[40M] With extreme shin pain and redness

Patient Description

A 40-year-old male presents with extreme pain in the shin that is warm to the touch, which began suddenly upon waking a day or two ago. The pain is alleviated by elevating the leg. There is redness but no swelling noted. The patient denies recent injuries or infections in the area and has no personal or family history of blood clots or clotting disorders. The patient uses tobacco, alcohol, and recreational drugs daily. Past medical history includes a broken leg and sacrum approximately four years ago. The patient is not currently taking any medications and has no known allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possibilities to consider:

  1. Cellulitis: This is a bacterial skin infection that can cause redness, warmth, and pain in the affected area. It often requires antibiotics for treatment. If left untreated, it can spread and lead to more serious complications.

  2. Deep Vein Thrombosis (DVT): This is a blood clot that forms in a deep vein, usually in the leg. Symptoms can include pain, warmth, and redness. DVT is a serious condition that requires immediate medical attention, as the clot can travel to the lungs and cause a pulmonary embolism.

  3. Compartment Syndrome: This occurs when there is increased pressure within the muscles, leading to decreased blood flow and potential muscle and nerve damage. It can cause severe pain, warmth, and difficulty moving the affected limb. This is a medical emergency and requires prompt treatment.

Given the severity of your symptoms, it is crucial to seek medical attention immediately to determine the exact cause and receive appropriate treatment.

What you can do

  • Seek Immediate Medical Attention: Given the potential seriousness of your symptoms, it is important to visit an emergency room or urgent care center as soon as possible. If you are unable to get there on your own, consider calling 911 or asking someone to drive you.

  • Avoid Putting Weight on the Affected Leg: Until you receive medical evaluation, try to avoid putting weight on your leg to prevent further injury or complications.

  • Monitor for Additional Symptoms: Keep an eye out for any new symptoms, such as increased redness, swelling, fever, or chills, and report these to a healthcare professional.

Remember, while I can provide information based on your symptoms, only a healthcare professional can provide a formal diagnosis and appropriate treatment. Please prioritize getting medical care as soon as possible.

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1 mo ago

People Also Ask


What are the common symptoms of cellulitis and how is it treated?

Common symptoms of cellulitis include redness, warmth, swelling, and pain in the affected area. It may also be accompanied by fever and chills. Treatment typically involves antibiotics to fight the bacterial infection, and it's important to seek medical attention to prevent complications.


How can I differentiate between a muscle strain and a deep vein thrombosis (DVT)?

A muscle strain usually involves localized pain and tenderness, often following physical activity or injury, and may improve with rest and ice. DVT, on the other hand, can cause pain, warmth, and redness in the leg, and is often more serious as it can lead to a pulmonary embolism. Medical evaluation is necessary to differentiate between the two.


What is compartment syndrome and why is it considered a medical emergency?

Compartment syndrome occurs when there is increased pressure within a muscle compartment, leading to decreased blood flow and potential damage to muscles and nerves. It is considered a medical emergency because it can cause permanent damage if not treated promptly, often requiring surgical intervention to relieve the pressure.


What lifestyle changes can reduce the risk of developing blood clots?

To reduce the risk of developing blood clots, consider lifestyle changes such as quitting smoking, reducing alcohol consumption, maintaining a healthy weight, staying active, and avoiding prolonged periods of immobility. It's also important to manage any underlying health conditions and follow medical advice.


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