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What Causes Severe Pain In Legs?

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Posted on Mon, 15 Sep 2014
Question: I have been having pains in my left leg for a few weeks now. I also recently was diagnosed with a blocked lymph node in the groin of the left leg,I had a course of antibiotics that resolved the lump in the groin. However I,m still getting the same pains as before the antibiotics. It's a pain at the front of the thigh,inner thigh with a lot of knee pain. When walking yesterday I got a sharp pain in the left calf although it didn't last for long. Upon waking in the morning I can feel a pulsating sensation in both legs. I was also recently diagnosed in the last week for an underactive thyroid. I,m a 52 year old woman with a sedentary job, overweight with a hereditary cholesterol problem from my fathers side and a family history of blood clots on my mothers side. I,m on 80mg of Atorvastin a day. My GP has diagnosed me with a pinched sciatica nerve. My concerns are PAD, they have checked my pulse in both legs but don't seem to be worried by this. I,m I worrying unnecessarily ?



doctor
Answered by Dr. Hari Charan Perigela (1 hour later)
Brief Answer:
The pain can be due to lymphangitis

Detailed Answer:
Hi
Lymph nodes in the groin are enlarged due to spread of infection from the lower limb or its drainage area.
A small Injury in the leg can lead to enlarged lymphnodes.
As your groin lymphnodes were enlarged , some type of infection or inflammation might have been present in the leg.

If the course of antibiotics is not sufficient, pain along the course of lymphatics in the leg and thigh would be present.

I normally prescribe another course of antibiotics like Clindamycin capsule along with Cefuroxime tablet and anti inflammatory tablets to my patients with similar complaints.

To exclude Peripheral Arterial Disease (PAD), Color Doppler has to be taken first. Based on this report, further investigations can be done.

It could be pinched sciatic nerve. But, my first suspicion is Lymphangitis. (swelling and inflammation of the Lymph Nodes).

Please consult your doctor and get checked.

If you have any queries, I will clarify further.

Wish you good health.
Regards
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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Hari Charan Perigela

General Surgeon

Practicing since :1995

Answered : 2717 Questions

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What Causes Severe Pain In Legs?

Brief Answer: The pain can be due to lymphangitis Detailed Answer: Hi Lymph nodes in the groin are enlarged due to spread of infection from the lower limb or its drainage area. A small Injury in the leg can lead to enlarged lymphnodes. As your groin lymphnodes were enlarged , some type of infection or inflammation might have been present in the leg. If the course of antibiotics is not sufficient, pain along the course of lymphatics in the leg and thigh would be present. I normally prescribe another course of antibiotics like Clindamycin capsule along with Cefuroxime tablet and anti inflammatory tablets to my patients with similar complaints. To exclude Peripheral Arterial Disease (PAD), Color Doppler has to be taken first. Based on this report, further investigations can be done. It could be pinched sciatic nerve. But, my first suspicion is Lymphangitis. (swelling and inflammation of the Lymph Nodes). Please consult your doctor and get checked. If you have any queries, I will clarify further. Wish you good health. Regards