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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Lower Leg Pain?

I have had terrible lower leg pain. Started in 2005 all at once. It got so bad I couldn t walk. Went to hospital where my back was xrayed and sonogram of both artieries and veins in both legs. Blood flowing good. Was traveling at the time so came back home to my primary doctor. Saw neurologists and went through lots of tests and nothing was found wrong except my lower legs hurt. Was sent to Mayo Clinic in Scotsdale, Az and they couldn t find anything wrong but pain is still there 7 years later. Now my feet are starting to get numb and lower legs hurt more especially when I lie down at night. Can t raise my legs in a recliner as they hurt even more. Any ideas? My doctors have done everything they can think of. Thank You
Tue, 5 Apr 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

thank-you for providing the brief history of you.

as you mentioned that you had certain pain and for which you have done all test in 2005 and all reports were normal. Now back again after 7 years the pain is same but the nature of pain is weakness, pain, tingling , numbing etc??

if that is the case you need to get an MRI of the lumbar spine done to see a soft tissue Injury. As age progress the spine becomes weaker and this tends to apply pressure on the nerves, which will lead to all such symptoms.

Also, you can use the hot water fermentation for relaxing the muscles.

I suspect it that you had a mild nerve irritation in the past but it was never traced by diagnostics. You should have opted that time only spinal Strengthening exercises.

well now it's 7 years so let's look ahead to solve this mysteries pain.

Focus on doing some small lower limb strengthening exercises like static quadriceps and hamstring, ankle toe movements. Along with this kindly perform some deep breathing exercises as breathing exercises plays an important role while any activity.

Also post this you can proceed onto the straight leg raise as within 2 weeks of Static quadriceps and hamstring the muscle will be strong enough to perfrom SLR.

Post this again With a week or so you can start doing core stability and spine Strengthening exercises. and I am sure you won't find much pain.

Sometimes the nerve is getting trapped but the scans turns normal. for this reason all diagnostic reports are mentioned - this is not an actual diagnosis and kindly correlate with clinical symptoms.

Well by performing this exercises you will be fine in 6-12 weeks. But even after the pain is gone kindly make a note to perform in regular basis as the spine is important.

with the grace of God I wish you a speedy recovery

regards
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What Causes Chronic Lower Leg Pain?

hi, thank-you for providing the brief history of you. as you mentioned that you had certain pain and for which you have done all test in 2005 and all reports were normal. Now back again after 7 years the pain is same but the nature of pain is weakness, pain, tingling , numbing etc?? if that is the case you need to get an MRI of the lumbar spine done to see a soft tissue Injury. As age progress the spine becomes weaker and this tends to apply pressure on the nerves, which will lead to all such symptoms. Also, you can use the hot water fermentation for relaxing the muscles. I suspect it that you had a mild nerve irritation in the past but it was never traced by diagnostics. You should have opted that time only spinal Strengthening exercises. well now it s 7 years so let s look ahead to solve this mysteries pain. Focus on doing some small lower limb strengthening exercises like static quadriceps and hamstring, ankle toe movements. Along with this kindly perform some deep breathing exercises as breathing exercises plays an important role while any activity. Also post this you can proceed onto the straight leg raise as within 2 weeks of Static quadriceps and hamstring the muscle will be strong enough to perfrom SLR. Post this again With a week or so you can start doing core stability and spine Strengthening exercises. and I am sure you won t find much pain. Sometimes the nerve is getting trapped but the scans turns normal. for this reason all diagnostic reports are mentioned - this is not an actual diagnosis and kindly correlate with clinical symptoms. Well by performing this exercises you will be fine in 6-12 weeks. But even after the pain is gone kindly make a note to perform in regular basis as the spine is important. with the grace of God I wish you a speedy recovery regards