Leg Pain In A Recreational Athlete

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Leg Pain In A Recreational Athlete - Page #4

Working Diagnosis: May-Thurner Syndrome with chronic exertional compartment syndrome Treatment: The patient underwent placement of a left iliac vein stent by endovascular approach. After stent placement, the patient noted some improvements. The temperature in her leg normalized, the loss of sensation had improved, and the venous return had improved. However, she still experienced lower leg pain and intermittent foot drop with running after stent was placed so underwent anterior and lateral compartment releases of the left leg. Outcome: She is now doing better, gradually returning to running, approximately one year after the iliac stent was placed and five months after the compartment releases. Author's Comments: May-Thurner Syndrome is a rare and variable condition that can affect both athletes and non-athletes. It is described as left common iliac vein compression against the lumbar spine by the right common iliac artery Case Photo #4 . Although the incidence is not known, it is felt to be 2-5% of patients with painful leg disorders. It is important to keep on the differential, particularly when a patient has a DVT as it is present in 20-50% of those with a left lower extremity DVT. Endovascular stent placement is the preferred treatment. May-Thurner Syndrome can add complexity to the diagnosis of painful lower leg disorders but when diagnosed and treated, it can eliminate symptoms and improve quality of life. Return To The Case Studies List.		Back
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