Discussions By Condition: I cannot get a diagnosis.

Mysterious Leg Pains ...

Posted In: I cannot get a diagnosis. 4 Replies
  • Posted By: grantw
  • March 7, 2010
  • 03:36 AM

Hi all,

For about 10 months now, I have been getting severe pain in the outside of my lower right leg. I get the pain when I run, when I drive (which is when I get the pain the worst), and I sometimes get it when I am simply sitting down with my knees bent or laying in bed. The pain usually tends to be sharp and sometimes seem to feel like "pins and needles." My calf also occasionally gets tight. Also, over the counter pain medications do not work, no matter how many I take.This has been a severe issue, as I have had to miss track practices and avoid driving because it is just too painful for me.

Last August, I began to see sports medicine specialists about this issue. With my first doctor, the issue was suspected to be a stress fracture, so I got a bone scan, which turned up negative. Then I was referred to another doctor and got a compartment test, which also turned up negative and my compartment levels were considered to be in the upper-average range. Then I was put on Neurotin (a medication that "calms down" overactive nerves) and that was unsuccessful. After that, I was referred to another doctor who put me on physical therapy. I went to physical therapy twice a week, and I was hooked up to this machine that was supposed to help me with plantar and dorso flexion. After two months, nothing got better, so my doctor scheduled me for an MRI. The MRI showed signs of a stress fracture in my right tibia, but that conflicted with the result of the bone scan that I earlier, so I got another bone scan on that same day just to be sure. The bone scan, like everything else, turned up negative :mad:. Now i'm not sure what to do. It seems that I have a lot of the symptoms of compartment syndrome, but I've already had that test. My doctor has mentioned getting another compartment test with measuring my presures while I run (which is when I actually get the pain) instead of me working with that plantar/dorso flexion machine, but I don't know if that is worth it. My doctor has also considered scheduling me for an EMG to check for nerve entrapment. He has mentioned some popliteal artery syndrome too. This is a huge issue for me, so if anybody has any suggestions/info please post. Thanks!!

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4 Replies:

  • ^Also, I am an otherwise healthy male.
    grantw 2 Replies Flag this Response
  • Hi all,For about 10 months now, I have been getting severe pain in the outside of my lower right leg. I get the pain when I run, when I drive (which is when I get the pain the worst), and I sometimes get it when I am simply sitting down with my knees bent or laying in bed. The pain usually tends to be sharp and sometimes seem to feel like "pins and needles." My calf also occasionally gets tight. Also, over the counter pain medications do not work, no matter how many I take.This has been a severe issue, as I have had to miss track practices and avoid driving because it is just too painful for me. Last August, I began to see sports medicine specialists about this issue. With my first doctor, the issue was suspected to be a stress fracture, so I got a bone scan, which turned up negative. Then I was referred to another doctor and got a compartment test, which also turned up negative and my compartment levels were considered to be in the upper-average range. Then I was put on Neurotin (a medication that "calms down" overactive nerves) and that was unsuccessful. After that, I was referred to another doctor who put me on physical therapy. I went to physical therapy twice a week, and I was hooked up to this machine that was supposed to help me with plantar and dorso flexion. After two months, nothing got better, so my doctor scheduled me for an MRI. The MRI showed signs of a stress fracture in my right tibia, but that conflicted with the result of the bone scan that I earlier, so I got another bone scan on that same day just to be sure. The bone scan, like everything else, turned up negative :mad:. Now i'm not sure what to do. It seems that I have a lot of the symptoms of compartment syndrome, but I've already had that test. My doctor has mentioned getting another compartment test with measuring my presures while I run (which is when I actually get the pain) instead of me working with that plantar/dorso flexion machine, but I don't know if that is worth it. My doctor has also considered scheduling me for an EMG to check for nerve entrapment. He has mentioned some popliteal artery syndrome too. This is a huge issue for me, so if anybody has any suggestions/info please post. Thanks!!Is there anything noticeable on the leg? Color/swelling? Does it cause pain by pressing or touching anywhere?I would ask for blood pressure taken if the arms and legs to compare them, to see if there may be a circulatory issue. Good luck and I hope you feel better.
    Med Student 64 Replies Flag this Response
  • Is there anything noticeable on the leg? Color/swelling? Does it cause pain by pressing or touching anywhere?I would ask for blood pressure taken if the arms and legs to compare them, to see if there may be a circulatory issue. Good luck and I hope you feel better. Thanks for the reply! I'm pretty sure that my blood pressure was checked early on, but I will call the doctors office tomorrow just to check. Also, what showed up on my MRI was a little osteosclerosis. I don't know if that is a big clue or something.
    grantw 2 Replies Flag this Response
  • Thanks for the reply! I'm pretty sure that my blood pressure was checked early on, but I will call the doctors office tomorrow just to check. Also, what showed up on my MRI was a little osteosclerosis. I don't know if that is a big clue or something.You would remember if they checked blood pressure in all limbs, as that is not a usual checkup. They would put a cuff around your thigh.As far as MRI finding, sounds like casual finding, especially due to the fact you put stress on the foot. It may be significant if the location put pressure on the nerve passing.
    Med Student 64 Replies Flag this Response
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