Lower Extremity Pain: Causes & Reasons

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Possible Causes for Lower Extremity Pain

Lower Extremity Arteriosclerosis

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]

A 42-year-old-female patient complained at presentation of progressive bilateral lower extremity radiating pain, numbness, and urinary difficulty during the previous 2 months [ncbi.nlm.nih.gov]

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]

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]

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]

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]

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]

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]

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]

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]

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]

Osteoporosis

Common complaints announced by patients are severe pain in the lower back, hips and the joints of the lower extremities with a reduced and less mobility status in general. [ncbi.nlm.nih.gov]

We present the case of a middle-aged man with three episodes of regional migratory osteoporosis of the lower extremities occurring over a period of 8 years. [ncbi.nlm.nih.gov]

Some of the between‐trial differences for lower limb pain are likely due to different definitions of lower limb pain which included "lower extremity pain", "joint pain", " [doi.org]