Experiencing Foot Swelling and Numbness
At 44 years old, I stand 6 feet 4 inches tall and weigh 184 pounds. My daily medications include 20mg of Adderall taken twice and 15mg of Abilify once. I occasionally vape a nicotine solution at 6mg and sometimes use marijuana; I am also in recovery from IV methamphetamine addiction. Recently, over the past couple of months, I have noticed a troubling swelling in my lower legs and feet, particularly below the knee. In the past, I would typically manage discomfort with ibuprofen, pushing through the pain. However, the situation has escalated to the point where walking has become a challenge. I am experiencing a loss of sensation in my right foot alongside extreme tightness in the skin, which has become shiny and is even cracking in places. I am at a loss regarding what steps to take next. Unfortunately, the local hospital in Worland, Wyoming, provides minimal support. After undergoing an ultrasound, X-ray, and EKG, along with blood tests, I was sent home without any conclusive answers. It seems local emergency care focuses solely on ensuring one isn't in immediate danger, and without insurance, they offered no further assistance. As I continue to lose feeling in my feet, the pain I do experience is intense and concerning. I am seeking guidance on how to proceed given this troubling condition.
Answers (1)
9/13/2025, 1:01:17 AM
OpenHealth AI
It sounds like you're experiencing significant discomfort with swelling, numbness, and pain in your feet and lower legs, which can understandably be quite concerning. Given your medical history and the recent changes you've described, it's important to approach this situation carefully.
Explanation
The swelling and changes in sensation in your feet can arise from various underlying causes. Given your history, you might consider the impact of medications, lifestyle factors (like nicotine use), or potential issues related to circulation or nerve health. Conditions such as peripheral neuropathy, sometimes exacerbated by substance use, can contribute to symptoms of pain, swelling, and numbness. The shiny skin and cracking could indicate changes in circulation or skin health.
Next Steps
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Monitor Your Symptoms:
- Keep a detailed journal of your symptoms, noting when the swelling and numbness occur, as well as any lifestyle changes or stress events. This record can help identify triggers or patterns.
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Limit Irritants:
- Consider reducing or eliminating nicotine and marijuana use, as both can affect circulation and potentially aggravate your symptoms.
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Hydration and Diet:
- Increase your water intake and adhere to a balanced diet rich in fruits, vegetables, and lean proteins. This can help reduce inflammation and improve overall circulation.
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Gentle Movement:
- Engage in gentle stretching and low-impact exercises (as tolerated) to improve circulation, such as walking or swimming, which may help manage swelling and discomfort.
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Elevate Your Legs:
- When resting, try to elevate your legs to help reduce swelling. This can promote better fluid circulation.
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Skin Care:
- Apply a moisturizing lotion to the cracked areas to improve skin integrity. Ensure the lotion is non-irritating.
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Further Diagnostic Steps:
- If symptoms persist or worsen, consider seeking out other local healthcare providers, such as a specialist or a pain management clinic, who may offer more targeted evaluations.
- If possible, ask about telehealth options with specialists in larger cities who may be able to guide you further or suggest at-home management strategies.
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Consider Community Support:
- Explore local support groups or online forums for individuals with similar health concerns. Engaging with others can provide emotional support and practical tips.
These steps focus on managing your symptoms while identifying potential triggers. Be proactive in observing how your body responds to these changes, and keep a close watch on any developments in your symptoms. Let me know if you need more information on any of these recommendations!
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