numbness & pain in balls of feet?

[Yaps]

Have you seen if you have PAD? Peripheal Artey Disease..it can make you hurt, especially legs and feet. I have severe pad, and my feet are icy, numb , blue..achy... may not hurt to get an ABI done...hope you feel better soon, love the pup

 

[Guest]

Warfarin does not thin the blood. It slows the ability to form a clot. The INR test slows the clotting time. It does not measure viscosity. It is not the viscosity that matters it is the ability to form a clot.

What test was used to measure the effectiveness of the niacin? I'm always trying to learn new things. I've spent the last 8 years working exclusively on anticoagulation and I have never seen any study showing the effectiveness of niacin? Maybe I just haven't looked in the right place.

We know that warfarin reduces the risk of serious clotting by about 80%. Aspirin and Plavix reduce the risk by about 20%. As far as I know, nothing else has come even close to the 20% number. I would think that by changing to niacin that you give up at least 90% of your protection from a clot.

Warfarin can cause skin necrosis. However it is almost always associated with a deficiency of the natuiral anticoagulants Protein C and Protein S. It almost always occurs when warfarin is started usually the first 24 to 48 hours. It can occur when warfarin is stopped and re-started. There are some so-called late occurrences but the suspicion is that the person stopped and re-started the warfarin but did not admit it to the doctors. I have seen over 30,000 patient visits and I have only seen it once. It should be almost off the screen in terms of things to worry about. You are much more likely to die in an earthquake or tornado.

 

[perrybucsdad]

Warfarin can cause skin necrosis.

Al, if that happens, what is the alternative for Warfarin for someone who needs anticoag?

 

[Guest]

We stopped the warfarin and started Lovenox. After she had been on Lovenox for a day, we restarted warfarin and kept her on Lovenox until the INR was in the therapeutic range for two days. She was fine until somebody decided to stop her warfarin for a few days. Then I had to convince them that this was a real problem and she absolutely had to be brdiged.

I was invited by the dermatologist to watch as the black "wart-like" objects were removed from her arms. I also went to the lab a few days later and had the pathologist show me the clots under the two-person microscope. So I saw the entire process all the way through.

Some time later I asked one of the "big names" in anticoagulation if we had done everything correctly. His reply was that he had never seen anybody who had nerve enough to keep some one with skin necrosis on warfarin before. He said that the next time somebody asked he would tell them what I had done!!

Fortunately this was a mild case. It quite often occurs on fatty tissue of older overweight womwn for some unknown reason. If you want to lose your appetite click on http://images.google.com/images?q=warfarin skin necrosis&hl=en&lr=&sa=N&as_qdr=all&tab=wi

 

[perrybucsdad]

Wow... that's horrid. Al, what would you have done if it had gotten worse? Would you have kept her on Lovenox for life?

 

[Guest]

That would have probably been the alternative. But life-long Lovenox will probably lead to osteoporosis. There are no easy answers.

 

[perrybucsdad]

Wow... the stuff we take for granted. I can't imagin having to go through all the surgery and then find out that my body reacts to Coumadin and can't be on it. Jeez... that would stink. I wonder if that happened and Lovonox causes osteoporosis if the doc would have had to go in, reoperate and put a biological valve in.

For those of us on Coumadin, let's all be thankful for what we take for granted. Thanks for being my friend Lord.... you buddy John.

 

[INRtest]

yes.

yes.

Has anyone else experienced numbness and pain in the balls of their feet after taking Coumadin or Warafin for a few years?

Anyone else have this problem?? Anyone with a solution?

I've had numbness on the tops of my feet up to the fronts of my ankles since I came to a couple of weeks after my surgery. Occassionally I also feel pain. My feet and ankles were particularly achy after using a treadmill 2-3 times a week. Now when I go to the gym I avoid the treadmill and use the elliptical.

My numbness, like yours, never goes away. When people ask me how I'm doing since my illness, I tell them I'm on a "special" drug, my heart is fine and I have some neurological "stuff" happening. At this point it seems not unlike the scar(s) on my chest -- just something we'll have to live with.

 

[DONNAKIRK00]

I only had my surgery march 9, 2005, but I have also experienced these same symptoms along with muscle pain in my legs. I really am not a big baby but these aches and pains were enough to send me to my doctor to ask why ? His response was " I never heard of that so next time go to your primary care doctor and ask him." So anyway what happens to me is when I get up in the morning it's the worst. I go to step down and it feels like I'm walking on my nerves and bones. It goes away later after a while but it's enough to make you think twice about getting up. I take coumadin. Are coumadin and warfarin the same drug ? I am still trying to figure everything out. Maybe there are more people with the same symptoms ou there.

Has anyone else experienced numbness and pain in the balls of their feet after taking Coumadin or Warafin for a few years?

I had surgery in 1997 - in 1999 I started getting extreme pain in the balls of my feet and numbness. The numbness has not gone away. Pain disappears for periods of time.

No! I am not diabetic, - blockage test shows no blockages.

Only medicine I am on is Warfarin and one time I did go off it for 3 days using Niacin to keep blood thin under Dr care - Amazing!! the numbness and pain went away.!

I am beginning to believe this could be an undocumented side affect of the medicine. Others I know personally that have had valve surgery also have the numbness and pain in feet.

Anyone else have this problem?? Anyone with a solution?

 

[Guest]

Coumadin is a brand name for warfarin. Using a car analogy Mercedes is a brand of car. All Mercedes are cars but not all cars are Mercedes.

Your pain sounds like a nerve problem. It is about 99.99% sure that it is not related to warfarin. Warfarin has been around since the 1950s when President Eisenhower got it. We probably know more about it than anything but aspirin. That is why I am confident in saying that they are not related.

I haven't had heart surgery but from reading these pages for the past 4 years, my guess is that it is a residual effect of the surgery or anesthesia and that it will wear off so slowly that one day you will think back and try to remember "when did my feet stop hurting."