So, I've got mysterious persistent exercise-triggered leg pain, mostly in the left leg. It developed subsequent to the very successful knee clean-up surgery in the right leg. Primary care/sports medicine doc says either a back problem or a vascular problem. Both seem quite unlikely to me based on symptoms, especially the vascular, but I get the specialist appointments as directed.
I know I have a bit of disc degeneration in the L-spine, so maybe that is the cause. If it is a ... back problem, it is very different from the sciatica I used to get on the other leg due to disc degeneration--the sciatica was secondary to inflammation, and was responsive to ice, ibuprofen and especially epidural steroid injection. This problem seems to be beyond the reach of ice and ibu, although I will take this lull between docs to ice really aggressively to see what happens. The symptoms are really different too.
Based on x-ray and exam, back doc says the cause is probably not the back, it must be vascular. Based on ultrasound and ankle-brachial index , vascular doc says I have excellent leg arterial function and based on exam good venous function, must be a back problem! Back MRI next week, I expect it to be equivocal.
My initial guess is some form of chronic tendonosis, caused by gait abnormalities triggered by the knee surgery on the other leg. I did not take the PT I should have taken after the knee surgery, likely a mistake. But it is not clear what kind of doc I need to evaluate this, seems to fall into a blank spot in the physician spectrum. What I think I need is some form of high level physical therapist, but I have to run the gauntlet of specialists to get to that end. prom selections in black
I just found this great leg pain differential diagnosis review article, and am making my way through it now.See More