What causes severe pain in lower leg?
Patient: About 5 years ago I had a drum full of steel crush my lower leg above my shin, It swelled up along with my foot and I was unable to walk for over 4 months, The doctors originally thought acute compartment syndrome but no compartments where the injury was originally. Time has passed and I get pains in the area A lot, especially if pressure is applied to the area, I have seen doctors who have taken X-Rays of the area and cant see anything. I had an MRI that didn’t show much of anything either. The doctor wasn’t sure what was causing the pain, saw a physical therapist and that didn’t help either.. any idea on what the issue could be or what I could do? Doctor: hi,thank you for providing the brief history of you.As you had injury in the past and could not walk for about say 4 months, one needs to understand the biomechanics of the spine and pelvic. As you were not able to walk there must have excessive usage of the lumbar spine muscles which must have lead to degenerative changes due to propulsion of the body for Gait mechanism.Also, in my clinical practice we believe to find the root cause and attack over there to control the pain. Majority of patients with Past injuries will have spine issue and are treated accordingly.also the discomfort you are facing has to be differentiated from pain and ache. Pain is neuropathic and ache is muscular.If you mention it pain than it is neuropathic and needs proper examination and physical therapy. If it is ache then the treatment will be symptomatic and can help to a limited time.RegardsJay Indravadan Patel