Possible Causes for Calf Pain & Unable to Stand Duchenne Muscular Dystrophy Between three and five years of age, affected children become unable to stand up from squatting position without pushing through their arms (Gower’s sign), and begin to walk [nationwidechildrens.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] This can result in trouble standing-up. Most are unable to walk by the age of twelve. Affected muscles may look larger due to increased fat content. [dbpedia.org] Guillain-Barré Syndrome Patient is unable to walk, stand and climb stairs. [longdom.org] 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] Poliomyelitis Non-paralytic poliomyelitis [ ✎ edit | edit source ] Symptoms include back pain or backache, diarrhea, excessive tiredness, fatigue, headache, irritability, leg pain (calf [wikilectures.eu] (particularly in the calf muscles) Fever Muscle stiffness or spasms Rash The signs and symptoms of paralytic polio may not resolve and include: Drooling Muscle pain, contractions [infdisease.iaff.org] Muscular complications include muscle contractions or muscle spasms in the calf, neck, or back, muscle pain, muscle weakness that is only on one side or worse on one side. [wikilectures.eu] Plantaris Tendon Tear If your Achilles tendon is ruptured you will be unable to stand on tiptoe and will have a flat-footed walk. [patient.info] He had interviewed the patient, and noted that the pain was actually in the mid calf, more than the distal calf. [musculoskeletalmri.blogspot.com] The patient will also be unable to stand up on the toes of that leg, and pointing the foot downward ( plantarflexion ) will be impaired. [en.wikipedia.org] Achilles Tendinitis If you are unable to stand on your toes you may have ruptured the tendon. This requires urgent medical attention. [mydr.com.au] 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] A patient with Achilles tendon rupture will be unable to stand on his or her toes on the affected side. Tendinosis Tendinosis is often pain free. [emedicine.com] Muscular Dystrophy […] or stand without help. [healthline.com] 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] Limb-Girdle Muscular Dystrophy They are usually unable to stand without using their own body to steady themselves and, as such, present with Gower’s sign (where patients use their own hands to push off [lecturio.com] A 40-year-old woman reported exercise-induced calf pain at age 34, followed by progressive lower and upper limb weakness. [ncbi.nlm.nih.gov] Many patients have good muscle strength, leading to good performance at sports or in physically demanding jobs, before onset of symptoms. [ 25 ] May have calf muscle pain [patient.info] Sciatica If pain is aggravated by sitting, people should stand or, if unable to do so, change positions to remove the source of pressure around the buttock. [msdmanuals.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] Patients whose pain is aggravated by sitting should stand or, if unable to do so, change positions to remove the source of pressure around the buttock. [msdmanuals.com] Popliteal Cyst unable to straighten, may hear a popping sound during injury torn ligament, tendon or meniscus, cartilage damage Teenagers and young adults with pain and swelling below [nhs.uk] 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] Woodhouse-Sakati Syndrome The proband was unable to stand or walk, had scoliosis, hyperreflexia, and extensor plantar responses. [cags.org.ae] Rupture of the Gastrocnemius Muscle Patients with a severe calf strain may also walk with a limp or be unable to weight bear on the affected leg. [physioadvisor.com.au] Calf pain and stiffness may also be present. [verywell.com] The presentation of a gastrocnemius rupture is the acute onset of calf pain and subsequent ecchymosis. [ncbi.nlm.nih.gov] Paraparesis The patient was unable to stand on either leg alone and failed a trial of ambulation secondary to lower extremity weakness. Deep tendon reflexes were 2 + throughout. [anesthesiology.pubs.asahq.org] Eight patients were unable to stand or walk and were bed bound at presentation. [thejns.org] I couldn’t stand longer than 20 minutes and I needed a cane to get around. [acupuncturerestoreshealth.com] Hip Fracture Symptoms of a hip fracture Symptoms of a hip fracture include: not being able to lift, move or rotate (turn) your leg being unable to stand or put weight on your leg, although [hct.nhs.uk] Drainage from your incision Swelling in one of your legs (it will be red and warmer than the other leg) Pain in your calf Fever higher than 101°F (38.3°C) Pain that is not [nlm.nih.gov] Complications Prevention Symptoms of a hip fracture Symptoms of a hip fracture after a fall may include: pain not being able to lift, move or rotate (turn) your leg being unable [nhsdirect.wales.nhs.uk] Achilles Tendon Rupture Severe pain with localized hemorrhage is often present, and the Thompson test is positive, such that the patient is unable to stand tiptoe on the injured leg and a diminished [radsource.us] Stretch your calf until you feel a noticeable pull but not pain. Don't bounce during a stretch. [mayoclinic.org] […] ent will be unable to stand on the toes on the affected leg 21. Clinical tests “Hiperdorsiflexion” sign – With the pa? [slideshare.net] Varicose Veins Varicose veins develop due to many reasons and they’re often unable to be prevented. [healthnavigator.org.nz] 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] Pes Planus Valgus If the patient is unable to stand or weight-bear, a simulated weight-bearing radiograph should be obtained. [radiopaedia.org] no relief of pain, worsened pain, recurrent pain, calf atrophy, weakness, limping, incomplete arch restoration, failure of bone cuts or fusions to heal, intolerance of implants [thrive.kaiserpermanente.org] Children who complain about calf muscle pains, arch pain, or any other pains around the foot area may be developing or have developed flat feet. [en.wikipedia.org] Paraplegia All individuals were unable to stand