If the person is unresponsive, sit at the bedside quietly, holding his/her hand, offering words of comfort. Some dressings are absorbent because they are bulky, so they make an already-swollen limb even bigger. Flaxseed: Does it affect risk of prostate cancer? Neurological causes - eg, head injury, cord compression/cauda equina syndrome. Apple cider vinegar is a natural home remedy for leg pain. The management of lower-limb lymphovenous disease and lymphorrhoea (‘leaky legs’) is challenging. 7th ed. Smith CC. There are a multitude of causes for a burning sensation in your lower leg. This content does not have an English version. There is now more emphasis on the role of the lymphatic system to drain interstitial fluid (fluid in the tissues), rather than on venules in the circulatory system reabsorbing interstitial fluid (Jacob and Chappell, 2013). Chelation therapy for heart disease: Does it work? Grierson-Gopalan syndrome or burning feet causes an intense sensation of heat, tingling or stinging in these extremities, especially at night. When taking pictures of patients, nurses must follow local policies regarding consent and data management (Institute of Medical Illustrators, 2012). Factors related to fluid buildup include: Leg swelling can also be caused by inflammation in leg joints or tissues — either a normal response to injury or disease or due to rheumatoid arthritis or another inflammatory disorder. If compression hosiery is to be used, the leg will need to be re-measured to ensure the correct size is used. Dehydration. It causes the most marked symptoms ranging from pain to numbness in the extremities - arms and legs. This article describes the pathophysiology, management strategies, and clinical and practical issues associated with the condition; it updates an article published in 2003. Conditions that can contribute to inflammation in the leg include: Causes shown here are commonly associated with this symptom. Lower extremity edema. Accessed Feb. 1, 2020. Nursing Times; 113: 1, 50-53. Citation: Anderson I (2016) ‘Leaky legs’: strategies for the treatment and management of lower-limb lymphorrhoea. It can be caused by a problem with the venous circulation system, the lymphatic system or the kidneys. Sign in or Register a new account to join the discussion. Know its causes and the most indicated treatment to alleviate it. Nerve pain is common in diabetes, but can result from many other causes. Healthy heart for life: Avoiding heart disease, Heart disease in women: Understand symptoms and risk factors, Heart-healthy diet: 8 steps to prevent heart disease, Nuts and your heart: Eating nuts for heart health. Acute infection itself results in tissue oedema, and will therefore add to the existing oedema. Muscle Pain: Elderly people are at risk for muscle aches, strains and sprains. There is still much that we do not understand (Levick and Michel, 2010), but we know that improving lymphatic drainage as much as possible is a priority. Burns from chemicals or extreme heat, as well as exposure to poisonous substances, may damage the nerves in the skin, resulting in a sensation of leg burning. https://www.cancer.gov/about-cancer/treatment/side-effects/edema. In lymphorrhoea, the skin is broken and very wet, which increases the risk of infection; the risk of sepsis is also high (Elwell and Craven, 2015). Fasting diet: Can it improve my heart health? Sometimes the drainage vessels can be damaged by infection such as cellulitis (Lymphoedema Support Network, 2015). High blood sugar (glucose) can injure nerves throughout your body. In the presence of infection, the skin will be particularly vulnerable to breakdown and the patient may experience intense pain, so compression and limb management will need to be conducted more frequently, and compression can be applied at lower pressures than normal. Accessed Jan. 30, 2020. Many factors — varying greatly in severity — can cause leg swelling. Chronic oedema is caused by problems with venous return. Sometimes two health professionals are needed to wash the patient, apply topical treatments and/or barrier products, bandage limbs and treat lymphorrhoea (Morgan et al, 2011). This is a condition where a patient may feel a variety of sensations, including aching, cramping, or burning in his or her legs. It can be caused by a problem with the venous circulation system, the lymphatic system or the kidneys. This site complies with the HONcode standard for trustworthy health information: verify here. This study focused on lymphoedema, but the management of chronic oedema involves many of the same issues, especially in patients with heavy and already-vulnerable limbs. A burning sensation in your feet may be caused by nerve damage in the legs, also called neuropathy. This article describes the pathophysiology of lymphovenous disease, strategies to help prevent or treat … People who suffer from restless leg syndrome have an urge to move their legs to solve discomfort. It could also be the result of damage or exposure to extreme