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. 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. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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