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What causes pain from calf to ankle? - Online Doctor Chats

Date : 12-Apr-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2549 Questions
User:My right leg has a strange feeling below the calf and into the ankle. It is a pain that feels tight like some type of compression. When I went to bed, it was fine. Two hours later it woke me up. Had it for three days. The leg had a hip replacement two years ago. If I walk on the leg for a number of hours, it feels fine again, but at night the same thing happens. Never had a pain like this. Not shooting, or tingle but more pressure
User:Any ideas
Doctor:hi
Doctor:Did you post this question on our site a bit earlier?
User:Yes
Doctor:Ok, yhea, I was looking at that, I'm glad you came on
Doctor:I seriously think you need to get an ultrasound of the legs. I'm a bit worried you might a have a small clot in one of the veins of the leg
User:I was thinking the same thing. Why, however, does the pain go away during the day when walking on it and then back at night?
Doctor:Because veins tend to collapse when you are upright, while when you are lying down, blood tends to pool in them and stretch them
User:Makes sense. I had to ultrasounds after he hip replacement. No problem. How o why two years later?
Doctor:That stretching allows the blood to breakdown and cause swelling and inflammation in the surrounding tissue
Doctor:2 years is a long time. But unfortunately DVT's (Deep Vein Thrombosis) can happen at any time.. It's just a factor of how dilated the veins have become
User:Anything I can do until I get to my doctor tomorrow to get one scheduled?
Doctor:Not much, just get the scan and make sure i'm wrong
User:I hope you are. If this is not the cause, what else could it be? This started with a pain in by butt on the right side a couple of days ago and then progressed to this. Any connection?
Doctor:Muscle soreness from a sprained tendon? Also, if any of the screws of the hip replacement have migrated, that might explain it...
User:I also have a new 10 week puppy with some bits. Any problem with that and possible infection in the hip?
Doctor:I apologize if you told me this already, but have you had a fever?
User:No
Doctor:ok, that downgrades the possibility of infection
User:OK, then the best thing is to get the ultrasound as soon as possible?
Doctor:I think so
User:Thank you. I will call my GP as soon as possible tomorrow to see if I can get it done. I assume there are ways to control the clot, if there is one, and get it dissolved?
Doctor:They normally dissolve on their own, all you have to do is take a blood thinning agent to prevent it from getting bigger
User:OK Thank you and have a good evening or morning depending where you are. XXXXXXX
Doctor:Evening, Bangalore, India. :-)
Doctor:Take Care!
Doctor:Lets us know what happens with the follow-up if you like. The question you posted will have 2 free follow-ups
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