An Atypical Case Of Exertional Leg Pain - Page #1

Author: Jeremy Riehm, DO
Co Author #1: B. Kent Diduch, MD FAAFP
Editor: Michael Henehan, DO

Patient Presentation:
An 18-year-old freshman swimmer presented to the athletic training room with a complaint of bilateral calf pain.

Prior history of bilateral exertional compartment syndrome and popliteal artery entrapment syndrome with surgery approximately 1 year prior.
Pain described as a “brain freeze” and endorsed an achy, burning sensation in her calves during swimming.
No weakness or loss of function.
After a period of conservative treatment and activity modification, her pain continued.

Physical Exam:
Gait was without antalgia
Mild genu recurvatum was noted Case Photo #1 , Case Photo #2
Well healed surgical scars were present without evidence of herniation
Calves were soft and non-tender
No swelling or erythema was noted
Normal ankle range of motion
Neurovascularly intact and there was a negative straight leg raise.

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