
楼主脚趾肿胀,连接似乎没有提到。何故?
白镜天
“看不见静脉突起”,若如楼下所言,“深静脉血栓”,浅静脉还未受害,无突起。
f
fuz
做过临床工作么?

知道怎么区分几类下肢浮肿么?

知道深浅静脉之间有交通支么?

见过深静脉血栓的皮肤是啥样的么?

为啥超声没查到血栓?

小鼠mom
查一下腰椎颈椎
致青春
对不起,才看见。大哥你走错门问错人了吧

楼主信息不全,个人信息,健康信息,都做了什么检查?脚和腿肿痛热有多久了?还有什么?痒?脚气有多久了?也许如fuz说的有脚气引起的感染,但觉得不排除深静脉血栓所致的下肢循环不好,引起或者加重脚气。

别再问我,姐姐我断网了 

 

 

白镜天
谢谢啦!就要你这几句话。
n
newgarden246
Yes, you are right!

Overweight is a big problem for people who suffer myoskeletal pain.  It might not be the cause, but it really increases stress on the dysfunctional joints and lead to more injury and reduce the treatment efficency. So, losing weight is a very improtant homework during the myoskeletal treatments.

If you have tickling feeling, you might have Siatica, and your lumbosacral dysfunction. 

Actually, the problems in your ankle, knee, your hip or lumbar have been years. As we know, the myoskeletal dysfunction will cause nerve system, circulatory  system, lymphatic system dysfunction ( such as edema), which will weaken immune system leading to integumentary system conditions, like dermatophytosis.

Yes.  Manual therapy would be the rational treatment for your case.