Discussions By Condition: I cannot get a diagnosis.

Help! Constant lower leg pain

Posted In: I cannot get a diagnosis. 1 Replies
  • Posted By: Anonymous
  • January 26, 2010
  • 00:48 AM

I am an 18 year old, senior in highschool. I am also an athelte who runs track for my school. I have been dealing with lower leg pain for the last 3 months. It's started like 3 months ago just as pain that I barly noticed, then from week to week and month to month it worstened tiny amount everyday. Now I have constant pain for the last month. It happened after running about 2 mile then skateboarding, I didn't hurt it then but the next morning I woke up an noticed a tiny amount of discomford in my right leg. I have seen a number of drs for bone, nerve. I had an MRI on my lower legs, xrays on my ankles which all came back fine. The pain is in both of my lower legs. It's like a constant acke that's always there. Also int ankles the alot of popping and cracking noises when I move my ankle around. Also in the last couple days I have started to have pain in the back of my heels and it's sometimes feels as if there burning. I have had bloodwork done also to check fo stuff out of the ordinary,I also I have pain while I'm just sitting, I am
currently ice massaging everyday, and also doing exercises in the pool an also swim some. I'm looking for any ideas of what I can do to help with this pain or ideas of wht this could bee. To anyone who can help or provide any feed back I thank you. Thanks for reading this!!

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  • I am an 18 year old, senior in highschool. I am also an athelte who runs track for my school. I have been dealing with lower leg pain for the last 3 months. It's started like 3 months ago just as pain that I barly noticed, then from week to week and month to month it worstened tiny amount everyday. Now I have constant pain for the last month. It happened after running about 2 mile then skateboarding, I didn't hurt it then but the next morning I woke up an noticed a tiny amount of discomford in my right leg. I have seen a number of drs for bone, nerve. I had an MRI on my lower legs, xrays on my ankles which all came back fine. The pain is in both of my lower legs. It's like a constant acke that's always there. Also int ankles the alot of popping and cracking noises when I move my ankle around. Also in the last couple days I have started to have pain in the back of my heels and it's sometimes feels as if there burning. I have had bloodwork done also to check fo stuff out of the ordinary,I also I have pain while I'm just sitting, I amcurrently ice massaging everyday, and also doing exercises in the pool an also swim some. I'm looking for any ideas of what I can do to help with this pain or ideas of wht this could bee. To anyone who can help or provide any feed back I thank you. Thanks for reading this!!I need to hear your history of athletic injuries and particularly how you use your back and legs during your sport. The one clue that you give that tends to lead me to a tentative diagnosis is the cracking in your ankles and burning heels.I assume, because you mentioned these symptoms, that they are recent. Most people, young and old, have "cracking" ankles. Listen to any dancers during warmup and you will hear cracking ankles and knees, so in itself cracking is not a problem. In your case, the cracking couples with burning heels. Let us look at what causes cracking. If your ankle cracks once and then the same movement does not cause cracking, the noise you heard was from gas expanding in the joint, a natural effect of stretching the joint space upon movement. The same thing happens when you crack your knuckles or a chiropractor adjusts your spine or peripheral joints. Repeated cracking indicates joint rubbing, however. In a person your age, arthritis is almost certainly not an issue. What is much more likely is that the bones in your feet (or ankle and foot) are not moving correctly and parts of the joint surfaces are actually rubbing and making the noise you hear. This happens when the bones in the foot are misalgined due to a variety of causes but, in your case, probably from your sport. Again, cracking is not a problem unless their is misalignment. When there is pain associated, as in your case, there is a need for a solution.Discussing the heel pain, the nature is identified by the kind of pain and location. Burning pain, as you say, is usually fascia. Fascia is the wrapping of muscle (and organs and other physical structures beneath the skin). The muscles on the soles of your feet attach at the heel and to the various bones in the rest of your feet, most especially the toes but also the bones in between heel and toes. A very intricate wrapping of fascia overlies the muscles and enfolds them. When this fascia gets strained, it becomes inflamed. When inflamed, it hurts. We call inflamed fascia "fascitis." Fascitis is never primary, that is, it is not its own cause. It does not just become inflamed all by itself. Fascia becomes inflamed in the feet because the bones in the feet are misaligned and not moving properly, placing undue strain on the muscles, tendons, fascia. The most perceived pain is usually the fascia, although if you dig with your fingers, you will find your muscles in your feet and probably your calves are very sore too. The test for fascitis is to dig your finger into the soft tissue just behind your big toe and just in front of your heel bone. Press deeply and it should hurt more. That is fascitis.Unfortunately, doctors inject fascia, tendons and ligaments with steroids which do not get rid of the cause of the fascitis, which is boney misalignment in your feet. More than three injections of cortisone in a single site can weaken the structure and cause the tendon or whatever it is injected into to RUPTURE! Sprinters used to rupture their Achilles tendons when doctors injected them for tendonitis. Your over-all leg pain may be caused by your feet being misaligned and hurting. However, I suspect a lower back problem as well, probably in your sacro-iliac (SI) region and lumbar spine. In someone young and active like yourself, what usually happens is that the SI joint becomes stuck on one side from one-sided leg overuse, a fall, or a blow of some kind, or just some one-sided habits like, perhaps, skate-boarding or kicking a ball with the same leg. This causes one side of the pelvis to rock backward and the opposite side to rock forward slightly, causing one leg to be pulled up slightly or "shortened" on one side. This means your gait will be off slightly and more weight will be on one leg than the other. It also means you get low back pain and may get leg pain as well if nerves are being pressed in your lumbar or gluteal (buttock) region. This may not show up in an x-ray because MDs do not usually consider the small misalignments I am talking about as significant, although they certainly can be.None of the other issues we talked about here may show up in x-rays also, because they are thought too small to be of significance. Another reason x-rays are not telling is that they are taken when you are lying down, most likely, and your feet and spine are simply not in the same alignment that they would be if you were x-rayed standing. You simply get a different picture when your weight is off your feet.I recommend that you do the following:1. See a chiropractor who comes with a good recommendation from a sports-active friend or someone else you trust.2. Or, see an osteopath who does soft-tissue and joint manipulation, again with a recommendation.You can also reach me at talktome2@shaw.ca I am David Dressler, a Registered Massage Therapist, in practice in British Columbia, Canada for 27 years.Good luck to you.
    Anonymous 42789 Replies
    • January 26, 2010
    • 11:29 PM
    • 0
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