Exertional Lateral Leg Burning - Page #1

Author: Jacqueline Yurgil, DO
Co Author #1: Cole Taylor, MD
Senior Editor: Marc Hilgers, MD, PhD, FAMSSM

Patient Presentation:
48yo active duty, Navy helicopter pilot presents with a 7-year history of right posterolateral calf pain.

He denies any history of injury or inciting event. The sharp, burning pain develops 5-7 minutes after he starts running, reaches a 9/10 level and stops him from running, gradually diminishing over 2-3 days. He has tried stretching, changed running shoes.
He reports no symptoms if he is not running, and no other exercises seem to aggravate it.

Physical Exam:
On inspection of his right lower leg there was no edema, ecchymosis, or gross deformity. He had a non-antalgic gait, normal arches in bilateral feet. On palpation, he had no tenderness of boney landmarks, ligaments, or tendons. He had no tenderness to palpation of the lower leg musculature, no identifiable tender/trigger points or fascial defects. He had full range of motion and strength at the knee and ankle. His sensation was intact with 2+ pulses in the dorsalis pedis and posterior tibial arteries bilaterally. The patient had no laxity with anterior drawer and talar tilt. He did have mild discomfort and reproduction of his symptoms with Tinel test at the fibular head

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