or walk independently or voluntarily move their lower extremities after their injuries. [neurologyreviews.com] Possible complications of HSP include: calf tightness cold feet fatigue back and knee pain stress and depression With TSP TSP is a chronic condition that typically worsens [healthline.com] Back-strengthening exercises may help to reduce or eliminate back pain associated with HSP. [emedicine.medscape.com] Non-Dystrophic Myotonia Patients commonly recall having played with friends during school lunch break, returning to sit at a desk for lessons, and then being unable to stand or walk. [pn.bmj.com] Case 2 An 8-year-old Chinese boy with normal development complained of recurrent episodic limb pain over thigh and calf muscles with stiffness and gait disturbance for 2 years [hkjpaed.org] Patients are unable to stand or raise a limb against gravity during an episode of paralysis. [kidney-international.org] Lumbar Strain Call your healthcare provider if any of the following happen: You’re unable to stand or walk. You have a temperature over 101.0°F (38.3°C). [urmc.rochester.edu] […] into calf •Crossed SLR -Pain in the affected limb, when testing the unaffected limb •SLR + Lasègue •Bowstring sign -SLR until pain, then flex the knee. [physio-pedia.com] Call your healthcare provider if any of the following happen: You’re unable to stand or walk. [hopkinsmedicine.org] Polymyositis CASE REPORT We report the case of a 16-year-old male who presented with severe bilateral calf pain and elevated CK levels (15 000 IU/l) who was on prolonged steroid therapy [ncbi.nlm.nih.gov] pain and severe myalgias. [atmph.org] It all started in mid to late january 97 with a pain in the calf of my right leg; then aches and pains with burning muscles that got progressively worse with each passing [rheumatic.org] Myotonia Congenita The most common symptoms is being unable to relax the muscles after they have been squeezed, especially in a static position such as sitting, lying or standing still. [gosh.nhs.uk] ± ++ Myotonia + Adult + Variable Muscle size Atrophy Face Distal limbs Hypertrophy Calf SYSTEMIC Cataracts + Some Balding + Rare Cardiac arrhythmias + Variable Gonadal failure [neuromuscular.wustl.edu] Notably, he was able to stand up and open his fists comfortably during this interview which he was unable to do while on the antipsychotics. [raftpubs.com] Pes Planus If the patient is unable to stand or weightbear, a simulated weightbearing radiograph should be obtained. [radiopaedia.org] These include: Shin pain Calf pain Knee pain Back pain Rigid flatfoot where the arch of the foot is very rigid, even when not weight bearing, may cause pain in the arch of [sportsinjuryclinic.net] If the patient is unable to stand or weight-bear, a simulated weight-bearing radiograph should be obtained. [radiopaedia.org] Muscular Dystrophy-Dystroglycanopathy Type C14 They are usually unable to stand without using their own body to steady themselves and, as such, present with Gower’s sign (where patients use their own hands to push off [lecturio.com] In rare cases, temporary (transient) overgrowth of the calf muscle, painful swelling of the calf, and early development of contractures may occur. [rarediseases.org] Gradually, patients are unable to stand on toes and calf muscles are wasted [Figure 1] a. [annalsofian.org] Childhood Dermatomyositis Chikazawa S, Hanafusa T, Ozaki K, Namiki T, Amano M, Ueno M, Tokoro S, Igawa K, Sato T, Ishikawa K, Yokota T, Yokozeki H.Incomplete Behçet's disease with calf muscle pain [dokkyomed.ac.jp] Subacute Transverse Myelitis On the next day, he had diffuse body pains, with numbness of the lateral aspect of the left thigh, calf, and foot. [nejm.org] Limb-Girdle Muscular Dystrophy Type 2E They are usually unable to stand without using their own body to steady themselves and, as such, present with Gower’s sign (where patients use their own hands to push off [lecturio.com] In rare cases, temporary (transient) overgrowth of the calf muscle, painful swelling of the calf, and early development of contractures may occur. [rarediseases.org] Gradually, patients are unable to stand on toes and calf muscles are wasted [Figure 1] a. [annalsofian.org] Rigid Flat Foot If the patient is unable to stand or weightbear, a simulated weightbearing radiograph should be obtained. [radiopaedia.org] Children who complain about calf muscle pains, arch pain, or any other pains around the foot area may be developing or have developed flat feet. [en.wikipedia.org] Being unable to stand on one leg and raise the heel is another sign of flatfoot. Imaging scans are also useful in the diagnosis of flatfoot. [4kidsortho.com] Tendon Rupture The patient is unable to stand on his/her toes. [ebm-guidelines.com] Conclusion The causes of calf pain are multiple, and often difficult to diagnose clinically. [radsource.us] Immediately after an Achilles tendon rupture, walking will be difficult and one is unable to stand on their toes. [medicinenet.com] Pyriformis Syndrome If pain is aggravated by sitting, people should stand or, if unable to do so, change positions to remove the source of pressure around the buttock. [merckmanuals.com] Typical piriformis syndrome symptoms may include: A dull ache in the buttock Pain down the back of the thigh, calf and foot (sciatica) Pain when walking up stairs or inclines [cedars-sinai.edu] Patients whose pain is aggravated by sitting should stand or, if unable to do so, change positions to remove the source of pressure around the buttock. [msdmanuals.com] Limb-Girdle Muscular Dystrophy Type 2Q They are usually unable to stand without using their own body to steady themselves and, as such, present with Gower’s sign (where patients use their own hands to push off [lecturio.com] In rare cases, temporary (transient) overgrowth of the calf muscle, painful swelling of the calf, and early development of contractures may occur. [rarediseases.org] Gradually, patients are unable to stand on toes and calf muscles are wasted [Figure 1] a. [annalsofian.org]