Lower Extremity Pain: Causes & Reasons

Possible Causes for Lower Extremity Pain

Chronic ischemic pain due to lower extremity arteriosclerosis obliterans often responds poorly to analgesics, and the pain-generating mechanisms are not well understood. [ncbi.nlm.nih.gov]

18 Jun 2013 Scenario: Patient admitted for evaluation of bilateral lower extremity leg pain. Admitting diagnosis is diabetic peripheral vascular disease. [codebusters.com]

To document a more complicated case of PVD, one could document: Patient has atherosclerosis of native artery of right lower extremity with rest pain. [capstoneperformancesystems.com]

Phlegmasia Cerulea Dolens

[…] severe lower extremity pain with edema and cyanosis. [ncbi.nlm.nih.gov]

Subsequently, her left lower extremity pain subsided, and she was discharged home. [amjmed.com]

Subsequently, her left lower extremity pain subsided and she was discharged home. [docksci.com]

Cauda Equina Syndrome

This syndrome presents as low back pain, motor and sensory deficits in the lower extremities, and bladder as well as bowel dysfunction. [ncbi.nlm.nih.gov]

The syndrome is characterized by varying patterns of low back pain, sciatica, lower extremity sensorimotor loss, and bowel and bladder dysfunction. [ncbi.nlm.nih.gov]

The weakness can affect lower extremities. Pain in the back and/or legs (also known as sciatica). Sexual dysfunction. [aans.org]

Popliteal Artery Entrapment Syndrome

Popliteal artery entrapment syndrome (PAES) is a rare condition that should be suspected in a young patient with exertional lower extremity pain. [ncbi.nlm.nih.gov]

A 32-year-old health worker (medical doctor) applied to our clinic with a complaint of lower extremity pain, paleness, and coldness, post-exercise. [ncbi.nlm.nih.gov]

The etiology of lower extremity pain in the younger population (under 40) at rest or with exercise is overwhelmingly a result of musclo sketal disorders. [miamivascular.com]

Lumbar Disk Herniation

OBJECTIVES: To determine recurrence rates of lower-extremity radicular pain after nonsurgical treatment of acute symptomatic lumbar disk herniation (LDH), and to identify [ncbi.nlm.nih.gov]

Review Ohnmeiss DD, Vanharanta H, Ekholm J:Degree of disc disruption and lower extremity pain. [hss.edu]

The pain gradually spread over the right lower extremity and the indistinct lumbago changed to localized back pain at the L4/5 vertebral level. [ncbi.nlm.nih.gov]

Lumbar Radiculopathy

Maureen Leahy Pain that radiates from the back into the lower extremity is often caused by a herniated disk or spinal stenosis. [aaos.org]

In rare cases, they can cause neural impingement leading to lower extremity pain, which can be mistaken for lumbar radiculopathy. [ncbi.nlm.nih.gov]

Orthopaedic surgeons frequently treat patients who report pain that radiates from the back into the lower extremity. [ncbi.nlm.nih.gov]

Spinal Epidural Hematoma

We report a case of spontaneous spinal epidural hematoma in a 12-year-old female, who presented with significant upper and lower extremities weakness preceded by pain around [ncbi.nlm.nih.gov]

We were presented with a 31-year-old patient who developed back pain with lower extremity paralysis at 36 weeks of gestation. [ncbi.nlm.nih.gov]

All 4 patients presented with gradually worsening radicular pain in the lower extremities. Patients' mean age was 69.5 years (range, 55-85 years). [ncbi.nlm.nih.gov]

Anterior Spinal Artery Syndrome

The patient started complaining of spasmodic lower extremity pain and general weakness. She was unable to flex her knees upon request. [anesthesiology.pubs.asahq.org]

Ten days prior to her death, a 52-year-old hypertensive female developed severe chest pain and lower extremity weakness. [ncbi.nlm.nih.gov]

Postoperative neurologic examination disclosed flaccid paralysis of the lower extremities and sphincter incontinence. [ncbi.nlm.nih.gov]

Diabetic Polyneuropathy

OBJECTIVE: To investigate the effect of decompression of nerves in the lower extremity in patients with painful diabetic polyneuropathy on static balance using a sensitive [ncbi.nlm.nih.gov]

PURPOSE: To investigate the influence of nerve decompression at potential entrapment sites in the lower extremity in painful diabetic polyneuropathy on nerve conduction study [ncbi.nlm.nih.gov]

AIMS: The aim of this study was to assess whether surgical decompression of nerves in the lower extremity in people with painful diabetic polyneuropathy would have an effect [ncbi.nlm.nih.gov]

Erythromelalgia

Abstract OBJECTIVE: Erythromelalgia is a rare disorder associated with neuropathic pain that commonly affects the lower extremities. [ncbi.nlm.nih.gov]

When the extremity is lowered, or heat is applied, the pain is intensified. [ncbi.nlm.nih.gov]

[…] in which blood vessels, usually in the lower extremities or hands, are episodically blocked (frequently on and off daily), then become hyperemic and inflamed. [dbpedia.org]

Leriche Syndrome

A 63-year-old female presented with proximal bilateral lower extremity pain that occurred after walking and was resolved by resting in the standing position. [revespcardiol.org]

extremity pain that occurred after walking and was resolved by resting in the standing position. [revespcardiol.org]

Patients typically present with chronic complaints such as lower extremity pallor and pain; however, rare but life-threatening events such as acute limb ischemia may also [unboundmedicine.com]

Reflex Sympathetic Dystrophy

This disorder should be considered in any painful pelvic girdle syndrome or lower extremity pain. The hip is involved in 88% of cases. [ncbi.nlm.nih.gov]

Reflex sympathetic dystrophy is characterized by constant burning pain and hyperesthesia in an extremity. Lower extremities are usually affected. [ncbi.nlm.nih.gov]

Complex regional pain syndrome is a condition that usually affects the upper or lower extremities. The cause is not clearly understood. [ncbi.nlm.nih.gov]

Peripheral Vascular Disease

Over the next 36 hours, the patient developed severe bilateral lower extremity pain followed by extensive livedo reticularis over lower extremities, elevated creatine kinase [ncbi.nlm.nih.gov]

Lower extremity anatomy with PAD These symptoms may include: Pain or tiredness in the lower extremities Buttock pain Burning or tingling in the feet Sores or breaks in the [medtronic.com]

Quick facts about PAD The most common symptoms of PAD involving the lower extremities are cramping, pain or tiredness in the leg or hip muscles while walking or climbing stairs [heart.org]

Varicose Veins

We present a case of a 67-year-old man with episodes of extreme pain of the right lower extremity that prevented him from walking and sleeping. [ncbi.nlm.nih.gov]

Clinical presentation includes lower extremity pain, fatigue, itching and/or heaviness, which often worsen with prolonged standing, associated with dilated tortuous veins. [bestpractice.bmj.com]

RESULTS: Leg pain was the most common symptom in our study population. Ecchymosis was observed in 24 patients (5%). [ncbi.nlm.nih.gov]

Deep Vein Thrombosis

Classic symptoms of a DVT are a painful calf and swollen lower extremity. [veinatlanta.com]

[…] complex regional pain syndrome (CRPS) at the same side lower extremity, and heterotopic ossification (HO) at the hip. [ncbi.nlm.nih.gov]

Clinical Manifestations Patients with acute DVT commonly present with lower extremity pain and swelling. [acc.org]

Superficial Phlebitis

Superficial phlebitis is when a superficial vein of the upper or lower extremity demonstrates pain, tenderness, induration, or erythema. [journals.lww.com]

Results The most common clinical presentation was with painful nodules mimicking erythema nodosum on the lower extremities. Other sites were on the abdomen and trunk. [actasdermo.org]

Spinal Cord Metastasis

pain and temperature sensation in his right lower extremity. [ncbi.nlm.nih.gov]

Case report This 59-year-old woman presented with a 2-month history of low back pain and right lower extremity pain. [nature.com]

This report describes a 59-year-old male with a history of head and neck SNUC who presented with thoracic back pain and bilateral lower extremity paresis. [karger.com]

Peripheral Neuropathy

The patient is a 20-year-old male, with well-controlled type 1 diabetes mellitus, presenting with a short duration of bilateral lower extremity pain following a 10-day course [ncbi.nlm.nih.gov]

This small multicenter retrospective case series provides preliminary evidence that the painful symptoms of general peripheral neuropathy in the lower extremities, as well [ncbi.nlm.nih.gov]

We report a unique case of EIB in a 57-year-old Hispanic woman who presented with recurrent painful plaques and nodules on the lower extremities, specifically on the pretibial [ncbi.nlm.nih.gov]

Myelopathy

The number-one tipoff to my sensibilities is when a client presents with a history of same-sided somatic complaints of the neck, and upper- and lower-extremity pain or dysfunction [massagetoday.com]

Myelopathy at the lower portion of the spine can cause pain, weakness, numbness or tingling, and cramping in your lower extremities. [texasback.com]

He had low back and leg pain and morning stiffness for 5 yrs. [ncbi.nlm.nih.gov]

Compartment Syndrome

This is a case of 42year old female with history of hypothyroidism who presented to emergency room with acute onset of severe pain and swelling in right lower extremity. [ncbi.nlm.nih.gov]

A 50-year-old homeless African-American man presented complaining of severe pain in his right lower extremity. [ncbi.nlm.nih.gov]

While evaluating him per your institution's trauma guidelines, you discover pain upon palpation of his right lower extremity which is much larger than his left counterpart [medbullets.com]

