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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Calf And Thigh?

Hello, I have really bad restless legs recently and am only 21 years old. This is a sudden onset that started 7 months ago. It was mostly at night. Now it is much worse and day/night. We have tried Mirapex, Ambien, Gabapentin 100mg-150mg. Amitriptyline HCL 10mg, Clonazepam .05-1mg, Lexipro 10-20mg, and now Trazodone 50mg. Nothing is working. The pain is in my calf and thigh. Blood work came back good for RLS Blood workup. I have noticed several spider veins recently too. They hurt and keep me up for hours.
Fri, 9 Aug 2019
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General Surgeon,  's  Response
Hi,

Yes, it may be deep vein thrombosis or so-called DVT although this is not very likely. I means that clot is formed inside the big leg vessel. So you need to do Doppler ultrasound to rule this. Vein thrombosis which is manifested with unilateral swelling of the leg, pain in calf and lividity of the skin.

Some conditions such as pregnancy, obesity and recent surgery may increase the risk of it. This may be serious if blood clot travels to heart and lungs so it should be ruled out as soon as possible and then appropriate treatment can be started. In most cases it include strict resting heparin infusions and aspirin. More invasive procedures are rarely required.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Pain In The Calf And Thigh?

Hi, Yes, it may be deep vein thrombosis or so-called DVT although this is not very likely. I means that clot is formed inside the big leg vessel. So you need to do Doppler ultrasound to rule this. Vein thrombosis which is manifested with unilateral swelling of the leg, pain in calf and lividity of the skin. Some conditions such as pregnancy, obesity and recent surgery may increase the risk of it. This may be serious if blood clot travels to heart and lungs so it should be ruled out as soon as possible and then appropriate treatment can be started. In most cases it include strict resting heparin infusions and aspirin. More invasive procedures are rarely required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon