Shin splints , stress fractures , and compartment syndrome are the three most common causes of lower leg or shin pain in athletes. Runners are especially prone to these types of overuse injuries. A correct diagnosis is needed to ensure proper treatment. But symptoms are often the same or similar making an accurate diagnosis difficult. In this article, the causes of shin pain, their diagnosis, and treatment are reviewed. The physician must rely on the history and physical exam. Was there an injury? What kind of specific trauma occurred? What are the symptoms? Where is the pain located? The exam includes evaluation of motion, gait (walking pattern), tenderness, flexibility, and strength. Some tests are as simple as squeezing the soft tissues or single-leg toes raises, which stress the muscles and tendons. X-rays may be needed to confirm stress reactions or fractures. But X-rays only show fractures half the time when they are really there. So when diagnosing stress fractures, a bone scan is ...
Restless leg syndrome (RLS) is a common and sometimes
devastating condition. I see it quite frequently
in many of my chronic pain patients. In
fact, it contributes to quite a bit of chronic pain, because of the difficulty
it causes in terms of getting a good night's rest, and because it in and of
itself can be rather painful. And there
are diseases associated with chronic pain which can result in so-called
Restless Leg Syndrome is a nighttime condition that has a huge impact on
daytime functioning for those afflicted.
The diagnosis of RLS is mostly arrived at through interviews
with the patient, and basically involves four important features:
is a compelling need to move, usually associated with unpleasant
sensations in the legs, which have been described variously as painful,
electric or "creepy-crawly."
sensations of RLS are worse or exclusively present at rest.
sensations are at least partial...
Life can be a pain in the groin. You hear about groin pain all the time if you watch enough football, baseball and basketball. But, you do not have to be an athlete to experience a pain in the area where the abdomen meets the legs. Actually, it is quite easy to understand why so many people experience groin pain at some point in life because so much is happening in that region of the body. Many different muscles attach in that area. The major bones of the spine, pelvis, and legs join in that area. And some very important internal organs lie nearby as well. With so much that can go wrong, it is no wonder why life can be a pain in the groin.
By far and away, the most common cause of groin pain is muscular. Did you ever wonder why a big 300 pound lineman could hit the ground and wince like a baby due to a groin injury? Hey, those muscles really can hurt. One muscle is the Iliopsoas which flexes the hip. Because of its deep position along the spine before it attaches in the groin, ...
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