Right Leg Pain Up The Calf And Into The Groin Area Could This Be Pad Or Rls


Asked by Bambi Johnson

Right Leg Pain Up The Calf And Into The Groin Area Could This Be Pad Or Rls


Bambi Johnson,

Thanks for your question.

PAD stands for peripheral arterial disease which is usually caused by blockages in the arteries that feed the muscles in the legs. Patients with PAD become symptomatic when they are using these muscles and the need for blood and oxygen is higher. Because of the blockages, this need cannot be fulfilled and this results in pain. Should pain occur at rest, this indicates very severe disease. Diagnosing this problem requires a clinical examination by your doctor, followed by arterial Doppler ultrasounds.

RLS stands for Restless Legs Syndrome which is a neurological disorder that is characterized by unpleasant sensations in the legs with an uncontrollable urge to move them to relieve this discomfort. These symptoms usually occur at rest when a patient is trying to go to sleep. Both legs are usually involved. This is a clinical diagnosis and testing for muscle, nerve and vascular problems are usually negative. Fortunately, there are medications to help relieve this situation.

Another problem that could cause your symptoms is deep vein thrombosis, which are clots that have formed within the deep veins of the leg. It is usually one sided, but can occur in both legs at the same time. Symptoms can be completely absent, or patients may experience discomfort anywhere from the calf to the groin. There may be swelling, redness, extra warmth, or tenderness in the leg muscles. Again a good examination by your doctor is required in establishing this diagnosis, and if a possibility exists, then venous ultrasounds will help prove or disprove this diagnosis.

In addition to the above three major problems, there are several minor situations that can cause your symptoms, such as: muscular or ligamentous strain/injury; soft tissue injuries/bruising; and even problems in the knee or hip joint.

I suggest you make an appointment with your physician as soon as possible to be evaluation for all of the above.

I hope this has been helpful. Best wishes and feel better.

Martin Cane, M.D.