[68F] Experiencing sharp leg pain when walking

Patient Description

A 68-year-old female reports a sharp pain located below the knee to the side of the leg, which occurs during walking and subsides at rest. The pain is described as deep rather than superficial and has been present for 3 days. There is no tenderness to touch, swelling, color change, numbness, tingling, weakness, sudden swelling, redness, warmth, shortness of breath, or chest pain associated with the leg pain. The patient's medication regimen includes Venlafaxine (both 150mg and 75mg), Atenolol (25mg), Astorvastatin (10mg), and Levothyroxine (125mcg). There are no known allergies to medications, no pre-existing conditions, or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the sharp pain in your leg that worsens with walking could be due to a few possible conditions:

  • Peripheral Artery Disease (PAD): This condition is caused by a buildup of plaque in the arteries that supply blood to your legs. It can cause pain when walking, known as claudication. Your age and the use of atorvastatin (a medication typically used to manage high cholesterol) could suggest this as a possibility.

    • Diagnosis typically involves a physical exam, an ankle-brachial index (ABI) test, ultrasound, angiography, or blood tests.
    • Treatment usually involves lifestyle changes, medications, and in some cases, surgery.
  • Sciatica: This is caused by irritation of the sciatic nerve, which runs from your lower back down to your feet. It can cause sharp pain that is often worse when walking or standing.

    • Diagnosis usually involves a physical exam and sometimes imaging tests like an MRI or CT scan.
    • Treatment typically involves physical therapy, medications for pain relief, and in some cases, surgery.
  • Stress Fracture: This is a small crack in a bone that occurs over time due to repetitive force, often from overuse — such as repeatedly jumping up and down or running long distances. Stress fractures are most common in weight-bearing bones of the lower leg and foot.

    • Diagnosis usually involves a physical exam and imaging tests like an X-ray, MRI, or bone scan.
    • Treatment typically involves rest, ice, and in some cases, surgery.

What you can do

Given your symptoms, it's important to seek medical attention. Here are some steps you can take:

  1. Schedule an appointment with your primary care doctor. They can perform a physical examination and possibly order further tests to determine the cause of your leg pain.
  2. In the meantime, try to rest your leg as much as possible. Avoid activities that cause pain.
  3. Over-the-counter pain relievers, such as the ibuprofen you're already taking, may help alleviate the pain. However, it's important not to exceed the recommended dosage.
  4. If the pain is severe or gets worse, seek immediate medical attention.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • The pain becomes severe or unbearable
  • You develop swelling, redness, or warmth in the affected leg
  • You have difficulty walking or standing
  • You experience any sudden or severe shortness of breath or chest pain

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can provide advice based on a thorough examination.

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1 yr ago

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People Also Ask


What is Peripheral Artery Disease (PAD) and how is it diagnosed?

Peripheral Artery Disease (PAD) is a condition where plaque builds up in the arteries that supply blood to the legs, causing pain during activities like walking. It is diagnosed through a physical exam, an ankle-brachial index (ABI) test, ultrasound, angiography, or blood tests.


What are the common symptoms and treatments for sciatica?

Sciatica is characterized by sharp pain that radiates along the sciatic nerve, which runs from the lower back down to the legs. It is often worse when walking or standing. Treatment includes physical therapy, pain relief medications, and sometimes surgery.


How can a stress fracture in the leg be identified and treated?

A stress fracture is a small crack in a bone caused by repetitive force or overuse. It is diagnosed through a physical exam and imaging tests like an X-ray, MRI, or bone scan. Treatment involves rest, ice, and sometimes surgery.


When should I seek immediate medical attention for leg pain?

Immediate medical attention for leg pain is necessary if the pain becomes severe or unbearable, if there is swelling, redness, or warmth in the leg, difficulty walking or standing, or if there is sudden or severe shortness of breath or chest pain.


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