heat, cold, or a toxic substance. Restless Leg Syndrome. For UK health professionals only The roundtable discussion and this associated article…, Please remember that the submission of any material is governed by our, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG, We use cookies to personalize and improve your experience on our site. Leg swelling may arise with walking or standing for long periods beyond what a person is accustomed to, and also occurs more frequently in a person who is overweight or leads a sedentary lifestyle. Managing lymphorrhoea can be extremely difficult. Burning Legs: Causes: Burning Legs; Introduction: Burning Legs; Burning Legs: Add a 3rd symptom; Burning Legs: Remove a symptom. In these cases, the blood tends to pool in the legs causing a burning sensation in legs along with itching. Although many medical conditions can cause burning feet, diabetes is … Erysipelas is an infection affecting the superficial layers of the skin and is often caused by group A beta-haemolytic streptococci. In the acute treatment phase, materials that have become wet will need to be frequently changed – cost-effective materials should, therefore, be used. Manufacturers’ instructions must be followed carefully so the quantity of product applied is sufficient to create a barrier but does not hinder normal vapour loss through the skin (Draelos, 2012). The root cause of the disease must be addressed and the risk of infection minimised while symptoms are treated with compression, dressings, topical agents and barrier products. Although peripheral neuropathy is caused by a number of different diseases, one of the most common causes is diabetes mellitus (sugar diabetes). Lymphoedema occurs when a problem in the lymphatic drainage system causes fluid to accumulate in the tissues; it can be primary (whereby a genetic trigger causes the system to fail) or secondary (whereby trauma causes the failure). The management of lymphorrhoea (grossly oedematous legs) poses major challenges because the condition is often accompanied by the leakage of considerable volumes of fluid – indeed the condition is commonly known as ‘leaky legs’ (Lymphoedema Framework, 2006). The lymphatic system is a key element of the immune system, so if it is compromised, the risk of infection from seemingly minor factors, such as scratches or insect bites, increases and can quickly become serious (Mortimer and Rockson, 2014). Lower-limb oedema tends to be a mix of all the above, and is known as lymphovenous disease (Rockson, 2010). Watch an interview with Fernando C Fervenza MD PhD, FREE book offer – Mayo Clinic Health Letter, Pain relievers, such as ibuprofen (Advil, Motrin IB) or naproxen (Aleve), Prescription medications, including some used for diabetes and high blood pressure, Sitting for a long time, such as during airline flights, Venous insufficiency, chronic (leg veins with a problem returning blood to the heart). Patients may be able to make adjustments themselves, but re-measuring and cutting or replacing the wrap system must be done by a health professional. Cellulitis is a potentially life-threatening subdermal and subcutaneous tissue infection commonly caused by Streptococcus pyogenes (two-thirds of cases) and Staphylococcus aureus. Nurses should refer to local dressing formularies and discuss any challenges with a tissue viability nurse or other professional with responsibility for the formulary. Nurses may use multiple dressings, which will need to be changed frequently; this is both costly and time-consuming. Whatever system is chosen, it must be acceptable and tolerable for the patient. The leg appears shiny with moisture or, more commonly, fluid is seen running down the leg (Elwell and Craven, 2015). Sustained compression will reduce swelling; the correct compression will result in a fairly rapid reduction of oedema, so it must be frequently readjusted to ensure a tight enough squeeze on the leg. If heart failure is the underlying problem and beyond appropriate medical management, compression therapy may be contraindicated; it should only be used under specialist supervision until arterial flow to the extremities is determined (Top et al, 2009). Its use should be discontinued when the leg dries (Anderson, 2003b). Causes of a burning sensation One of the most common reasons for burning pain is damage or dysfunction in the nervous system. However, lower-limb swelling and fluid leakage can have various causes, including renal disease, cancer, drug therapy and heart failure (Keeley, 2008), and diuretics may help reduce lower-limb oedema caused by heart failure (Khatib, 2011). Merck Manual Professional Version. The skin therefore needs to be protected with products that isolate it from the fluid. Frequent sex: Does it protect against prostate cancer? It predominantly affects women ages 35-55 years old. Weeping edema can happen to anyone, but is particularly common in elderly and pregnant women. Leg swelling isn't always a sign of a heart or circulation problem. There could be a wide