Calf Pain & No Muscle Weakness: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Calf Pain, No Muscle Weakness,

Negated

None

Unsure

None

Possible Causes

Peripheral Neuropathy

A 55-year-old woman with consanguineous parents developed slowly progressive, asymmetric muscle weakness and atrophy in her forearms, while her ability to walk remained unaffected [ncbi.nlm.nih.gov]

Certain types of hereditary neuropathies can affect the autonomic nerves, resulting in impaired sweating, postural hypotension, or insensitivity to pain. [ninds.nih.gov]

We present a 70-year-old male patient of Greek origin with choreatic movements of the tongue and face, lower limb muscle weakness, peripheral neuropathy, elevated creatinephosphokinase [ncbi.nlm.nih.gov]

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Duchenne Muscular Dystrophy

Muscle weakness Other names Myasthenia Specialty Neurology Muscle weakness is a lack of muscle strength. [en.wikipedia.org]

Fox Hannah.fox8{at}nhs.net What you need to know Consider Duchenne muscular dystrophy in boys with delayed motor milestones, positive Gowers’ sign, abnormal gait, muscle pains [bmj.com]

[…] muscles Muscle pain and stiffness Learning disabilities Becker muscular dystrophy Signs and symptoms are similar to those of Duchenne muscular dystrophy, but typically are [web.archive.org]

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Radiculopathy

Overall, there was a full recovery in muscle strength in 84% of patients with mild muscle weakness and 61% with severe muscle weakness. [comprehensivespine.weillcornell.org]

[…] and sometimes into the calf and foot. [spine-health.com]

The most common symptom of radicular pain is sciatica (pain that radiates along the sciatic nerve - down the back of the thigh and calf into the foot). [spine-health.com]

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Sciatica

Sciatica may also result in muscle weakness. [middlesexortho.com]

Symptoms of sciatica The symptoms of sciatica include: hot pain in the buttock aching in the buttock, back of the thigh (hamstring) and calf pain in the ankle and foot pins [betterhealth.vic.gov.au]

The pain caused by sciatica can vary dramatically, depending on the severity of the impinged nerve in the spine. [brainspinesurgery.com]

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Guillain-Barré Syndrome

But weakness that increases over several days is also common. Muscle weakness or loss of muscle function (paralysis) affects both sides of the body. [medlineplus.gov]

Common pediatrics examples of this situation are inability to walk due to calf pain secondary to acute viral myositis, pyogenic arthritis-related arthralgia (e.g., gonococcal [kundoc.com]

CASE A 15 yr old male,came to ED with complaints of pain in the calf of the right leg on Tuesday,followed by weakness of the both lower limbs the next day morning.was bed [slideshare.net]

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Diabetic Polyneuropathy

Muscle weakness was assessed using a semi-quantitative score. [ncbi.nlm.nih.gov]

Thus, muscle weakness in DPN is likely due to both a loss of muscle mass and a reduction in contractile quality. 2016 Wiley Periodicals, Inc. [ncbi.nlm.nih.gov]

Demyelination slows or blocks conduction of impulses to muscles. [medical-dictionary.thefreedictionary.com]

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Common Cold

Physical performance can be adversely affected, especially due to feelings of muscle weakness and exacerbated by fatigue and tiredness. [skybrary.aero]

Patient may also have headache, weakness, muscle pain, loss of appetite and a general feeling of unwell. [symptoma.com]

weakness. [nejm.org]

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Poliomyelitis

Muscle weakness may be responsible for postoperative instability, and careful selection of the patient with good upper extremity muscles must be made. [ncbi.nlm.nih.gov]

Non-paralytic poliomyelitis Symptoms include back pain or backache, diarrhea, excessive tiredness, fatigue, headache, irritability, leg pain (calf muscles), moderate fever [wikilectures.eu]

It is characterized by new muscle weakness seen in survivors of acute poliomyelitis. [ncbi.nlm.nih.gov]

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Muscle Strain

The case was considered to have moderate muscle strain, because he had modest muscle weakness with a negative lift-off test. [ncbi.nlm.nih.gov]

[…] strain and being stretched by trainer Leg muscle pain,Calf pain Woman massaging her painful leg calf. [shutterstock.com]

[…] or unable to move at all Muscle weakness Muscle spasms (result of scar tissue forming) Uneven or deformed surface of the skin A muscle strain can seem like a minor nuisance [bermanchiropractic.com]

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Rupture of the Gastrocnemius Muscle

Extensive hematoma formation led to marked edema, paresthesias, muscle weakness, and severe pain in the involved leg. [ncbi.nlm.nih.gov]

Calf pain and stiffness may also be present. [verywell.com]

Muscle weakness, tissue inflammation and leg pain can be addressed through home and medical treatments. [livestrong.com]

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Compartment Syndrome

Late symptoms include paraesthesia, muscle weakness and loss of distal pulses. [sportsinjurybulletin.com]

