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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pressure In The Legs From The Thighs To Mid Calf?

I am a male 50, have been experiencing increased feeling of pressure in my legs from mid calf to mid thigh. Nerve conduction tests were not remarkable, iliac ultrasound r/o blockages. MRI shows some minor inflammation, which in isolation may explain some of it, but the condition at L4/L5 is over 20 years old and is not much different than in the past. I have had Lyme disease three times and this seems to be dismissed because it is not common where I now live. Is it a possible factor worth pursuing?
Mon, 18 Mar 2019
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Physical Therapist or Physiotherapist,  's  Response
Hello,

I think everything is getting mixed up here because of one simple mistake of not correcting the hip flexor muscles. These muscles tend to become shorter after the L4-L5 disc degenerative changes.

Over a period of 20 years, such a long time, this muscle would have gone into tightness and might be applying pressure over the vessels passing underneath.

It's common that most people after the disc injury have shortening of the hip flexor muscles and the other symptoms gets add on.

I will advise you to stretch the hip flexor muscles and then see how you feel altogether. In fact, in my clinical practice of over 12 years, I have seen cases having secondary issues post disc injury.

The diagnostic tests like MRI, ultrasound scanning, blood, and urine test are routinely done to understand the pathologies and once finding this hip flexor tightness as the cause and working behind it and lower limbs as a whole we get good results of symptoms reduction.

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

Take care

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
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What Causes Pressure In The Legs From The Thighs To Mid Calf?

Hello, I think everything is getting mixed up here because of one simple mistake of not correcting the hip flexor muscles. These muscles tend to become shorter after the L4-L5 disc degenerative changes. Over a period of 20 years, such a long time, this muscle would have gone into tightness and might be applying pressure over the vessels passing underneath. It s common that most people after the disc injury have shortening of the hip flexor muscles and the other symptoms gets add on. I will advise you to stretch the hip flexor muscles and then see how you feel altogether. In fact, in my clinical practice of over 12 years, I have seen cases having secondary issues post disc injury. The diagnostic tests like MRI, ultrasound scanning, blood, and urine test are routinely done to understand the pathologies and once finding this hip flexor tightness as the cause and working behind it and lower limbs as a whole we get good results of symptoms reduction. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist