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Conditions and Diseases > Pain Management Forum > What can cause recurring leg pain?
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Q: What can cause recurring leg pain?
asked by: jineedhelp on June 21st, 2009
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Hi, I have a really weird problem. I have pain in my legs, it never goes into my feet or above my thigh but it can be either in the leg area or the thigh area or both and it can be either leg or both. It comes and goes at random times and lengths as well as strengths with no discernible pattern. My doctor is unsure what it is, but has refused to prescribe me pain killers (over the counter ones like tylenol, aspirin, and excederin haven't been effective at all) and is referring me to a physical therapist. The pain can be anything from ignorable, to strong enough to wake me up at night. It doesn't matter if I'm sitting down, have my legs laid flat or not, or if I'm walking--the symptoms are not modified and this makes me wonder if a physical therapist can really help with this. Is my doctor directing me correctly, or should I consult a pain specialist or something?
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Dr. Bruce Harrow , MD
replied on July 9th, 2009
Response or lack thereof to physical therapy can help in diagnosing pain syndromes, so I'd see the PT. Your symptoms are indeed a bit unusual, the absence of position or exertional components suggest neuropathy. Useful tests to consider, beyond the basic chemistry and blood count, are CRP and 25OH-vitamin D levels. CT or MRI of your lumbar spine would identify spinal stenosis and nerve conduction velocity and EMG would help rule out (hopefully of course) neurodegenerative diseases.




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