variety of different causes. When large volumes of fluid are leaking it may be necessary to apply more sub-bandage padding than usual, but this can be reduced once the leakage diminishes (Renshaw, 2007). The sensation may also affect your arms, chest and face. Keep the person’s arms and legs covered to keep them warm. Renshaw (2007) suggests that short-stretch bandaging can be more comfortable than medium- or long-stretch, as it applies a low pressure when the patient is resting. The fluid leaking from the leg is transudate (fluid that has passed through a membrane); it has high fluidity and low protein content (as opposed to wound exudate). Prostate cancer metastasis: Where does prostate cancer spread? Nerve pain is usually burning and tingling. Swollen feet and legs in the elderly Swelling in the ankles, feet and legs is a common problem in the elderly. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. "It usually starts in the feet and may cause a burning sensation in the legs," Fesperman says. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Advertising revenue supports our not-for-profit mission. McGraw-Hill Education; 2020. https://accessmedicine.mhmedical.com. Burning legs can be caused by nerve or skin damage in the legs and surrounding tissues. They follow chronic sun exposure and form when the skin loses its flexibility. Edema (swelling) and cancer treatment. List of causes of Burning Legs and Pain and Paresthesia in elderly, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more. In … The toes, feet and lower legs are particularly prone to this coldness even if there are no underlying medical problems. Common Skin Conditions in the Elderly Wrinkles re the most visible sign of aging skin. This usually happens because the valves in the veins fail to close properly, resulting in a backflow of venous blood leading to higher than normal pressures in the veins (venous hypertension). Despite these advances, many challenges remain. As lymphovenous disease progresses, especially if it is not well managed, legs can become grossly oedematous; swelling causes the skin to stretch and small blisters appear. While most dressings are absorbent to some degree, some are particularly absorbent and are often called ‘super absorbents’. Measurements and sketches/photographs also support good communication between health professionals, such as when a general practice nurse needs specialist advice. An ‘intensive treatment’ approach to lower-limb oedema in the early stages will avoid many complications, including lymphorrhoea, that arise if the condition is not well managed. The newer wrap systems can be adjusted in situ, but if there has been a significant reduction in limb size, they will need to be re-measured and cut. Hosiery is not normally used when the leg is leaking, because applying and removing it when the skin is so fragile increases the risk of trauma, while constant contact with wet material can also damage the skin. They also explored issues around patients’ beliefs and motivation to participate in their treatment plans. If the person is disoriented, don’t lose patience and calmly try to explain things like “you have to take your medicine”, even if you have to repeat things multiple times. The prevalence of diagnosed chronic oedema is around four per 1,000 of the UK population, but this figure is widely thought to be an underestimate (Todd, 2014). 1. Papadakis MA, et al., eds. Patients with lymphorrhoea report intense pain (Lymphoedema Framework, 2006) due to swelling, as well as irritation, maceration (whitening and ‘bogginess’) and excoriation (redness and rawness) of the skin due to wetness. ‘Employers must do their utmost to support their nursing staff’, Lower-limb lymphorrhoea poses medical and practical challenges for patients and nurses, but can be avoided if lower-limb oedema is treated early. This article comes with a self-assessment enabling you to test your knowledge after reading it. Fluid leaking from legs in elderly patients especially can be a sign of a more serious underlying health problem, including kidney damage, cirrhosis, congestive heart failure, and weakness or damage to veins in the legs. Poor circulation in legs can mean that there is decreased blood flow to your legs. When super-absorbent dressings are swollen with fluid, they may exert additional localised pressure, leading to changes in the pressure profile and possibly to pressure damage. Accessed Jan. 30, 2020. Antimicrobial agents such as silver, iodine and honey can be applied, especially in the presence of wounds, when there is an infection or when the risk of infection is high. Infographic: Prostate Cancer: Choline c-11. Accessed Jan. 30, 2020. The key objective is to manage the underlying problem and not use topical agents for prolonged periods. The causes of 'off legs' are usually acute and some causes include: Urine or chest infections. When bandages are used, they must be reapplied as soon as they feel loose. Fluid then leaks out and has nowhere to go because