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Undiagnosed Symptoms (Expert Forum)
calf injury
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Undiagnosed Symptoms forum are answered by Dr. Kevin Pho. Topics covered include breathing difficulties, feeling cold, cough, diarrhea, dizziness, fainting, fever, indigestion, itching, nausea, numbness, pain (chronic), paralysis, rash, sweating, swelling, urination problems, and vomiting.
calf injury
by gules, Jul 18, 2007 12:00AM
I am a 51 year old man.Injured calf 1 1/2 years ago(tore it playing raquetball , than came back too soon and injured it again). Still not better. Have tremor when bend toes, Fasciculations all over(worse in injured calf), burning stiff muscles in both legs and arms. Have seen neurologist, 3 orthopedic doctors,rhuematologist, have had mri on lower back and leg(nothing signifigant on back and just inflamation on leg but healed calf, with a suggestion to have another ultrasound), emg(twice and both times normal), ultra sound. Have had physical therapy- only person to say she thinks it is a trapped nerve in scar tissue.At least she got rid of my limping around. I was told to just keep exercising and push through it. Not working! Muscle twitches and nervy feeling getting worse.If I flex calf muscle, it looks like a bunch of bees are moving around in my muscle. Even long walks cause fatigue and pain in leg.Yet, I pass all the strength tests and can do any rehab exercise they tell me to. Just can't believe my active life needs to be curtailed or I will be living with this condition forever. Any suggestions? Mri is over a year old. Would it be woth pushing for another? All doctors say not necessary.
Doctor's Answer
by Kevin Pho, MD, Jul 19, 2007 12:00AM
, Jul 19, 2007 12:00AM
You have seen multiple specialists and there has been a comprehensive evaluation. It will be unlikely that I can come up with something over the internet that has not been considered.
I agree with the ultrasound and physical therapy.
An repeat MRI may give better imaging clarity and can be considered. I would also consider nerve conduction tests and an EMG to determine the extent of the nerve damage.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
I agree with the ultrasound and physical therapy.
An repeat MRI may give better imaging clarity and can be considered. I would also consider nerve conduction tests and an EMG to determine the extent of the nerve damage.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
