Your health care provider will obtain your medical history and will perform a physical examination.
Medical history questions documenting leg pain may include the following:
- Location
- Is the pain in the back of the thigh, calf, or foot (posterior)?
- Is the pain on only one side (unilateral)?
- Does the pain seem to be associated with a vein near the surface of the body (superficial vein)?
- Is the pain in the tendon at the back of the heel (Achilles tendon)?
- Does the pain go into the top of the foot?
- Is the pain in the inner side of the thigh (medial thigh)?
- Do you have pain in your shin(s)?
- Quality
- Is it severe?
- Is it dull and aching or sharp and stabbing?
- Is it a cramping pain?
- Time pattern
- Is it worse in the morning or at night?
- Is it the same all the time?
- Aggravating factors
- Is the pain worse after you exercise?
- Is the pain worse after you have been standing?
- Relieving factors
- Is the pain better after you elevate the legs?
- Is the pain better when you keep the feet down?
- Other symptoms
Note:
- If the pain is relieved by elevating the legs, the problem may be phlebitis.
- Leg pain caused by arterial problems tends to improve with the help of gravity when the feet are hanging down.
- If the pain is accompanied by numbness and tingling, and it radiates from the hip or buttocks region down the leg, the problem might relate to the back.
The physical examination will include a detailed examination of the hip, leg, and feet, including the joints.
Diagnostic tests that may be performed include:
Treatment depends on the cause. Medications may include pain medicines, anti-inflammatory drugs (NSAIDs), anticoagulants (blood thinners) such as Coumadin, and others. For some causes, insertion of a balloon catheter into the artery may be advised.
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