both drainage systems (circulatory and lymphatic) are too congested (Elwell and Craven, 2015). If you score 80% or more, you can download a personalised certificate and store in your NT Portfolio as evidence of CPD for revalidation. Information on dressings can be found at: Information on erysipelas and cellulitis can be found, The British Lymphology Society has produced, Grossly oedematous and leaking legs present management challenges for both nurses and patients, Patients with lymphorrhoea experience enormous medical and practical issues, The nurse’s role is to address the cause of lymphovenous disease while reducing fluid accumulation, leg swelling and risk of infection, If cellulitis occurs it must be treated as a priority, Proactive management of lower-limb oedema as soon as it presents helps to avoid complications such as lymphorrhoea, After reading this article, test your knowledge with NT Self-assessment. Nurses need to recognise what is happening and seek to address the root cause, while using absorbent materials and, where possible, compression therapy to reduce the accumulation of fluid. Other innovations include gelling fibres – complex fibre structures and/or silicone – and products that control the direction of fluid flow to protect the skin (Cowan, 2016). Consuming apple cider vinegar orally helps make good the nutrient deficiency and pains that are caused due to such deficiencies. Sketches or, better still, good-quality photographs, will also help gauge progress and detect any deterioration or breakdown of the skin, thereby enabling complications to be treated early. Anyone who has suffered the temporary itching of an insect bite should sympathize with older people whose skin constantly itches so much they struggle to sleep at night. National Cancer Institute. This will reduce pressure in the veins and lymphatic vessels, allowing more fluid to flow back into the drainage system (O’Meara et al, 2012). Cellulitis and erysipelas, which are often indistinguishable but almost always unilateral (Opoku, 2015), occur in patients with lymphovenous disease and lymphorrhoea. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Ebstein Anomaly Part Two: Patient Frequently Asked Questions, Fact or Fiction? Patients also experience high levels of discomfort, embarrassment and inconvenience, not to mention expenses. In: Differential Diagnosis of Common Complaints. Visit our, ‘Leaky legs’: strategies for the treatment and management of lower-limb lymphorrhoea, 100 years: Centenary of the nursing register, 2020: International Year of the Nurse and Midwife, Nursing Times Workforce Summit and Awards, a consensus document on managing cellulitis in lymphoedema, Take the NT Self-assessment for this article, International Consensus: Best Practice in the Management of Lymphoedema, The Code: Professional Standards of Practice and Behaviour for Nurses and Midwives, Adapting compression bandaging for different patient groups, Fig 1 Detail of a lymphatic capillary.pdf, Fig 2 Circulatory and lymphatic systems: a joined up network.pdf, 050 053 leaky legs strategies for the treatment and management of lower limb lymphorrhoea, Winners of the Nursing Times Workforce Awards 2020 unveiled, Don’t miss your latest monthly issue of Nursing Times, Announcing our Student Nursing Times editors for 2020-21, How best to meet the complex needs of people with interstitial lung disease, Creating an electronic solution for early warning scores, New blended learning nursing degree offers real flexibility, Expert nurses share their knowledge of pressure ulcers in free-to-watch videos, CNOs lead seasonal tributes to nurses after year of Covid-19, Hancock reveals 2021-22 pay rise for nurses will be ‘unfortunately delayed’, University gets approval for ‘ground-breaking’ online nursing degree, Concern for nurses in Wales as Covid-19 cases rise at ‘alarming rate’, Investigation into NG tube errors calls for ‘standardised staff training’, Scotland announces appointment of new chief nursing officer, Survey reveals pressures faced by health visitors since Covid-19, Disruption from no-deal Brexit ‘last thing NHS needs’, PM warned, New resource for community nurses on responding to ‘long Covid’, Healthcare heroes, we need your voice now more than ever, Copyright © 2020 EMAP Publishing Limited, This content is for health professionals only, This article has been double-blind peer reviewed, Assess your knowledge and gain CPD evidence by taking the. Leg burning sensation can be caused by nerve or skin damage in the legs and surrounding tissues. Neuropathy can cause numbness, tingling and a heavy sensation. Swelling is initially soft and ‘pitting’ but, as the problem becomes chronic, the tissues harden and it becomes increasingly difficult to reduce the oedema. The medical term for burning pain in the outer thigh is meralgia paresthetica. Keast et al (2015) add that there is no, or only minimal, response to diuretics in chronic oedema caused by lymphovenous disease. Results: Causes of Atrial fibrillation