horrible leg pain

[soudabeh]

hi,my mother is a 61 years old female,as when she was 20 years olds sometimes she felt pain in her legs when she rest,by passing the time this pain became worse and worse,and now it is very painful,when her pain starts she cant sit and she wants move them and walk and press them hardlly,it is very horrible pain,she had seen neurologist befor and now she use 2 tablet(2 mg) of ropirinole each day but still she has a lot of pain,we are from iran and we live here,none of the doctors we have seen until now havent undrestood what is her problem,so i want u pls help us.any guide i will be thanks,and also i m a medical student in third years too,
regards
soudabeh estaki

[caregiver222]

There are numerous possibilities. She needs a spinal MRI, with dye contrast, pariculiarly of the lumbar region. And an ultrasound to determine and rule our circulatory etiology. Gabapentin stinks and morphine and opiates don't work. A tens device is sometimes helpful. There are also special exercises that can be performed very inexpensively if there is lumbar compression. The most likely cause is lumbar compession. The second most likely cause is circulatory. Inexpensive supplements like cod liver oil and omega three fish oils improve lubricosity and microcirculation. Avoid vitamin E. Try a baby aspirin a day.

[soudabeh]

hello dr_sirman
but we sure her disease isnt restless legs syndrome,cause when she work more in the day her pain is more and when she rest more her pain is less,it is not a neurologic disease,when she was young she did heavy work and lift heavy things and i think it is a reason for her pain,i think it is not a jenetic disease,pls think more about our problem,
regards

[dr_simran]

Hello  soudabeh,
You should consult a neurologist and rule out all possible causes. If there is no other cause found, it is called as primary restless legs syndrome.

Check your serum ferritin levels. Your mother  may need oral iron supplementation. Increasing ferritin levels helps reduce the symptoms of restless legs syndrome.

There are quite a few medicines available such as Gabapentine, which can give you some relief.Also you should go in for  x-ray to rule arthritis.
Best