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Weekly show summary

Did you miss the last show? Hear it again!

August 24, 2013 - Chronic Leg Pain

Here are the additional tips Dr. Cassaro promised to add to this week's show summary:

Tip! Restless Leg Syndrome?: If you suffer from restless leg syndrome, there is an effective at-home treatment that works for most people. First, in order for a person to truly have restless leg syndrome, there must be two main criteria met. Number one: you have a bone spur. Number two: you have a mineral deficiency. To treat the suspected bone spur would only cause more potential issues concerning scar tissue after surgery. So, we need to focus on the mineral issues. There are three main culprits: iron, magnesium, and folate (also known as B9 and folic acid). If you ahve restless leg syndrome, you are most likely deficient in one or more of these minerals. You can easily add more folate to your diet by using a supplement (get at least 25mg per day) or eating a lot of dark leafy vegetables. As for the magnesium, take a warm bath in epsom salts every night. A handful in a full tub should work fine; the epsom salt is a form of magnesuium easily absorbed through the skin and acts as a powerful natural muscle relaxant. Before you add iron, be sure your levels are actually low. Ask your doctor about a ferratin test.

Tip! Low back pain?: If you suffer from chronic low back pain, consider taking a daily walk. Walking is one of the best ways to strengthen the lower back.

Chronic Leg Pain

This week, Dr. Cassaro discussed Chronic leg pain.

Chronic hip, leg and foot pain can affect the quality of life for many people. We use our legs to walk, exercise, participate in family activities, and work. When pain prevents us from doing these things, everyone around us suffers. In this show, Dr. Cassaro discusses some common reasons behind chronic hip, leg, and foot pain as well as treatments that will get you back to a pain-free life!

Q- What are some common conditions that affect the HIP?

A- Chronic hip pain can result from many things. Here are just a few:

  • Arthritis
  • Nerve entrapment/neuropathies
  • Fractures
  • Ligament injuries
  • Tendon/muscular injuries
  • Swelling/inflammation
  • Bursitis
  • Referred pain

Q- What are some common conditions that can affect the KNEE?

A- Knee pain can result from a few things. Here are a some that may cause pain:

  • Dislocations
  • Tendinitis
  • Ligament strains/sprains
  • Kneecap fractures
  • Arthritis
  • Nerve injuries
  • Referred pain (usually from neck or hip))
  • Bursitis
  • Obesity

Q- What are some common chronic pain conditions in the FOOT?

A- The foot contains many joints, bones, ligaments, and nerves. This is necessary for walking, running, and overall balance. In most cases, chronic pain and injury can prevent normal use. here are some causes of chronic pain:

  • Nerve entrapment
  • Plantar faciitis
  • Mortons neuroma
  • Inflammation/bursitis
  • Arthritis
  • Shoe-induced pain & discomfort
  • Metabolic conditions (diabetes, reflex sympathetic dystrophy)

Q- Treating hip pain?

A- Here are some symptoms and treatments for chronic hip pain conditions listed above:


Pain after sitting, pain in AM, stabbing sensation

Injections, nerve blocks, radio frequency, exercise, diet elimination (sugar, grains), injectable lubrication

Nerve entrapment

Electrical-type pain, ice-pick pain, pain in certain positions

injections, nerve blocks, radio frequency, diet/metabolic modifications

Ligament injuries

pain, swelling, popping sounds, pain in all movement directions

Prolotherapy (injections), activity reduction (in some cases), physical therapy, diet/metabolic modifications


Pain, swelling, and inflammation, may be warm to touch, worse when laying on side.

Recommended sleeping/laying on back or stomach, eliminate grains and sugar from diet, walk/lite exercise.

Referred pain

pain may be referred if treatments localized to the hip do not provide relief in a reasonable amount of time (as determined by your physician)

After source is determined, combined treatment at the source and point of referral are applied.

Q- What are some treatments for the knee?

A- Here are some symptoms/treatments for knee pain:


Pain after sitting/standing for long periods

Injectable lubricant, nerve blocks, topical medications

Referred pain

may be referred pain if treatments localized at the knee are ineffective.

Find source, and treat both the knee and the additional causes.

Torn ligaments

Excessive pain, swelling, and discomfort

Anti-inflammatory medications, injections for pain, diet/metabolic modifications

Q. What about the FOOT?

A. Here are some treatments for the foot.

Mortons neuroma

Pain on top of foot, usually caused by strain or improper footwear

injections, nerve blocks, topical medications

Plantar faciitis

pain where bottom of foot meets heel, feels like stepping on a tack when standing/walking

injections, topical medications, surgery, rolling can/tennis ball under foot


pain in feet, made worse when not in use, or constricted by shoes, worse pain in cold temperatures.

injections, exercise, heat therapy, topical medications, metabolic/dietary modifications

Diabetes/reflex sympathetic dystrophy

foot pain, swelling, burning, needle-like pain

topical medications (Rx), treatment of metabolic conditions, circulatory treatments, nerve treatments/injections