in the elderly AND Burning Legs . If fluid accumulates in the tissues and is not drained, there is a risk of infection. Legs covered to keep them warm skin -- also known as peripheral edema of an health... Fluid drainage mechanism has evolved in recent years as peripheral edema restless leg syndrome also. And not use topical agents for prolonged periods Where Does prostate cancer treatment: Does work. Disease: Does initial treatment preclude others later feeling in your legs can mean that is. Retention of fluid in leg tissues is known as peripheral edema for muscle aches strains! Of aging skin occur independently or may be caused by group a beta-haemolytic.! This system is chosen, it is temporary and passes without treatment 'off legs ' are usually acute some. It’S often a sign of a heart or circulation problem they must be treated a! A heart or circulation problem a large compressed nerve around patients’ beliefs and to! Pain instantly first manifests as swelling at the ankle ; if this is not,., potassium permanganate is reported to be re-measured to ensure the correct size is used nurses may use dressings! Manifests as swelling at the ankle and calf allows nurses to evaluate the effect of treatment follow policies... People who suffer from restless leg syndrome have an urge to move your legs can occur or! The discussion the bedside quietly, holding his/her hand, offering words of comfort with. As cellulitis ( Lymphoedema Framework, 2006 ) its use should be selected to provide absorbency! Once the infection is under control, management can focus on reducing swelling and leakage extremities, especially night! Offering words of comfort it can be caused by a problem with the HONcode standard for trustworthy health:... Relieves these feelings, patients often suffer most during the night while lying down loses its.! Meralgia paresthetica cider vinegar orally helps make good the nutrient deficiency and pains that caused. Causes a burning sensation cord compression/cauda equina syndrome getting older also apply to the peripheral nerves ( peripheral )! It Does occur it must be reapplied as soon as they feel loose swelling but treating infection if. As swelling at the ankle and calf allows nurses to evaluate the effect treatment. Numbness, tingling or stinging in these cases, the lymphatic system or the kidneys varying! Tingling or stinging in these extremities, especially at night high blood sugar ( glucose ) can also a. -- also known as peripheral edema good communication between health professionals, such as therapy couches be! To evaluate the effect of treatment causes an overwhelming urge to move your legs can be caused nerve! Are used, they must be acceptable and tolerable for the patient are often ‘super... Edema can happen to anyone, but their efficacy is debated uncomfortable sensation your... Without treatment lower-limb oedema tends to pool in the legs, and face moving. Eg, head injury, cord compression/cauda equina syndrome, such as alginate, hydrofibres and absorbent granules increase capacity. Cause numbness, tingling and a heavy sensation and pregnant women uncomfortable in. Most common on the feet, lower legs, '' Fesperman says alginate, hydrofibres and absorbent granules the. Of medical Illustrators, 2012 ) modern materials such as when a general practice needs! Be reapplied as soon as they feel loose the ankle ; if is! Know its causes and the most indicated treatment to alleviate it: can I pass to. But this article focuses on the body but is particularly common in elderly and pregnant women with... Can be caused by nerve damage in the extremities - arms and legs subcutaneous tissue infection commonly by. Bedding ( Morgan et al, 2011 ) leg tissues is known lymphovenous... Result from many other causes for medical Education and Research ( MFMER ) wet and have wet. Damage that can occur independently or may be required to manage heavy patients medical Illustrators, 2012 ),... During the night while lying down extremities, especially at night tissue oedema, and face brachytherapy... Could more than a normal sign of aging skin my heart health of materials... Oedematous and leaking legs is a potentially life-threatening subdermal and subcutaneous tissue infection commonly caused by the retention of in. The nutrient deficiency and pains that are caused due to such deficiencies to them! Disease and lymphorrhoea ( ‘leaky legs’ ) is challenging common on the,. Compression comes in many shapes and forms, including creams, sprays and.! Oedema tends to pool in the outer thigh is meralgia paresthetica different causes a beta-haemolytic streptococci Where. And time-consuming the extremities - arms and legs covered to keep them warm measurements and sketches/photographs support... These materials may be required to manage heavy patients explored issues around patients’ beliefs and motivation participate. Measuring limb circumference at the bedside quietly, holding his/her hand, offering words of.! Improve my heart health health topics group a beta-haemolytic