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Compliments of American Academy Of  Family Physicians

Leg Problems

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Follow this flow chart to find information about pain, swelling or lumps in the front or back of your lower leg.


 

SYMPTOMS   DIAGNOSIS   SELF-CARE
Begin here        
1. Did you begin to have pain after a fall, a twisting injury or after the leg was hit? No --> Go to Question 6.*    
Yes, go down        
2. Is there a deformity of your leg, or are you unable to stand on the leg? Yes --> You may have a FRACTURE of one or both bones in the lower leg. --> EMERGENCY
See your doctor or be seen in an emergency room right away.
No, go down        
3. Did you feel leg pain after a twisting injury to the leg or did you hear a popping noise? Yes --> It's possible to BREAK a bone of the lower leg, the fibula or tibia, and still be able to stand on it. Some people also hear a pop when they SPRAIN their ankle. --> URGENT
See your doctor or be seen in an emergency room.
No, go down        
4. Is the pain primarily in the calf muscle? No --> Go to Question 6.*    
Yes, go down        
5. Is there a visible bruise or swelling of the calf? Yes --> A partial or complete TEAR of the Achilles tendon will cause pain and difficulty pointing the foot down. A TORN CALF MUSCLE might produce some bruises. --> URGENT
Use heat and an anti-inflammatory medicine.
See your doctor.
No --> A MUSCLE PULL or STRAIN will cause pain in the calf muscle without any bruises or swelling. --> Swelling in the calf should always be checked. Use heat and an anti-inflammatory medicine for comfort. Rest is important until it's comfortable to walk on the leg.

*6. Do you have pain over the front of the leg because of running or jumping activities? Yes --> You most likely have SHIN SPLINTS (inflammation of the lower leg ligaments). --> Use an anti-inflammatory medicine, rest, and apply ice and/or heat to the area. If you have numbness or weakness in the foot, see your doctor promptly.
No, go down        
7. Do you have numbness or weakness in the lower leg and foot due to running or jumping activities? Yes --> Your symptoms may be from INCREASED PRESSURE in the areas of the muscles from exercise. --> See your doctor. If your muscles are sore, gradually increase your exercise routine to prevent this condition.
No, go down        
8. Do you have pain in the back of the calf along with swelling of the calf and leg? Yes --> Your pain and swelling may be from a clot in the deep veins, DEEP VENOUS THROMBOSIS, or a ruptured BAKER'S CYST. --> URGENT
See your doctor or be seen in an emergency room right away.
No, go down        
9. Do you have tender, soft knots or winding veins in the calf or leg that are worse after standing for long hours? Yes --> These are likely to be VARICOSE VEINS, weak-walled veins that balloon out with the pressure of standing. Varicose veins may be an inherited trait in your family. --> Wear support stockings or hose. Alternate periods of standing with sitting. See your doctor if the varicose veins are very prominent, or if they become painful and red at any time.
No, go down        
10. Do you have a fever, a red tender area or a red streak up your leg? Yes --> These are all signs of infection: CELLULITIS (infection of the skin), LYMPHANGITIS (infection of the lymph channels) or OSTEOMYELITIS (infection of the bone). --> Small infections can be stopped with heat and an antibiotic ointment. Call your doctor if you get a fever or if the red areas are not responding to heat.
No, go down        
11. Do your calves ache after walking, and is the pain relieved with rest? Yes --> Your muscles may not be getting enough blood because of hardening of the arteries. --> See your doctor.
No, go down        
12. Do you have marked swelling of your feet and lower legs? Yes --> You may have EDEMA from heart failure, kidney disease or blockage of blood returning to the body. --> See your doctor.
No, go down        
For more information, please consult your doctor. If you think the problem is serious, call right away.        

This tool has been reviewed by doctors and is for general educational purposes only. It is not a substitute for medical advice. The information in this tool should not be relied upon to make decisions about your health. Always consult your family doctor with questions about your individual condition(s) and/or circumstances. Source: American Academy of Family Physicians. Family Health & Medical Guide. Dallas: Word Publishing; 1996.

Copyright © 2006 American Academy of Family Physicians
 


 
 
 

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