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What Causes Severe Pain In Legs?
Question: I had shingles started 12/22/2015 lasted until almost the end of January. Then last week I started getting a
severe pain midway between my knee and my foot. Only at night. The pain was just as severe as the shingle pain had been. Late in the afternoon the pain starts to come back, it gets really bad and eventually goes from
my lower leg all the way up to my crotch. I have been having to take hydrocodin to get any sleep at all. At first I thought it might be a blood clot, saw a local PA she said no, and gave me naproxen, that does not even touch it. After I get up and walk around for an hour or so the pain pretty much goes away. Then later in the evening it comes back. Is the shingles coming back just in a different place -no blisters- I still worry about a blood clot. Any help would be appreciated.
severe pain midway between my knee and my foot. Only at night. The pain was just as severe as the shingle pain had been. Late in the afternoon the pain starts to come back, it gets really bad and eventually goes from
my lower leg all the way up to my crotch. I have been having to take hydrocodin to get any sleep at all. At first I thought it might be a blood clot, saw a local PA she said no, and gave me naproxen, that does not even touch it. After I get up and walk around for an hour or so the pain pretty much goes away. Then later in the evening it comes back. Is the shingles coming back just in a different place -no blisters- I still worry about a blood clot. Any help would be appreciated.
Brief Answer:
Explained in detail
Detailed Answer:
Hello and welcome
Your concern is appreciated
There are many causes for leg pain
Vascular causes like peripheral artery disease
Deep vein thrombosis
Varicose viens
Neurogenic cuases include lumbar spine stenosis, slipped disc or disc herniation, sciatica, diabetic neuropathy,
Neurogenic claudication is diiferent from vascular one in which there is cauda equina compression in vascular causes walking and excersize aggravates the pain and rest relieves it while in Neurogenic pain squatting and bending forward relieves the pain
Skin changes are absent and pulses are normal in neurogenic one
Piriformis syndrome is abnormality in which there is pain in gluteal reigon which may radiate to leg and pain is relieved with walking
When deep vien thrombosis is the cause then usually leg is swollen warm and tender
Varicose vien is assosiated with restless leg syndrome and it relieves with walking
Other cause include ankylosing spondylitis
Hamstring injury, muscle cramps night leg cramps many types of arthritis sprains and strains chronic exertional compartment syndrome. plain x ray, MRI spine, doppler ultrasound of the legs can be advised accordingly based on the suspicion of your doctor.
let me know if you have any query
Please consult your doctor before taking any further course of action
Hope it helps
thanks
Dr M.S Khalil
Explained in detail
Detailed Answer:
Hello and welcome
Your concern is appreciated
There are many causes for leg pain
Vascular causes like peripheral artery disease
Deep vein thrombosis
Varicose viens
Neurogenic cuases include lumbar spine stenosis, slipped disc or disc herniation, sciatica, diabetic neuropathy,
Neurogenic claudication is diiferent from vascular one in which there is cauda equina compression in vascular causes walking and excersize aggravates the pain and rest relieves it while in Neurogenic pain squatting and bending forward relieves the pain
Skin changes are absent and pulses are normal in neurogenic one
Piriformis syndrome is abnormality in which there is pain in gluteal reigon which may radiate to leg and pain is relieved with walking
When deep vien thrombosis is the cause then usually leg is swollen warm and tender
Varicose vien is assosiated with restless leg syndrome and it relieves with walking
Other cause include ankylosing spondylitis
Hamstring injury, muscle cramps night leg cramps many types of arthritis sprains and strains chronic exertional compartment syndrome. plain x ray, MRI spine, doppler ultrasound of the legs can be advised accordingly based on the suspicion of your doctor.
let me know if you have any query
Please consult your doctor before taking any further course of action
Hope it helps
thanks
Dr M.S Khalil
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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