General Medicine
Question #9353
98 days ago
2,721

Lower leg pain - #9353

Mohd iqbal

My lowar leg 🦵 pain somthing 2 se 3 years pain use pain kilar madicine releef pain qukly but not permanet pain releef pain kilat medicen use for aciclopera,abupera,diclopera tab Very hard pain for nigth sleep time and morning

Age: 24
100 INR (~1.18 USD)
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Doctors’ responses

Dear Mohd Iqbal, I understand that you have been experiencing lower leg pain for the past 2-3 years, with worsening pain at night and in the morning. Since painkillers like Aceclofenac, Ibuprofen, and Diclofenac provide only temporary relief, it’s essential to identify the root cause. Possible Causes: 1. Nerve-related pain (Neuropathy) – Can occur due to vitamin deficiencies, diabetes, or nerve compression. 2. Muscle cramps or circulation issues – Poor blood flow can lead to pain, especially at night. 3. Bone or joint problems – Conditions like shin splints, arthritis, or stress fractures. 4. Vitamin or mineral deficiencies – Low levels of Vitamin D, B12, Calcium, or Magnesium can cause muscle pain. Initial Advice & Management: 1. Home Remedies & Lifestyle Changes: • Apply a warm compress or soak legs in warm water before bed. • Stretch your legs gently before sleeping to reduce cramps. • Stay hydrated and increase foods rich in potassium and magnesium (e.g., bananas, nuts, coconut water). 2. Medication (Only if Necessary): • If pain is muscle-related, an over-the-counter muscle relaxant like Thiocolchicoside may help. • If pain is nerve-related, medications like Pregabalin or Gabapentin may be needed after consulting a doctor. 3. Investigations Recommended: • Vitamin D, B12, Calcium, and Magnesium levels to check for deficiencies. • Doppler ultrasound if you experience swelling, numbness, or tingling. If pain persists or worsens, I recommend consulting a doctor for a detailed evaluation.
Accepted response

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The fact that painkillers like aceclofenac, ibuprofen, and diclofenac give temporary relief but the pain returns suggests there's an underlying cause that hasn’t been fully treated. Possible reasons for chronic lower leg pain include nerve compression (like sciatica), varicose veins, vitamin D/B12 deficiency, past injury, or muscular imbalances. Since the pain is worse at night and in the morning, it could also be related to inflammatory issues or restless leg syndrome. Long-term use of painkillers can harm your stomach, kidneys, or liver — so it's important to get a proper diagnosis. You should consult an orthopedic doctor or neurologist who might advise tests like X-ray, MRI, nerve conduction study, or blood tests to check for inflammation, nerve issues, or deficiencies. In the meantime, avoid heavy physical strain, try light stretching before bed, and check your posture if you sit or stand long hours. Once the root cause is found, the right treatment — whether physiotherapy, nerve medicines, or supplements — can give lasting relief. Let me know if you want help creating a doctor visit checklist.

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