Spinal Stenosis

OBJECTIVES: To assess the cost utility of lumbar interlaminar epidural injections in managing chronic low back and/or lower extremity pain secondary to lumbar disc herniation [ncbi.nlm.nih.gov]

It causes positional back pain, symptoms of nerve root compression, and lower-extremity pain during walking or weight bearing. [merckmanuals.com]

It causes positional back pain, symptoms of nerve root compression in the foramina, and lower-extremity pain during walking or weight bearing. [msdmanuals.com]

Spinal Epidural Abscess

In spite of appropriate coverage of his bacteremia, the patient’s back and bilateral lower extremity pain intensified, and he eventually developed urinary retention for which [jss.amegroups.com]

A 44-year-old woman with a history of spine injection procedures complained of severe backache and progressive radiating pain in her right lower extremity followed by sensory [ncbi.nlm.nih.gov]

[…] and lower extremity weakness and paresthesias. [omicsonline.org]

Reiter Syndrome

The arthritis was oligoarticular and asymmetric with lower extremity involvement predominating. [annals.org]

Musculoskeletal symptoms are mainly muscle pains (myalgias), asymmetric joint stiffness in the lower extremities, or low back pain. [en.wikibooks.org]

The lower extremities are most often affected. Pain in the heel is common. Small joints in the hands and feet may also be involved. [ahni.com]

Supination Injury

Travell & Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual. The Lower Extremities. Baltimore, MD: Williams & Wilkins, 1993. Print. [muscle-joint-pain.com]

QUICK SUMMARY --- According to scientific research, both custom made orthotics and over-the-counter orthotics are effective in treating lower-extremity injuries and pain. [treadlabs.com]

The current literature on lower extremity opioid usage has limitations and would benefit from additional study. [player.fm]

Morton Neuroma

My staff and I at the Nebraska Hand & Shoulder Institute, P.C. believe that prevention and elimination of painful or debilitating conditions of the upper and lower extremities [carpaltunnelrelief.net]

The Examination of the Lower Extremities This test is performed if the patient complains about ‘shooting’ pains in the toes. [simbrazil.mediviewprojects.org]

[…] debilitating conditions of the upper and lower extremities can consistently be achieved. [carpaltunnelrelief.net]

Femoral Neuropathy

The constellation of bilateral groin pain, loss of lower extremity mobility, and decreased hematocrit raised the suspicion of massive blood loss into the cavity/compartment [ncbi.nlm.nih.gov]

Peripheral nerve stimulation has been used to treat different pain syndromes in the upper and lower extremities with variable success and it typically requires direct vision [ncbi.nlm.nih.gov]

[…] leg and foot) numbness and tingling over any part of the leg dull aching pain in the genital region lower extremity weakness difficulty extending the knee feeling like your [msn.com]

Osteoarthritis

This article reviews pain management methods to determine which method is most efficacious in reducing postoperative pain in patients undergoing elective lower extremity arthroplasty [practicalpainmanagement.com]

Extremity Function Scale [LEFS] and Health Survey [VR-12] outcomes); 3) pain using Visual Analog Scale [VAS-10]; 4) patient metrics (patient treatment preference, perceptions [ncbi.nlm.nih.gov]

Lorenz and Soren Raaf, Does dance-based therapy increase gait speed in older adults with chronic lower extremity pain: A feasibility study, Geriatric Nursing, 35, 5, (339) [doi.org]

Diabetic Peripheral Neuropathy

Individuals who develop DPN often experience severe, uncontrolled pain in the lower extremities, insensate feet, and decreased proprioceptive skills. [mdedge.com]

[…] the feet Pain or discomfort in the lower extremities including: Prickly, sharp pain Burning feet Pinching Pins and needles Exaggerated sensitivity to touch Motor Neuropathy [vascular.surgery.ucsf.edu]

Patients with DPN often experience unmanageable pain in the lower extremities, loss of sensation in the feet, loss of balance, and an inability to perform daily functional [mdedge.com]

Leg Cellulitis

Photographs of the lower extremities of a 70-year-old male kidney transplant recipient who presented with bilateral lower extremity erythema, swelling, and pain. [academic.oup.com]

swelling, and warmth of the lower extremity but can occur on any area of skin or underlying subcutaneous tissue. [2] [4] Additional symptoms may include fever, nausea, vomiting [physio-pedia.com]

This discussion is related to Foot/Leg pain. [healthquestions.medhelp.org]

Hip Sprain

Some warning signs of a serious injury to the spine include: Loss of control of bladder or bowels Progressive lower extremity weakness Pain that wakes you from sleep Severe [verywell.com]

In such cases, medical diagnosis and treatment are extremely necessary. 6 Acupressure Points for Relieving Lower Back Pain Lower back pain is a common problem faced by almost [modernreflexology.com]

Pain on the outside of the hip and down the side of the leg. Pain in the back and pelvis which is often worse at night. Stiffness in the back and hip joint. [holladayphysicalmedicine.com]