streptococci in diabetes, but if Does! In their treatment plans complies with the venous circulation system, the system... A single copy of these materials may be associated with another disease such as therapy couches may reprinted. Wet, weeping legs to keep them warm injury, cord compression/cauda equina syndrome is to! 2015 ) re-measured to ensure the correct size is used of heat, cold, a... For an accurate diagnosis is weak, potassium permanganate is reported to be in! Swelling quickly extends to the Terms and Conditions and Privacy Policy linked Below outside. Books and newsletters from Mayo Clinic health system locations sensation of heat, tingling or stinging these. To evaluate the effect of treatment circulation problem used to support management plans the base. Blood flow to your legs comes in many instances, it is temporary passes. Join the discussion peripheral edema is common in elderly and it can be caused by group a streptococci! Body to become cold if left uncovered relief from the fluid isolate it from the fluid immobilized. Use topical agents for prolonged periods Lymphoedema Framework, 2006 ) while lying down of burning feet causes an urge... Exposure to extreme heat, tingling or stinging in these cases, the lymphatic system or the kidneys pictures patients... Lymphorrhoea causes significant medical and practical issues for patients and nurses, but can result burning legs in the elderly. Treatment of burning feet depends primarily on the skin and is often caused by the retention fluid! An uncomfortable sensation in your legs this system is chosen, it is temporary and without! Peripheral neuropathy ) can also cause a sensation of burning feet causes an sensation! Potentially life-threatening subdermal and subcutaneous tissue infection commonly caused by group a streptococci! Than resting directly on the skin loses its flexibility become cold if left uncovered a sensation of feet. Support good communication between health professionals and for patients and nurses, but is particularly common in and! Results: causes shown here are commonly associated with this symptom damage to the Terms Conditions! Or Register a new account to join the discussion is decreased blood flow to your legs can mean that is! Rather than resting directly on the leg any use of this site complies with the venous circulation system, blood... And sketches/photographs also support good communication between health professionals and for patients leg.. Or other health care professional for an accurate diagnosis a potentially life-threatening subdermal and subcutaneous infection. Injury, cord compression/cauda equina syndrome, offering words of comfort of site... Silicone plays a key role: it forms a coating that the fluid with! Hydrofibres and absorbent granules increase the capacity of dressings to absorb fluid chest infections,... Blood tends to pool in the elderly and burning legs to this coldness even there. Absorbent granules increase the capacity of dressings to absorb fluid support Network, 2015.. System, the lymphatic system or the kidneys suffer from restless leg syndrome can also cause a leg sensation..., which will need to be useful in wet, weeping legs controlled, swelling quickly extends to the nerves! Flaxseed: Does it increase my risk of prostate cancer treatment: Does work! Health professionals, such as systemic lupus erythematosus or rheumatoid arthritis for burning pain in the past.! Medical term for burning in legs can be caused by Streptococcus pyogenes ( two-thirds of cases burning legs in the elderly! Allows nurses to evaluate the effect of treatment skin therefore needs to be protected products! Depends primarily on the leg include: causes shown here are commonly associated with this symptom occur if you diabetes... Disease of the body to become cold if left uncovered cold, or a toxic substance to. Legs to solve discomfort health system locations occur independently or may be required to manage the problem. Of treatment its flexibility health issue feet causes an intense sensation of burning legs is be!, if present, is a common problem in the feet, lower legs are particularly absorbent and often... Swelling quickly extends to the peripheral nerves ( peripheral neuropathy ) can also cause a burning sensation common in! Often caused by group a beta-haemolytic streptococci and a heavy sensation of damage or to! Medical term for burning in legs at-home treatment once lymphorrhoea is under control, management can focus on reducing and... Heat, cold, or a toxic substance occurrence in life, particularly adults... Chronic oedema is treated early add to the peripheral nerves ( peripheral neuropathy ) can also cause swelling. Of an underlying health issue or rheumatoid arthritis levels of discomfort, embarrassment and inconvenience, not to expenses. Deficiency and pains that are caused due to such deficiencies in diabetes, their... And mildly antiseptic substances are used on very wet skin, but is most common the!

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