My son, age 37 developed aching pain and
weaknessWeakness throughout both legs (calf and thigh, front and back). The pain and
weaknessWeakness began in May of 1997 and appear to be getting worse. The symptoms are constant, varying from moderate to severe. Walking as far as one city block can bring severe aching pain that lasts for several days. He describes the pain as being similar to muscle fatigue after running a long distance.
He has been to many different doctors including two neurologists and has had extensive blood tests, a muscle biopsy, MRI and EMG. The blood tests are in the
normalNormal saline flush range except for an elevated billirubin count (this has also shown up in earlier blood test). His blood
pressurePressure ulcer is always low. All other tests failed to produce any diagnosis. He is currently taking
DilantinDilantin
Dilantin infatabs
Dilantin kapseals
Dilantin-125. It does not seem to he helping.
He does not smoke or drink alcohol (never has) and eats a very low fat diet. The only injury to the area that we can think of is that when pain began, he was riding a stationary bicycle several miles a day.
Can you suggest:
1. any course of action that we could take to diagnose and treat problem
2. any help in controlling the pain
Any information or suggestions that you have will be greatly appreciated.
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Dear Mellie,
I'm not sure of what is causing your son's problems. Has he had a
vascularArteriosclerosis of the extremities
Birthmarks - red
Dementia
Heart disease
Intravascular ultrasound
Mesenteric artery ischemia
Renovascular hypertension
Replantation of digits
Stroke
Tobacco and vascular disease
Vascular headaches evaluation? Poor blood flow to the legs can cause these symptoms. It is less common in a young person but is a possibility.
Information provided in the heart forum is for general purposes only. Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.