His pain continued and progressively worsened, becoming unresponsive to medical therapy including narcotics,In May 2002, as part of a vascular work-up for the patient’s non-healing right toe, an MRA showed extensive vascular disease in the vessels of both legs below the knees and evidence of bilateral trochanteric bursitis. 
His pain continued and progressively worsened , becoming unresponsive to medical therapy including narcotics , In May 2002 , as part of a vascular work - up for the patient ’s non - healing right toe , an MRA showed extensive vascular disease in the vessels of both legs below the knees and evidence of bilateral trochanteric bursitis .