A 35-year-old female asked:
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calf & knee pain in 1leg. occasional pain in groin. fly regularly. flew 20 hours 7 days ago. no swelling. hurts more resting than walking. i am fit. ?

2 doctor answers
Dr. Ronald Krauser
52 years experience Rheumatology
Possible DVT: Have the leg evaluated and consider an ultrasound to rule out a DVT. The absence of leg swelling does not eliminate thispossibility.
Answered on Aug 2, 2015
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1 thank
Dr. Laurence Badgley
53 years experience General Practice
Soft tissues: 35y female with intermittent "groin, knee, calf" pain worse "resting than walking". Absent a venous blood clot, sciatica would seem a consideration. Sciatica has several causes & a pelvic/lumbar MRI might be in order. Groin radiation of pain is more characteristic of sciatica related to sacroiliac joint than lumbar spine disorder. After thrombosis ruled out see an Osteopath.
Answered on Nov 27, 2017
3
3 comments
Dr. Laurence Badgley
53 years experience General Practice
Provided original answer
The medical literature reports that pain of sacroiliac disorder can refer to the groin. I have seen patients subjected to failed serial herniorraphies subsequently resolved of pain by SIJ fusion. Sciatica is a referral pain pattern. There are various patterns of sciatic pain distribution.
Jun 28, 2015
Dr. Ronald Krauser
52 years experience Rheumatology
Groin pain is never sciatica.
Jun 28, 2015
Dr. Laurence Badgley
53 years experience General Practice
Provided original answer
Pain of sciatica can be worse "resting than walking" because ground forces of chair seats and mattresses torque the pelvic girdle bony ring, impinging neural plexi contiguous to major pelvis joints, the sacroiliac joints. In women with benign Hypermobility Syndrome, SIJ subluxation becomes a consideration.
Jun 28, 2015

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