Re: Acute leg pain

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Posted by CCF neurology MD on June 22, 1997 at 22:50:09:

In Reply to: Acute leg pain posted by Margreet Koch on June 15, 1997 at 07:10:49:

I have suffered from severe acute upper thigh pains since menopause (five years ago). Movement in certain directions restricted, particularly when bending knee and moving leg toward torso, eg when climbing stairs. Pressure on the area worsens the condition eg when sleeping on either side. Activities such as tennis, walking on flat surfaces unaffected. I am 56 years of age and have been very active all my life. My lifestyle is generally healthy (diet consists of plenty of fresh fruit, veg and whole wheat bread). I live in the country away from polution, and drink mostly rain water. Bone density tests have shown me to have above average bone mass. I do have scoliosis. A mylogram of the lower back region done by a neurologist was clear. HRT therapy was started five years ago, but the implant was removed because of adverse effects eg. tender breasts. Premarin was then prescribed but I stopped taking it because of the leg pains, which have not subsequently dissappeared. I have not had any other medication, HRT or otherwise for the last 4 years. I am a smoker and take occasional alcohol.

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Hello, Margreet,
There are many medical conditions that can potentially contribute to leg pain, both neurological and nonneurological. From our neurological perspective, this can be either nerve-origin or muscle-origin, so called neurogenic or myopathic, respectively. They represent a very broad spectrum of disorders. All of them may have various degree of leg pain. It is the accompanying symptoms such as muscle atrophy, fasciculations, and muscle weakness that help to tell them apart. Sometimes blood tests or even electromyogram is necessary. The best way to find out is to have a full neurological evaluation by a neurologist. There is a neuromuscular clinic specialising in peripheral neurological conditions in our department. If you are interested in coming for an appointment, please call (216)444-5559 or (800)223-2273 asking for neurology appointment desk.

This imformation is provided for general medical educational purpose only. Please consult your primary physician for diagnostic and treatment of your specific medical conditions.

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