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Q: Neuralgia and gonarthrosis
asked by: DoctorQuestion on January 14th, 2007
I am writing on behalf of my mother. She had stroke in 2003 and has been on BP drugs since (varying from enalapril, moduretic) and she has been on fluconazole since then. However, she constrantly complained about a terrible pain in her left leg (she was struck on the left side), a sort of burning sensation that was present 24/7. We managed to see a neurologist last Tuesday who prescribed some new drugs to treat her leg, being; Amitriptyline 25mg, Tegritol 20mg and a drug called Baclufenac 5mg. We were advised that there would be drowsiness and dizziness as side effects. The drugs began to take action, for the day after she awoke with no pain in her leg for the first time since the stroke, but the new development is that, when she stands or tries to walk, all her body weight is placed on her right (good) knee! As a result she cannot stand for more than a few moments without the severe pain (which has even brought her to tears). We are puzzled as to what could be causing this excruciating pain in her knee and would welcome all the help and advice that could be rendered.


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Dr. Nikola Gjuzelov , MD
replied on January 22nd, 2007
High Blood Pressure, Hypertension, High Cholesterol Answer A
According to the symptoms you report from the left leg (pain and burning sensations) your mother is probably experiencing some kind of neuralgia. The drugs that the neurologist prescribed her are also used for treating neuralgia. According to the new symptoms from the right knee (severe pain in the knee when standing on it), she may be experiencing gonarthrosis of the right knee joint. An X-ray image of the right knee should be done to exclude gonarthrosis of the knee joint. You may consult an orthopedist to follow up.


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