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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Tightness In The Calf Be Related To Chronic Pain In Spine?

Had spinal fusion with bone graft 9 yrs ago l5 S1 , having chronic pain also on my whole spine , also have grade 1 anterooms thesis , C4 till C6, is it normal for me to feel right leg pain but not sciatica , also feeling tight on my calf and right middle toe has no sensation, numb
Wed, 9 Dec 2015
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Neurologist, Surgical,  's  Response
Hello. Thanks for asking from HCM.


I can understand your concern. The tightness in calf can not be due to L5-S1 nerve as nerve damage here will cause soft, flaccid calf. However cord damage at cervical region (C4-C6) can cause tightness in calf.

The pain in right leg and sensory loss in middle toe can be due to both or either.

To differentiate between two conditions, check whether
: you are having tightness in all limbs, it suggest cervical cord compression
: you are having pain in lower back till foot, it suggest L5-S1 nerve damage
: Involvement of other extremities suggest cervical involvement.
Also if you are doing too much exertion of lower limbs, this pain could be due to exertion. I think you can now reach upto some conclusion.

Meanwhile at home you can follow few tips :
: Take rest
: Take Diclofenac sodium for pain relief after proper prescription
: You can apply warm compresses over calf to relieve pain and tightness.
: You can stretch your calf.

Thanks. Hope it will you. Take care.
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Could Tightness In The Calf Be Related To Chronic Pain In Spine?

Hello. Thanks for asking from HCM. I can understand your concern. The tightness in calf can not be due to L5-S1 nerve as nerve damage here will cause soft, flaccid calf. However cord damage at cervical region (C4-C6) can cause tightness in calf. The pain in right leg and sensory loss in middle toe can be due to both or either. To differentiate between two conditions, check whether : you are having tightness in all limbs, it suggest cervical cord compression : you are having pain in lower back till foot, it suggest L5-S1 nerve damage : Involvement of other extremities suggest cervical involvement. Also if you are doing too much exertion of lower limbs, this pain could be due to exertion. I think you can now reach upto some conclusion. Meanwhile at home you can follow few tips : : Take rest : Take Diclofenac sodium for pain relief after proper prescription : You can apply warm compresses over calf to relieve pain and tightness. : You can stretch your calf. Thanks. Hope it will you. Take care.