Discussions By Condition: I cannot get a diagnosis.

Painful leg and foot

Posted In: I cannot get a diagnosis. 8 Replies
  • Posted By: James19790
  • July 4, 2008
  • 09:47 PM

HI - I have had pain and discomfort in my right leg for about 5 weeks now. It seems to originate from behind the knee and feels like a pinching pain. It extends to my thigh and calf as cramp and I have pain on the top of my foot when I get up in the morning and after periods of resting my leg higher. The veins on the back of my knee and calf are also much more visible and when I've been standing for a while they seem to become enlarged and tender. The pain seems to follow the same course as the enlarged veins. It does not get worse during exercise but is most uncomfortable when standing for a long time or shortly after. Have been to Dr 3 times and he's said to watch it and come back in month. Said it's not DVT or circulation but I think it could be the latter or mild varicose veins, he thinks it's just soft tissue but I haven't damaged my knee/leg - any other suggestions or has anyone experienced similar? I am otherwise healthy, non-smoker and 29 years old. Many thanks in advance.

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8 Replies:

  • I might go for a second opinion on this one or go back and insist on tests. Foot pain could be gout or diabetes but it sounds like circulation the way you describe it. I'd like to see some tests run on you like an ultrasound and stress test.
    Monsterlove 2921 Replies Flag this Response
  • Thanks for quick reply. What is a 'stress test' and what could that actually show along with the ultrasound? I guess any blockages caused by mini clots or similar? I've had bloods done and cholestoral was low and blood pressure's ok. Could it be varicose veins at my age? (29) Thanks again
    James19790 4 Replies Flag this Response
  • Has the doctor done a thorough ultrasound to rule out a DVT (deep vein thrombosis)? Doctors tend to suspect DVT only when the see swelling, but it’s a misconception. Many DVDs result only in varicose veins and pain. That’s why many DVTs are “silent”. They are nevertheless dangerous. A DVT should be treated ASAP to prevent postthrombotic syndrome. I would get a second opinion if I were you. You are so young, therefore if this would only be ordinary varicose veins, I would tend to suspect some underlying cause for it.Good luck with your leg!
    Felsen 510 Replies Flag this Response
  • Has the doctor done a thorough ultrasound to rule out a DVT (deep vein thrombosis)? Doctors tend to suspect DVT only when the see swelling, but it’s a misconception. Many DVDs result only in varicose veins and pain. That’s why many DVTs are “silent”. They are nevertheless dangerous. A DVT should be treated ASAP to prevent postthrombotic syndrome. I would get a second opinion if I were you. You are so young, therefore if this would only be ordinary varicose veins, I would tend to suspect some underlying cause for it. Good luck with your leg! ]Yes, I agree with Felsen's advice. An ultrasound will rule this out...not a doctor's advice. I had complications from a c section a few years ago...noticed I had left calf pain, achiness. Since I had lost a lot of blood I suspected a clot and told my doctor about this. He immediately got an ultrasound done and they found two blood clots! I would just rule this out with a simple ultrasound to be safe. Best wishesDOM
    acuann 3080 Replies Flag this Response
  • HI. I'm a final yr medical college student.From your history of painful leg and foot for past 5 wks as you had mentioned earlier, i would like to know Does your occupation demands longstanding?have you ever noticed tortuous veins over your right leg extending from foot to leg,else upto thigh?anytime before?is there anyone in your family being treated for similar ailment?do you get the pain even while walking a short distance? do you have itching over the right leg? is there any blackish discolouration?have you ever had tiredness after standing for a while or so? But from the history which you had posted before, it seems like VARICOSE VEINS.however, investigations has to be done to confirm the diagnosis. This could easily be confirmed if you have had your consultation with a GENERAL SURGEON/VASCULAR SURGEON.This is not too late ,so do go early and get treated for the same. I,M FROM SALEM,INDIA. DOING MY M.B.B.S here in STANLEY at CHENNAI.
    Anonymous 42789 Replies Flag this Response
  • HI. I'm a final yr medical college student.From your history of painful leg and foot for past 5 wks as you had mentioned earlier, i would like to know Does your occupation demands longstanding?have you ever noticed tortuous veins over your right leg extending from foot to leg,else upto thigh?anytime before?is there anyone in your family being treated for similar ailment?do you get the pain even while walking a short distance? do you have itching over the right leg? is there any blackish discolouration?have you ever had tiredness after standing for a while or so? But from the history which you had posted before, it seems like VARICOSE VEINS.however, investigations has to be done to confirm the diagnosis. This could easily be confirmed if you have had your consultation with a GENERAL SURGEON/VASCULAR SURGEON.This is not too late ,so do go early and get treated for the same. I,M FROM SALEM,INDIA. DOING MY M.B.B.S here in STANLEY at CHENNAI. Thanks for all your replies. In answer to the above - I'm a teacher so I am on my feet almost all day. I can see a vein in my calf, running up behind my knee and into my lower thigh and I also have a few spider veins in my lower thigh. I don't get pain from walking a short distance but my legs become tired quickly and this goes after elevating them for a short while. I don't have any itching on my leg but have dreadgul itching on the sole of my right foot but I just put that down to hot weather and wearing shoes all day. My mother has varisoce veins but these appeared after preganancy. There is no swelling or discolouration of the skin apart from the actual veins themselves. Since I first posted I have also had a couple of dizzy spells where I feel quite light-headed. I'm sure this isn't connected but thought I'd mention it anyway. Thanks for all the replies in advance.
    James19790 4 Replies Flag this Response
  • The itching in your right foot is probably due to stasis. You must see a vascular surgeon to rule out DVT or a possible compression of your right femoral/iliac vein. Good luck!
    Felsen 510 Replies Flag this Response
  • Thanks for all the replies. I went back to the Dr today and he did a full physical exam. He has referred me to a physio and has ordered some bloods (again!). I suggested the symptoms could be suggestive of a clot, either superficial or DVT and he said I definitely haven't got that and I am in the lowest possible risk group of getting a clot. I have also started having the same pain in the other leg now and he said it wouldn't be in both if it was a thrombosis. Not sure whether to feel relieved at his certainty or worried that he hasn't ordered an ultrasound or considered it carefully enough. He also gave me some stretches to do as he still thinks it's soft tissue damage. Thanks again.
    James19790 4 Replies Flag this Response
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