Getting Calf Muscle Pain. Advice?
 
                                    
                                    
                                                
                                                Mon, 23 Sep 2013
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Wed, 16 Oct 2013
                                                
                                                
                                                Last reviewed on
                                             
                                            Any advice would be most welcome.
XXXXXXX Heaton
Please see details.
Detailed Answer:
Dear Sir
1. The features of DVT or deep vein thrombosis of calf region are swelling in calf region, pain on touch/ pressure, pain on movement of limb. There may be redness over the effected area and or swelling of foot. The pain will be persistent in these patients. Pain occurring after 3 miles of walk is atypical for this condition.
2. Isolated pain on walking without any swelling or tenderness is more likely to occur with decrease in blood supply to muscles due to blockages in blood vessels (arteries). This is known as intermittent claudication. This will come up with walking to a similar distance daily and will be relieved by rest. Other disorders which can present similarly may be --
a. Neurological involvement due to disease of lower spine. This may be associated with local pain (lower backache).
b. A local trauma or muscle strain. The pain will be persistent and there will be tenderness on pressure or touch.
c. Venous insufficiency may be responsible but swelling will be an associated features.
Sir, I can only provide you historical perspective here. All the conditions, to be differentiated, require an examination. Hence, I would recommend you to see your GP to sort out the issue. However please do write, if there is any query.
Sincerely
Sukhvinder
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