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Feeling anxiety, fluttering sensation all over body, pain in knee. Why am I getting these feelings?

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Practicing since : 1981
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I am a 22 year old female. I'm considered obese on the BMI scale. I have lost 35 lbs this year and I was on a fairly consistent workout schedule until I developed some symptoms that gave me anxiety (perceived shaking on right side, neck pain). For the past month or so I have been having painless "fluttering" sensations throughout areas of my body such as my calves, temples, arm, stomach. They seem most prevalent in my right calf muscle. Ten days ago I had this sharp stabbing pain in my right knee when I was lying down to go to sleep. I believe that on that day I slipped on some olive oil but I didnt think much of it because I caught myself and my leg went forward slightly, and I dont remember any pain afterwards. But that night the pain was radiating from the knee down. This pain went away but then I also had a cramping feeling in my right calf for a couple of days but it wasn't constant.A couple of days ago, there was also this rush of heat coming from that leg that went away. It honestly has been worrying me immensely. I don't know if it has always been there but I also notice a dent in the calf muscle in the area that flutters the most. I have been worried about blood clots because the pain alternates from my knee to my ankle to my toes. I even had pain in the front of my knee when bending it. I think the fear has taken over me because I have been scared to exercise and when I go to sleep sometimes I wake up feeling like I stopped breathing. There is no swelling, no redness, and the pain isn't exacerbated when standing up. It seems more prevalent when lying down or resting but there is one area that feels bruised but I'm not sure if its a bruise because I'm brown skinned and my legs are scarred so my other leg pretty much looks the same. If that part of my calf muscle touches the bed, there is a slight pain. Today I have noticed no pain when pointing my toes but it seems like the fluttering comes shortly after I do it. After reading so much about DVT, I also feel like my thigh has a little pressure but there is no pain.

Some additional information: Some days when I walk, my right knee pops. I also have a bunion on my right foot and toes pop when curled.
Posted Thu, 2 Aug 2012 in Anxiety and Stress
Answered by Dr. Anil Grover 2 hours later
Hi There,
Thanks for writing in.
I am qualified and certified cardiologist. I read your mail with diligence
I am impressed by your dedication to work out and must compliments for loosing so much weight in a little time.
A little problem I find here is you have not mentioned about diet. Because, with that much exercise you ought to take proper diet so that you do not suffer from deficiency of water and micro-nutrients. Those can be responsible for fluttering sensations. Secondly, unless you are dehydrated or you have blood disorder you do not develop DVT with exercise.The pain (as well as hot sensation going down the leg) looks like sports injury a muscle pull and will settle with a little rest and cold ice packs applied to the painful part. My suggestion is when your aim is to loose 35 lbs in about half an year, the diet exercise schedule should be under some qualified trainer. So that these niggles can be avoided. Take the rest part of it cooling off time out and get well soon enough to restart.I have feelings when you start taking care of hydration and micro-nutrients the problem of fluttering will go. If I were you, what will scare me will be breaking my schedule because of injury, pain or fear of going back, thus my suggestion about consulting a trainer. Regards
You are an inspiration for others keep it up.
If you have any query, I will be only too happy to answer.

With Best Wishes

Dr Anil Grover,
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)
http://www/ WWW.WWWW.WW
Above answer was peer-reviewed by
Follow-up: Feeling anxiety, fluttering sensation all over body, pain in knee. Why am I getting these feelings? 26 minutes later
Thanks for your swift reply. I failed to mentioned that the reason I am worried about dvt is because I haven't exercised in over 1.5 months so I haven't been working out the muscles for this to happen. I have just graduated and I have been job searching, which are excuses but I am being honest. I have actually been depressed/anxiety ridden this month. The dent has me worried because my other leg doesn't look this way. I also noticed that when the flutter does appear in my calf, it can be strong sometimes and leave a temporary burning sensation. I have had flutters throughout the years and at times when I have been really tired I would get terrible XXXXXXX horses but that hasn't happened in months and the flutters definitely weren't frequent. This seemed to come out of the blue. Does this make the situation a little different? I have this scary fear of resuming exercising and a clot moving in my leg, if there is one. How long would it take to travel? It has been 10 days and I can't assuredly say that my symptoms are worse. They just fluctuate. I also feel that I bring pain in my other leg because of my anxiety but that pain has only been once or twice this week and a half.
Answered by Dr. Anil Grover 29 minutes later
Hi there,

Not a major issue about your fear of DVT one even you are not exercises you are bed ridden, you are walking around that is enough to keep your blood moving veins rather than forming a clot.

If leg is swollen on the side you are suspecting DVT and there is tenderness when you grasp with one or two hands the area of leg where you are suspecting it. Then there would be some basis of SUSPICION. Then you will have to consult a doctor who on getting convinced of suspicion will order an ultrasound which may confirm the diagnosis. A treatment in the form of blood thinners will be started and depending upon prevalent practice a course of anticoagulant is given,

So, fluttering is not a major problem you undertook the exercise program with it. The fear of restarting scares you. That depends on your will power. You did it rather vigorously first time round so you have physical and mental power. You can do it again, may not be as vigorous as first time to begin with but say for 20 minutes a day under supervision. Your positive feed back will give you more confidence to do more or as much is permissible. It is only a question of starting, anxiety will disappear I assure you. If you have furher query please ask. I will reply asap.
Good Luck.

With Best Wishes

Dr Anil Grover,
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)
http://www/ WWW.WWWW.WW
Above answer was peer-reviewed by
Follow-up: Feeling anxiety, fluttering sensation all over body, pain in knee. Why am I getting these feelings? 50 minutes later
Thank you for the reply but I just have a few more questions.

Are there any cases of dvt that cause burning/dents?
What could be some possible causes of this dent, fluttering, and occasional pain?
My thigh feels tense but I feel like I'm over analyzing the feeling. Could a clot be in my leg and thigh if there was one? I apologize. I can become overly worried at times.

I wanted to clarify some information as well. I lost the weight in a year (august-now) and I used to only have fluttering about once or twice a year. It definitely wasn't happening while I was exercising regularly.
Answered by Dr. Anil Grover 27 minutes later
Hi there,
Thank you for your queries. I will try my best to answer these.
1. Yes, if the are is also infected by unrelated cause like arterial insufficiency, there is
subcutaneous infection and scarred tissue tugs the skin towards its side. That
certainly is not the case.
1a. A strand or group of strand of muscle fibres are torn (a very painful condition)
and curls to cause indentation.

2. Pain is due to muscle fatigue, for the sensation of movement of muscle is
carried to your brain by the same nerve fibers which carry the pain.

3. You anxiety is super achiever's anxiety; after doing so well in your vigorous
and I must say tough exercise schedule. You are now immobilised partly due to
pain and partly due to worry that you will not be able to achieve the same.
That is perfectly understandable. No need to apologize. Competition with self
is good to achieve aims. But, be realistic. Some ups and downs are bound to
occur. If this DVT thing is worrying you so much why not see a doctor?
If you have furher query please ask. I will reply asap.
Good Luck.

With Best Wishes

Dr Anil Grover,
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)
http://www/ WWW.WWWW.WW
Above answer was peer-reviewed by
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