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What Causes Shifting Pain In Leg Muscles?

Posted on Mon, 8 Dec 2014

Question: hi iam having pain in lower legs muscles when walking, sitting ,some times eases with walking , when lying sometimes in feets, sometimes behind knees at muscles and sometimes times at front anterior shin muscles, pain is in different point every time , had color Doppler ultra sound on both legs two times came back normal, iam vitamin d deficient level 8.4 ng and low red blood cell count of 3.8 millions. and l4 l5. l5 s1 disc swelling in digital x ray finding, iam not any diagnosis pls help?

Answered by Dr. Saurabh Gupta (45 minutes later)

Brief Answer:
Likely to be due to nerve root compression.

Detailed Answer:

Thanks for your query.

Your symptoms are likely to be due to nerve root compression at l4-l5, l5-S1 level due to disc protrusion. A follow up MRI will help in conferming the findings. For this condition you have to do stretching and strengthening exercises in which you have to stretch tight muscle and strengthen weakened ones which will alleviate stress on disc.
Consult an orthopaedic surgeon for further work up and management. You need vit D and iron supplements for deficiency. Meanwhile for pain control take anti inflammatory drug like ibuprofen.

Hope this will helps you. Let me know if you have any more concerns.

Warm regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (19 minutes later)

thanks sir, but I have no pain in thighs when walking, pain is only behind knees and below the knees but in front side of legs, some times it is worse when I am sitting on chair and I have to walk around here and there, I am afraid of is this circulation problem like pad or spine problem, as some times pain eases when I am in rest, it is very confusing, thogh my color doppler was negative two times and my abi ia 1.04 both lower limbs what should I do? pls help

Answered by Dr. Saurabh Gupta (3 hours later)

Brief Answer:
Not due to vascular problem.

Detailed Answer:
Hi,

It is not necessary that nerve root compression causes pain in thigh. Your pain not seems to be due to vascular problem. It seems to be due to compression of nerves at spine.
I suggest you to consult an orthopaedic surgeon for proper examination and management.

Warm regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (11 minutes later)

sir I have seen orthopedic doctors, nuero logist all gave me muscles relaxtunt and for exercising more, and say this is due to vitamins deficient d, can vitamin d can cause such problem, also when I first lay on bed at night my feets start to hurt in toes or heels every time at different position, then they become normal after sometimes, what can be the reason I had all blood test came normal except vitamins d

Answered by Dr. Saurabh Gupta (22 hours later)

Brief Answer:
Could occur due to vit D deficiency.

Detailed Answer:
Hi,

This type of pain could occur due to vit D deficiency. Take vit D supplements as advised by your doctor.

Wishing you speedy recovery...

Warm regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (12 minutes later)

sir, my doctors also want to do ncs study on legs, what this means, I am having pain in buttocks and feets when lying flat on bed.my feets fingers get cold for sometimes when I lay, and after some time pain and cold feeling goes away .I am on vitamin d sachets 60000 ui for 4 weeks now but no improvement till now, what the reason, pls guide me about this, all my doctors said this is not due to circulation problem, so what is reason, or I am over thinking about this because some times I can dance, walk for long times in legs without pain, but sometimes first step is pain ful in legs, pls suggest me about this? ??????

Answered by Dr. Saurabh Gupta (10 hours later)

Brief Answer:
It is nerve conduction study.

Detailed Answer:
Hi,

It is nerve conduction study. It is used to evaluate the function of the nerve. Continue taking vit D supplements. It will take 2-3 months then only you could see the effect.

Take care.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar