Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
Dercum Disease is an extremely rare manifestation, and can only be diagnosed by physical examination.It is 20 times more commoner in women, and tends to run in families.
Dercum's has the following four cardinal manifestations, although all the symptoms necessarily need not be presentv:
1) multiple, painful, fatty masses ( mostly on the trunk, arms and legs ); (2) generalized obesity, usually in menopausal age, however can be noticed in young women too (3) weakness and fatigability; and (4) mental disturbances, including emotional instability, depression, epilepsy, confusion and dementia.
You do have features suggestive of Dercum's however the doctor examined you, is the best person for a conclusive diagnosis.
Dercum's does have very limited treatment options. The main treatment modality is secondary support, i.e pain management, weight reduction in obese patients, surgery for the most painful lipomas, e.t.c
Lidocaine infusion is the first mode of treatment. Apart from the infusion, now there are some recent lidocaine patches available in the market, that are effective in relieving the pain in the most painful sites ( Lipoderm ) If it fails some recent studies have concluded Methotrexate is useful in relieving the neuropathic pain associated with Dercum's. Apart from that it was always believed that traditional analgesics such as NSAIDs are not useful, but some recent studies contraindicate this theory, rather NSAIDs brought down the pain considerably in most Dercum's patients.
Unfortunately, i won't be able to arrange an online prescription for you. You need to contact your family physician, explain your symptoms, and you can also discuss the alternate treatment options i mentioned ( Methotrexate + Lidocaine patches ). There is no provision of retrieving an online prescription. But i am sure your family physician will be able to help you with a prescription for the drugs i mentioned.
Feel free to follow up,
Regards.