[24F] Experiencing persistent leg pain and difficulty walking

Patient Description

A 24-year-old female reports persistent leg pain and difficulty walking that has been worsening over the past year. The pain is described as heavy and dull, primarily affecting the front and sides of the quads, and is exacerbated by physical activities such as running, walking, and climbing stairs. The severity of the pain can reach 7.5/10 at its worst. Rest provides temporary relief, but the pain quickly returns upon resuming activity. The patient also experiences sharp hip pain on the right side, which began 4 months ago. The patient has a history of being born prematurely and has been diagnosed with COVID-induced asthma, for which she takes albuterol and Advair HFA. Other medications include Effexor, ondansetron, ergocalciferol, and ibuprofen. Blood work and urine tests have returned normal, and there is no known family history of muscular or vascular diseases. There are no allergies or adverse reactions to medications reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Chronic Exertional Compartment Syndrome (CECS): This condition is characterized by exercise-induced pain that is relieved by rest. It is common in runners and is caused by pressure buildup in the muscles, which can affect blood flow. The pain is typically felt in the affected muscle compartment, such as the front of the leg.

    • Diagnosis usually involves a compartment pressure test, and treatment often involves physiotherapy or surgery.
  • Peripheral Artery Disease (PAD): This is a circulatory condition in which narrowed blood vessels reduce blood flow to the limbs. While it typically causes pain in the calf muscles, it can also affect the thighs and hips. Pain usually increases with physical activity and decreases with rest.

    • Diagnosis typically involves a physical exam, ankle-brachial index, ultrasound, or angiography. Treatment often involves lifestyle changes, medications, and sometimes surgery.
  • Hip Bursitis: This is inflammation of the bursa in the hip, which can cause sharp pain in one spot. The pain can extend to the thigh area.

    • Diagnosis typically involves a physical exam and imaging tests. Treatment often involves rest, physical therapy, medications, and sometimes surgery.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Rest and elevate your legs when possible.
  2. Apply a warm or cold compress to the painful areas.
  3. Continue taking over-the-counter pain relievers as needed, but be careful not to exceed the recommended dosage.
  4. Try gentle stretching and strengthening exercises, but avoid activities that worsen your pain.

What you should look out for

Reasons to seek urgent medical attention:

  • If your pain becomes severe or unbearable
  • If you notice a drastic change in the color or temperature of your legs
  • If you develop new or worsening symptoms

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What is Chronic Exertional Compartment Syndrome (CECS) and how is it diagnosed?

Chronic Exertional Compartment Syndrome (CECS) is a condition where pressure builds up in the muscles during exercise, leading to pain and swelling. It is diagnosed through a compartment pressure test, which measures the pressure in the muscle compartments before and after exercise.


What are the symptoms and treatment options for Peripheral Artery Disease (PAD)?

Peripheral Artery Disease (PAD) is characterized by narrowed blood vessels that reduce blood flow to the limbs, causing pain during physical activity. Symptoms include leg pain, especially in the calves, that eases with rest. Treatment includes lifestyle changes, medications, and sometimes surgery.


How can hip bursitis be identified and managed?

Hip bursitis is identified by sharp pain in the hip area, often extending to the thigh. It is diagnosed through a physical exam and imaging tests. Management includes rest, physical therapy, medications, and occasionally surgery.


What are some general strategies to manage leg pain that worsens with activity?

To manage leg pain that worsens with activity, rest and elevate the legs, apply warm or cold compresses, take over-the-counter pain relievers, and perform gentle stretching and strengthening exercises while avoiding activities that exacerbate the pain.


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