Suggest Treatment For Pain In Lower Legs

Posted on Tue, 17 Nov 2015

Question: Have pain in lower legs 24/7 not caused by PAD.

Answered by Dr. Saumya Mittal (18 minutes later)

Brief Answer:
Need more information

Detailed Answer:
Hi
I am Dr Mittal.
I have read your message.
I think I can help you.
However, I need more information.
Can you describe the pain.
Best of luck.
Dr Mittal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saumya Mittal (11 minutes later)

The pain is in both lower legs in the calf and shin area. It is present everyday all day and night. The pain is mild but my legs seem to be getting weaker over the past 4 years these symptoms have been present. I run on average every other day approx 20 minutes on tread mill. Have always told my doctor of this problem however he cannot give me a answer. My sodium serum and chloride levels on my last complete blood panel were just under the lower range of standard.

Answered by Dr. Saumya Mittal (3 minutes later)

Brief Answer:
Need more information

Detailed Answer:
is there pain in the back.
does pain seem to flow from up to down.
does bending increase the pain.
does sitting cross legged increase the pain.
Pain in other muscles? if so, where.
potassium and cpk levels in your reports.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saumya Mittal (17 minutes later)

The pain is constant, does not increase or decrease.

Creative kinase .90 mg/dL
Potassium 4.4 mg/dL

Answered by Dr. Saumya Mittal (11 hours later)

Brief Answer:
Suggestion in view of lack of information that the user has not provided

Detailed Answer:
You have not answered all the questions.
I would like you to answer them for a valid response.
Considering the information given so far there is a possibility that there may be either
1. myopathy. This is muscle weakness. This can be diagnosed via muscle biopsy. Since CPK is normal, I wont consider it.
2. neuropathy is a possibility and can be confirmed via nerve conduction studies.
3. radiculopathy is a possibility. This is usually accompanied by backacke. since I dont have the answers I asked, I cannot be sure. MRI spine may be needed.
Please let me know the answers to my questions for more specific answers.
Best of luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saumya Mittal (1 hour later)

Have not had pain in back. Had a lumbar lamanectomy 40 years ago with no complications.
As stated before the pain is constant, does not move up or down and does not increase or decrease in intensity at any time.
Bending does not increase the pain.
Sitting cross legged dose not increase pain.
No pain in other muscles.
Creatine kinase. .90 mg/dL
Potassium. 4.4 mg/dL

Answered by Dr. Saumya Mittal (11 hours later)

Brief Answer:
Suggestions

Detailed Answer:
Hi.
Thanks for the information.
In view of the additional information I would consider your symptoms to be myalgia.
Electrolytes and fluids imbalance are 1 od the most common cause.
Are you taking the recommended 3 to 4 litres of water daily?
you have already said that sodium was low. you should take added salt to correct this.
I would also suggest testing vitamin D and calcium levels.
Do let me know the reports for further information.
Best of luck. Dr Mittal.

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Above answer was peer-reviewed by : Dr. Yogesh D