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Q: he has trouble with a knee replacement, pitting edema up to the knees, both sides, There was a little reddening but otherwise no sign of cellulitis. Keith Scott-Mumby MB ChB, MD, PhD

A1: Hi, external counterpulsation may be helpful if the edema of his legs is due to congestive heart failure - which it sounds like with his being on dig. Another treatment is neupogen given subcutaneously daily which often helps the heart and other tissues repair. The knee pain is another problem which is hard to determine as to the etiology and thus hard to describe the correct therapy for. He needs to see an orthopod and get his opinion of what is wrong and then get back to us with the diagnosis.

Dr David Steenblock

A2: Wow, this is a tough one to help without the benefit of an exam and blood tests. This man really needs help or I sense that, at age 82, this is the beginning of the end for him. Based only on the story, I still have some thoughts: First, the edema can be secondary to cut lymphatics from the knee surgery, so BHI LYMPHOMYOSOT, lymphatic drainage, a lymphologist, all might help. He damn well better get some beefsteak into him. If he's low on protein, fluid is going to pool in his dependant parts after leaving his bloodstream. he must eat protein. He needs it to pull the fluid back into his blood vessels, osmoticly speaking. Some diuretics are in order, not a lot. Chelate him with EDTA, but you must put the calculated EDTA dose in a small fluid volume and run it slowly. Be certain to add plenty of B-6, and other B vitamins to the chelation IV. If he's devoid of B-6, and B-1 he can't diuresis. he probably needs plenty of zinc since he's been stressed for some time. Give all th e minerals while you're at it, but not in the chelation IV, of course. I like the CoEnzyme compositum that I think you said he was getting, and I would add p.o. Co Q-10, about 300mg minimum per day in divided doses, each given with a little Vitamin E or other oil just to aid the absorption. This way he can make the cellular energy needed to make a turn around. All of this is needed I suspect. This man is in serious danger.
GORDON JOSEPHS, MD(H)
Scottsdale

A3: Dear Keith
Has anyone considered the obvious that the artificial joint may be loose in the bone Mark Ter-Berg UK

A4: MAH, and Prolozone Therapy
DR Kam

A5: you know, when the environment is garbage, no matter how many plants you put in, it is still garbage. inflammation starts with the diet and if he isn't willing to limit his junk, there isn't much in my experience that will reverse that. i have also seen people who had joints put in that stayed swollen hot and workup showed no signs of infection, my presumption was that there was an allergy to one of the components or the glue. Jeff Baird DO

A6: I know Cleve and would be happy to be of service. If you do not have a medical licence don't even think of an open discussion. Please contact me.
WP Stuppy MD

A7: Without seeing the patient and without going into the numerous potential problems he might have, I'd look for DVT. Bilateral leg pain and edema can certainly be do to this and if it is DVT, the problem is urgent and requires immediate hospitalization and anti-coagulation! Other concerns would be other causes of venous or lymphatic blockage which would all require further workup. If the swelling is from CHF, other findings (such as distended neck veins, etc.), would probably be present and again would need further workup and treatment. Good luck.

Rick Linchitz MD

A8: 82 YR OLD MAN WITH PITTED EDEMA.....I IMAGINE HE WAS GIVEN A ROUND OF STEROIDS DURING HIS KNEE REPLACEMENT..HE COULD HAVE AN ALLERGY TO THE GLUE....HIS NEURO/ENDOCRINE INFO MIGHT BE VALUABLE AS WELL....24 HR URINE COLLECTION FROM NEUROSCIENCE INC OR ITS EQUIVALENT.....LETS SEE THE RESULTS AND MAYBE IF WE ARE LUCKY WE WILL GET A DIRECTION....
DR FRANK

A9: Hi
Gordon Josephs comments are excellent
Heels Lymphomyosot definitely helps drain the Lymphatics.
Molybdan Compositum is the Medicine for Mineral Transport CoEnzyme Compositum is an excellent Formula to Promote Aerobic Metabolism and should be used Alternatively with its Fellow Catalyst Medicine Ubichinon Compositum which contains Homeopathic Co-Q-10 to promote its uptake

Bruce H Shelton MD MD(h) DiHom FBIH
Homeopathic Family Physician
Heel USA Chief Medical Consultant

A10: is this patient on opiates? Richard Gracer

A11: Have a patient that has been hospitalized 5 times in four years for weakness in his legs. All testing has been negative and the patient has been told he would get better. After extensive history, anticipated potential problem with artificial sweeteners.

P Maloney, D.C.

A12: More than likely his talus is anterior to the calcaneus and this is contributing to the decreased venous return.
Check diet, no wheat. More Water.
Take Aller Max and get graston done.
Suzanne A. Coffey, DC
Charlottesville VA

A13: Use the gel Lymphmyosot. Kidney chi deficient, build adrenals. Lymphatic pump and lasix. Nattokinase dissolves clots! Dr K

A14: My 2 cents worth: Regarding leg edema, I'd recommend Boluoke (lumbrokinase)

at a therapeutic level if DVT; otherwise Horse chestnut (Aesculus hippocastanum) is a natural anti-inflammatory that has demonstrated an impressive ability to reduce edema and relieve the swelling and symptoms associated with chronic venous insufficiency. Gotu Kola (Centella asiatica), has been shown to be effective for reducing edema in numerous studies. Some blood tests can be helpful here: D-Dimer and fibrinogen.

Lynn Monroe, Clinical Herbalist and Cancer Guide http://www.sipn.info/monroe.htm