CASE: A 15-year-old female competitive high school basketball player presented as an outpatient with a 3-month history of bilateral exertional calf pain. [ncbi.nlm.nih.gov]

The pain was located at the lateral aspect of the calf, from the mid-calf level to the ankle. [ncbi.nlm.nih.gov]

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Leprosy

This disease causes skin sores, nerve damage, and muscle weakness that gets worse over time. [nlm.nih.gov]

Rashes and bumps appear, the affected areas become numb, and muscles may become weak. [merck.com]

Health problems that may result from leprosy include: Disfigurement Muscle weakness Permanent nerve damage in the arms and legs Loss of sensation People with long-term leprosy [nlm.nih.gov]

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Entrapment Neuropathy

Typical symptoms include muscle weakness, pain, numbness and tingling. [epainassist.com]

pain during exercise, though bilateral involvement has been reported to occur in as high as 67% of affected patients. [eorif.com]

Case A 38-year-old female competitive ‘ironman triathlete’ athlete with no medical history presented with exertional left calf pain. [bjsm.bmj.com]

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Achilles Tendinitis

Biomechanical abnormalities that predispose to Achilles tendinitis include gastrocnemius-soleus muscle weakness or inflexibility and hindfoot malalignment with foot hyperpronation [ncbi.nlm.nih.gov]

Famous Physical Therapists Bob Schrupp and Brad Heineck describe the three ways to determine whether or not your heel pain or calf pain is Achilles Tendonitis. [youtube.com]

Weak calf muscles Treatment: Arch support through use of an insert for the shoe (over-the-counter, semi-custom, or custom) Calf and shin strengthening exercises Calf and [fleetfeetfortwayne.com]

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Lumbar Radiculopathy

BOOK DOCTOR APPOINTMENT CONSULT DOCTOR ONLINE Definition Any injury, pain, muscle weakness, tingling and numbness that results in an irritated, inflammed or a compressed spinal [apollohospitals.com]

Central spinal stenosis tends to cause spinal claudication which produce paresthesias, calf pains and numbness with ambulation. [epainassist.com]

The most common symptom of radicular pain is sciatica (pain that radiates along the sciatic nerve - down the back of the thigh and calf into the foot). [spine-health.com]

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Stroke

Spasticity and muscle weakness are common severe neurologic sequelae after stroke. [ncbi.nlm.nih.gov]

Being immobile also can lead to muscle weakness and decreased muscle flexibility. Problems swallowing and pneumonia. [web.archive.org]

Speech Disorders Dysarthia — A collective term used to describe speech changes caused by any of the following: Muscle weakness Incoordination Increased muscle tone Presence [upmc.com]

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Bacterial Myositis

Conclusions Acute symmetrical proximal muscle weakness has varied etiologies. [mdpi.com]

Influenza A and B is the most common cause of viral myositis in the United States and the main symptoms include calf pain and difficulty walking. — Healthline This is another [understandingmyositis.org]

Signs and symptoms Number of cases with described symptom/total number of cases with investigated symptom Frequency (%) Diffuse myalgia 9/35 26 Calf pain 28/35 80 Limited [scielo.br]

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Lumbar Disk Herniation

Common symptoms of lumbar disc protrusion include: Chronic low back pain Pain, numbness and tingling in the legs, feet and toes Back stiffness or soreness Muscle weakness [laserspineinstitute.com]

The patient experienced sudden severe lumbar pain while lifting a 240-kg weight while attempting a Donkey Calf Raise during muscle training. [ncbi.nlm.nih.gov]

Although age is the most common risk, physical inactivity can cause weak back and abdominal muscles, which may not support the spine properly. [hopkinsmedicine.org]

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Neuropathy

It is manifested with pain, tingling, numbness, and muscle weakness. [fpnotebook.com]

Pain or cramping, especially of the hands, feet or calf muscles. Sensitivity to touch or temperature. Loss of reflexes. Muscle wasting in the hands and feet. [livestrong.org]

This syndrome is associated with myokymia, muscle cramps and stiffness, delayed muscle relaxation after contraction, muscle weakness, and hyperhydrosis. [go.gale.com]

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Reflex Sympathetic Dystrophy

Other symptoms include tremor, weakness and muscle twitching. [disability-benefits-help.org]

[…] feeling warm to the touch skin redness skin paleness with a blue tone tenderness sweating around the affected area changes to the skin in the affected area muscle weakness [healthline.com]

Other symptoms of RSD include: Changes in your hair or nail growth, or skin’s texture Excess sweat in certain areas of your body Muscle weakness or spasms Stiff joints Trouble [webmd.com]

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Deep Vein Thrombosis

A 69-year-old woman complained of severe left leg weakness with paresthesia. [ncbi.nlm.nih.gov]

pain and swelling. [ncbi.nlm.nih.gov]

