An Atypical Case Of Exertional Leg Pain

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An Atypical Case Of Exertional Leg Pain - Page #1

Author: Jeremy Riehm, DO Co Author #1: B. Kent Diduch, MD FAAFP Patient Presentation: An 18-year-old freshman swimmer presented to the athletic training room with a complaint of bilateral calf pain. History: Prior history of bilateral exertional compartment syndrome and popliteal artery entrapment syndrome with surgery approximately 1 year prior. <br>Pain described as a “brain freeze” and endorsed an achy, burning sensation in her calves during swimming. <br>No weakness or loss of function. <br>After a period of conservative treatment and activity modification, her pain continued. Physical Exam: Gait was without antalgia <br>Mild genu recurvatum was noted <a href="CaseStudyImages/CS1AnAtypicalCaseofE-348.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> , <a href="CaseStudyImages/CS2CS1AnAtypicalCase-348.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <br>Well healed surgical scars were present without evidence of herniation <br>Calves were soft and non-tender <br>No swelling or erythema was noted <br>Normal ankle range of motion <br>Neurovascularly intact and there was a negative straight leg raise. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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