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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 Calves Upon Waking Up?

Hello, I m a very fit, healthy 19 year old who participates in sport regularly. For the past few months now I m waking up with pain in both calfs and it increases when I Dorsiflex my foot. I m a student physio and I have had DOMS on many occasions. However it feels much worse than DOMS and comes on during rest with no activity. It s very painful and a sharp pain I can t even touch my calfs, I ve tried neural stretching but this doesn t seem to work. I was wondering if it could be venous insufficiency? Any feedback I d be grateful.
posted on Mon, 1 Aug 2016
Twitter Sat, 10 Aug 2019 Answered on
Twitter Mon, 12 Aug 2019 Last reviewed on
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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 Calves Upon Waking Up?

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