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Discoloration on my heel
I m 42 years old...I m having pain in my leg from knee to toe...walking makes it even worse...having discoloration in my feet...which specialist to consult...pls suggest...m clueless...i already consulted heart specialist...all reports came positive except mild aortic sclerosis...pls suggest what to do...
Answers (33)
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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Leg pain with discoloration can occur due to different causes such as poor blood circulation (peripheral artery disease), venous problems (varicose veins/venous insufficiency), nerve issues (sciatica, neuropathy), or even vitamin/electrolyte deficiencies. Since your cardiac evaluation is fine, a vascular or neurologic cause should be considered.”
Next Steps
-Get a Doppler ultrasound of lower limb arteries and veins to check blood circulation.
- Basic tests: Blood sugar, Vitamin B12, Vitamin D, Electrolytes.
-If Doppler is normal but nerve pain persists- consult a Neurologist/Orthopedician for spine and nerve evaluation.
-If circulation issue confirmed- consult a Vascular Surgeon.
Health Tips
Avoid prolonged standing or sitting; elevate legs when resting.
Moderate walking, but stop if pain occurs.
Use pneumatic compression socks/stockings to improve blood circulation.
Maintain healthy weight and manage blood pressure, sugar, and cholesterol.
Stop smoking if applicable.
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Your symptoms suggest a blood circulation problem (PAD/venous issue) in the leg.Consult a Vascular Surgeon urgently; if not available, see a General Surgeon.Get a Doppler ultrasound of leg vessels to confirm and guide treatment.
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Differential Diagnosis
1. Peripheral Arterial Disease (PAD)
Classic: pain on walking (claudication), relieved by rest, foot discoloration, cold extremities.
Needs vascular evaluation.
2. Chronic Venous Insufficiency / Varicose Veins
Pain, swelling, and discoloration around ankles/heels.
Worse on prolonged standing/walking.
3. Neuropathy (diabetic / compressive)
Burning pain, sometimes discoloration secondary to poor circulation.
4. Dermatological causes
Local skin conditions, but pain + walking-related worsening = vascular/neurological more likely.
---
✅ Advice to Patient
Specialist to consult:
Vascular Surgeon (first choice – to rule out arterial blockage).
If vascular is normal → Orthopedic / Neurologist for nerve compression or neuropathy.
For skin changes → Dermatologist (secondary).
Investigations to suggest:
Doppler Ultrasound (Arterial + Venous, lower limbs)
ABI (Ankle-Brachial Index)
Blood sugar, HbA1c (if diabetic suspected)
Symptomatic Care until specialist visit:
Avoid long walks/standing until evaluated
Keep legs elevated while resting
Avoid smoking (if applicable)
Comfortable footwear
Monitor for non-healing wounds or blackish discoloration → urgent consultation
---
📝 Sample Rx (for symptom relief, not definitive)
Tab. Ecosprin 75 mg OD (if no contraindications, cardiologist already consulted → mild aortic sclerosis, so antiplatelet helps circulation)
Tab. Pentoxifylline 400 mg TDS (if PAD suspected – improves blood flow; prescribe after Doppler confirmation ideally)
Topical moisturiser for feet dryness/discoloration
---
🔔 Red Flags – Immediate ER Visit if:
Sudden increase in leg pain
Cold, pale, or bluish foot
Non-healing ulcer / blackening skin
Next Steps
You can consult me directly on Practo, or reach out via WhatsApp number:
Seven Zero Four Eight One Eight Seven Seven Seven Six ( 704818777six )
I’ll guide you step-by-step with easy-to-follow treatment and lifestyle plans.
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Hello,
For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp.
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Kindly consult a general medicine MD for the same
Next Steps
For further consultation kindly contact
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Provisional Diagnosis: Suspected Peripheral Arterial Disease / Venous insufficiency
Investigations:
• Doppler ultrasound of both lower limb arteries & veins
• ABI (Ankle–Brachial Index)
• CBC, Lipid profile, Blood sugar, Kidney function
Treatment (general until specialist visit):
• Tab. Ecosprin 75 mg OD (if no allergy/ulcer/bleeding risk – doctor to confirm)
• Tab. Atorvastatin 10–20 mg HS (if cholesterol high or risk factors present)
• Walking exercise (graded, as tolerated)
• Leg elevation & compression stockings (if venous insufficiency suspected)
• Lifestyle: stop smoking, control BP, sugar, cholesterol, weight
⸻
Note: Final treatment (angioplasty, bypass, vein procedure, or medicines) depends on Doppler results & vascular surgeon’s evaluation.
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From ur history ..all these are probably due to underlying vascular blockage please consult general surgeon or precisely vascular surgeon asap... To prevent Gangrene ( complete tissue damage)
Next Steps
visit general surgeon/ vascular surgeon
Health Tips
immediately consultation is necessary to prevent Gangrene and amputation
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Likely Causes
Peripheral Artery Disease (PAD) – poor blood flow
Venous insufficiency – vein problem
Neuropathy / Sciatica – nerve pain (less likely with discoloration)
Specialist to Consult
Vascular Surgeon (first choice)
If normal → Neurologist / Orthopedic
Next Steps
What You Can Do Right Now
Check if your feet feel cold compared to hands, or if pulses in ankles are weak (this supports PAD).
Avoid smoking (major risk for PAD).
Keep feet elevated when resting if there is swelling/discoloration.
Don’t ignore—poor circulation can worsen quickly if untreated.
Health Tips
Red Flags (urgent consult):
Sudden increase in pain.
Toes turning bluish/black.
Non-healing wound/ulcer in foot
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Discoloration of feet could be indicative of decreased blood supply to your feet or a probable infection, both of which need immediate attention.
Next Steps
Visit a general surgeon/vascular surgeon
USG Doppler is essential.
Health Tips
Limit fat intake and increase fibre in your diet. Lifestyle changes like qutting smoking (if you smoke) and dietary modifications like stated above will be helpful.
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Please get your Complete Health Check up package done from a reputed Laboratory and consult a General Physician with the report.
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Hi.
I understand it is difficult to live your life with such acute pain.
At your age, such pain may be suggestive of an underlying vascular disease.
Please consult a vascular surgeon for further evaluation.
Next Steps
Stop smoking if Smoker.
Control Blood sugar levels if Diabetic.
Control blood pressure if hypertensive.
Consult a vascular surgeon.
Health Tips
Warning signs :
Pain in calf on lifting the foot upwards with heel touching the ground (dorsiflexion)
Left side chest pain
Dizziness with blurring of vision and loss of sensation or power in limbs.
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As per your Age and Complaints,and presence of Mild Aortic Sclerosis is suggestive of underlying Vascular Issue, If walk makes the pain worse- it's likely Claudication pain, which arises when there's Artery blockages...
Next Steps
You Should Immediately consult a General Surgeon it may need immediate evaluation and Doppler Scan..
If Vascular Surgeon is available nearby,it's better to consult a Vascular Surgeon immediately
If you need further Guidance and evaluation you may Consult me on Practo
Health Tips
Don't Prolong, If Atherosclerosis progress further it may cause irreversible damage.
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Considering the given history, you must consult vascular surgeon immediately or alteast consult general surgeon for further evaluation . Provisional diagnosis -Vascular cause could be Deep Vein Thrombosis
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What is your profession?
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You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
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Consult a vascular surgeon for the further diagnosis
Get the arterial Doppler and venues Doppler done to rule out varicose veins or any venous blockage
Health Tips
consult a surgeon
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U should consult vascular surgeon immediately...
U must do peripheral artery and venous Doppler study for further evaluation...
Next Steps
go to vascular surgeon or general surgeon immediately
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Kindly consult a surgeon asap
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Vascular surgeon.
Adv color dollar for artery n vein.to rule out DVT.
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Need more history for evaluation
Are you a smoker,and what about alcohol intake.
What is your routine like sedentary or active.
Get a vascular study done. It might be serious inefficiency
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Pain on exertion usually refers to musculoskeletal cause unless proven otherwise.
Discoloration may be due to any vascular block.
Next Steps
Kindly get RA Factor, HLAB27, Uric Acid, HbA1C, CRP, ESR, done.
Also go for Doppler lower limb to check vascular status.
Health Tips
Avoid Wearing high heels.
Look out for numbness at various points in the foot with discoloration.
Weight control.
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Please consult a physician physically, ASAP.
You may be having a peripheral vascular disease and Gangrene should be prevented.
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Need more of your personal history .. do u have any other problems for which ur taking medication, please share photo of ur foot. Do u have any smoking history ?
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
General surgeon first
Next Steps
consultation
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Dr. Aeman Gazdhar
General Practitioner
1 yrs exp
Indore
It could be due to vascular issues like peripheral arterial disease or varicose veins or it could be a neurological issue .
Next Steps
get a Doppler ultrasound done for legs .
If vascular issue confirmed go to a vascular surgeon
If there is no vascular issues than go for neurologist.
Also get your vit d and b12 test along with serum electrolytes
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Dr. Gayatri Akula
General Physician
Mumbai
Could peripheral vascular disease
Consider doing a lower limb Doppler
And consult a surgeon
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Vascular surgeon
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Dr. Siddesh Venkatraman
General Physician
1 yrs exp
Mumbai
Pain from knee to toe that worsens on walking along with discoloration of the feet can be due to vascular (blood circulation) issues or nerve/musculoskeletal causes. Since you already saw a cardiologist, the next step is to consult a Vascular Surgeon first (to rule out peripheral arterial disease or venous problems). If circulation is normal, then a Neurologist or Orthopedic specialist may be needed.
What you should do:
Get a Doppler ultrasound of leg vessels.
Avoid smoking, control blood sugar/cholesterol if present.
Donât ignore foot discoloration â please see a vascular specialist soon.
Bottom line: Start with a Vascular Surgeon for proper evaluation.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Visit a vascular surgeon, pain can be due to DVT and orthopedic for any bone abnormality.
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