Stockings reduce the cross‐sectional area of the deep veins making the calf muscle pump more effectively and thereby improve blood flow. [doi.org]

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Varicose Veins

hormones (eg in pregnancy); trauma, previous thrombosis or weak calf muscles. [bsir.org]

Thirty patients with no experience of elastic stockings, presenting with primary varicose veins causing calf pain or aching were randomised to a GECS (18-21 mmHg at the ankle [ncbi.nlm.nih.gov]

Thigh or calf cramps (often at night) Mild swelling of feet or ankles Itching If flow of blood through the veins becomes worse, symptoms may include: Leg swelling Leg or calf [mountsinai.org]

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Peripheral Vascular Disease

Inadequate oxygen supply during exercise can also lead to muscle weakness and fatigue. Stenotic arterial lesions may or may not alter resting blood flow. [cvphysiology.com]

[…] episodes of difficulty breathing (renal arteries), or calf pain with walking and/or leg ulcers (femoral and popliteal arteries). [heart.ucla.edu]

Symptoms Blockages can restrict blood flow to the muscles, causing muscle cramps, tightness or weakness, especially during activity. [cardiovascularcoalition.com]

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Muscular Dystrophy

It causes progressive weakness in muscles of the face, arms, legs, and around the shoulders and chest. [ninds.nih.gov]

Common signs include poor balance with frequent falls, walking difficulty with waddling gait and calf pain, and limited range of movement Obesity Joint contractures Cataracts [healthcentral.com]

Fox Hannah.fox8{at}nhs.net What you need to know Consider Duchenne muscular dystrophy in boys with delayed motor milestones, positive Gowers’ sign, abnormal gait, muscle pains [bmj.com]

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Venous Stasis Ulcer

weakness in the lower extremities Malnutrition Obesity Immobility Pregnancy Arterial Ulcer Full thickness wound Punched out appearance Wound edges are smooth Individual may [lhsc.on.ca]

pain calf tenderness a dull ache or heaviness in your legs that gets worse when you stand In the early stages of stasis dermatitis, the skin on your legs may look thin. [healthline.com]

In addition, any condition resulting in muscle weakness in the lower leg can in turn decrease the skeletal muscle's effectiveness in propelling blood back towards the heart [woundsource.com]

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Ganglion Cyst

Ganglions can be painless; however, cysts that press on a nerve may cause pain, tingling, numbness, and muscle weakness. How are ganglion cysts recognized? [ccohs.ca]

However, this type of lesion must be included in the differential diagnosis of calf pain. [spandidos-publications.com]

However, when cysts grow large enough to cause tingling, pain and muscle weakness, surgery may be necessary. [seton.net]

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Myositis

Although his muscle weakness and CK level improved, AFL with 1:1 conduction reappeared. [ncbi.nlm.nih.gov]

BACM can cause difficulty walking due to severe calf pain. Laboratory results show increased serum creatinine kinase and AST. [ncbi.nlm.nih.gov]

Article information Abstract Full Text Bibliography Download PDF Statistics Figures (2) Abstract A 47-year-old man presented with weight loss, bilateral calf pain, fever, [reumatologiaclinica.org]

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Popliteal Cyst

A Baker's cyst in this area can cause lower leg pain, paresthesia, and muscle weakness by the compression of the tibial nerve [ 5 ]. [ncbi.nlm.nih.gov]

We present a case of a large dissecting popliteal cyst 7 years after TKA with symptoms of severe calf pain and functional disability. [ncbi.nlm.nih.gov]

In addition to these conditions, a dissecting or ruptured popliteal cyst should be considered in the differential diagnosis of acute calf pain and swelling following total [ncbi.nlm.nih.gov]

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Electrolyte Imbalance

Hypernatremia Muscle weakness, leg cramps, fatigue, lethargy, anorexia, nosia, vomiting, decreased bowel sounds/motility, arrhythmia, depressed deep-tendon reflexes, weak [memorize.com]

If a cramp does occur, there are some steps you can take to relieve the pain. First, try stretching the affected muscles. [eletewater.co.uk]

Once again, your muscles are affected. You will have cramps, muscle weakness and even constipation. [livestrong.com]

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Recurrent Pulmonary Embolism

[…] or paralyzed intercostal, abdominal and/or other muscles needed for ventilation. [22] Some physical therapy interventions for this population include active assisted cough [en.wikipedia.org]

The most common symptoms were dyspnea, usually of onset within seconds, at rest or with exertion (73%), pleuritic pain (44%), calf or thigh pain (44%), calf or thigh swelling [ncbi.nlm.nih.gov]

Symptoms of deep venous thrombosis: calf/thigh pain and/or leg swelling Hemoptysis Syncope Signs: Tachypnea Tachycardia Hypotension (especially sustained and unexplained) [clinicaladvisor.com]

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