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General Medicine
Consultation #177
1 year ago
1,065

Severe skin pain - #177

R Ashok
FREE

Mom is 75 years old. Due to exhaustion from diabetes, she fell and broke a rib in August. they switched to insulin. The rib has fused. I started to gain weight. A month later, severe pain began. I had a CT scan, I was with a neurologist, a traumatologist, and a neurosurgeon. I took it and injected it for almost two months: Dexalgin, kalmirex, gapapentin... voltaren patches, long-lasting cream. All this relieves the pain a little and for a short time. Complains of severe burning of the skin, where the ribs and spine (almost all over the body), especially at night, the skin is clean, there are no rashes. The pain is where the shoulder blades are. He hardly sleeps at night. Tell me, could it be some kind of skin disease (herpes zoster ...)? What tests do you need to take for this?

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Doctors' responses

Dr. Surya Bhagwati
Bachelor of Ayurvedic Medicine and Surgery
1 year ago
5

I’m sorry to hear about your mother’s condition; it sounds quite challenging. The symptoms you’ve described, including the burning sensation and pain near the ribs and spine, could be related to several factors, including nerve irritation or injury from the fall, especially given her diabetes and recent rib fracture. While herpes zoster (shingles) is a possibility, particularly if there is a burning sensation, it’s essential to have a healthcare professional evaluate her thoroughly. A thorough examination and possibly blood tests, including tests for herpes zoster, and nerve conduction studies might be beneficial to rule out other conditions. From an Ayurvedic perspective, incorporating Turmeric (Curcuma longa) can help due to its anti-inflammatory properties; you may use it in cooking or take it as a supplement. Ashwagandha (Withania somnifera) may also help alleviate pain and improve sleep quality due to its adaptogenic properties. Consider using Guggulu or Shallaki (Boswellia serrata), known for their anti-inflammatory effects, which may provide relief. Topical application of warm Castor Oil or Mahanarayan Oil on the affected areas can help soothe discomfort. Encouraging her to maintain a balanced diet rich in whole foods, along with staying hydrated, may also support her overall well-being. It’s essential to consult with a healthcare provider before starting any new treatments or making significant changes to her care plan.

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Dr. Narendrakumar V Mishra
Bachelor of Ayurvedic Medicine and Surgery
1 year ago
5

Dear Ashok, your mother could be suffering from some nerve inflammation that could have originated due to diabetes or the medication she had to take for the pain or due to nerve compression or injury somewhere. Please get her thoroughly assessed by a neurologist & a skin specialist to rule out anything severe as her age is critical. Some blood work, MRI, CT or nerve studies would likely be suggested.

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Dr. Anjali Sehrawat
Bachelor of Ayurvedic Medicine and Surgery
1 year ago
5

I’m sorry to hear what your mom is going through, it sounds really tough. You’re asking about herpes zoster—it’s possible, given the burning skin pain description, but usually with zoster, you see a rash or blisters. So if her skin is clear, it maybe something else. Neuropathy especially in diabetes can also cause burning sensation, sometimes without any visible skin changes .

For herpes zoster, normally a healthcare provider would check visually for rash and might take a skin scrap if they’re not sure, but since she’s clear, it wouldn’t be the first guess. Neuropathic pain, however, often needs careful checking for any nerve issues or nerve compression, sometimes imaging like MRI is used again even after CT.

If you’re still concerned about a test and your docs didn’t already check her for zoster, ask about a viral culture or PCR test to be extra sure. But if it’s mostly at night and across the body, focusing on pain management and further understanding of nerve involvement seems key.

Ayurvedically, for neuropathic pain and sleep issues, considering her kapha dosha might be imbalanced (cause of weight gain too), the focus can be on balancing by proper diet. You might want to try using warm spices like ginger or turmeric in her meals—turmeric milk at night for instance could really soothe and help her sleep slightly better.

Also, Sarshapa Lepa might be beneficial—mustard seed paste applied locally can sometimes help ease pain. Check with your mom’s doc first, especially cause she’s on other meds.

Since sleep is hard, gently massage with warm sesame oil could provide some relief, possibly calming her senses before bed. But again, make sure it’s safe with current meds and any other health issues she has.

I definitely recommend keeping up with updates from her doctors—they might need to adjust or explore further treatments balancing her diabetes, pain, and everything else. Stay strong, and hang in there!

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