Minutus

THANKS FOR YOUR REPLY, I HAVE 3 QUESTIONS, AS BELOW:
If the pain and ulcer are caused by an arterial occlusion preventing
oxygenation and feeding of the leg,
BY THIS WOULD YOU MEAN A BLOOD CLOT? IF SO WOULD I CONSIDER RXS SUCH AS
CRAT, ARN

WILL THE CAUSE SHOW UP ON AN X-RAY?

WHAT IS OTOH?

If OTOH the cause is in a venous occlusion, its extent and depth should
be evaluated as it may also cause necrosis of the leg (through another
mechanism) if extensive enough and would need to be attended very
aggressively.

OTOH = on the other hand

The occlusion can be a clot in acute situation but more probably an
occlusion caused by atherosclerosis and superimposed clots. The only X
Rays able to demonstrate that is an angiogram, i.e. an X Ray of the
arteries with injection of contrast.

You could use the remedies you mentioned, and a wide range of others,
but the treatment I would have done if it was my leg would be to restore
circulation to the limb as soon as possible, if the angiogram shows this
is needed and necessary. That does not prevent you from giving the
indicated remedy, but as long as there is not a positive identification
of the situation (yes or no does he need surgery), you are playing with
fire.
Of course this is theoretical, not having seen the patient.....

Dr. J. Rozencwajg, MD, PhD.
"The greatest enemy of any science is a closed mind".