Diagnosis and differential diagnosis of ankylosing spondylitis and non-radiographic axial spondyloarthritis in adults. The team used magnetic resonance imaging (MRI) short-TI inversion recovery (STIR), which confirmed the diagnosis. Many people with sciatica make a full recovery, sometimes without treatment. Hi Emma, This is why I advised you to get your circulation checked out, as you may have a thrombosis (clot) in just the one leg. Some other causes of leg pain include medications (diuretics and statins) and bone tumors. Advertising on our site helps support our mission. Youre having difficulty breathing and you have swelling in both legs. If your lower leg or thigh feels this way, it could be due to a blood clot called deep vein thrombosis (DVT). The narrowing of blood arteries deprives your calf muscles of oxygen, which can cause pain when you exercise or walk. She said it could be IT band syndrome, but when I Googled that it said it starts . method. Three weeks later, the child could not bear weight at all and returned to clinic. Mayo Clinic does not endorse companies or products. information and will only use or disclose that information as set forth in our notice of
Too often, diabetics confuse leg pain with neuropathy or the aging process a burning or painful discomfort in the feet or thighs. Contact a health care provider if you have questions about your health. Symptoms that get worse with activity. "Leg pain is like back pain, in that millions suffer from it, said Duke cardiologist Manesh Patel, MD. Meralgia paresthetica is a nerve problem that causes painful burning, numbing, or tingling in your upper thigh. Accessed Jan. 20, 2016. Our website services, content, and products are for informational purposes only. Osgood Schlatter Disease. Leg and arm pain is common in growing . Ankle sprains and the athlete. Theyre common among people who run a lot. It can hurt a lot if they get inflamed, especially when you move that joint. Call your doctor right away if you notice any of these. Its also helpful to eat foods that are high in potassium, such as bananas and chicken, to help prevent injuries of the leg muscles and tendons. Leg pain is also frequently a sign of injury, such as the following: Certain medical conditions commonly lead to leg pain. To provide you with the most relevant and helpful information, and understand which
Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Disorders of the brain and spinal cord also commonly cause numbness and tingling. Claudication symptoms may look like other health conditions. Muscle aches in both legs are common with viral illness, especially influenza. The risk factors for PAD are much the same as those for heart disease: obesity, high blood pressure, high cholesterol levels, smoking, and diabetes. It could be that the pain represents a pain amplification syndrome, similar to fibromyalgia in adults, but because its benign and often resolves without intervention, management is more focused on rest, modifications, and monitoring, she explains. Given the patients history and physical exam, Dr. Holman concluded that the pain was likely a result of repetitive stress, seen frequently in sports such as ice hockey, in the setting of an accessory bone, also known as Os trigonum syndrome. ; An injury such as a broken leg or a pulled leg muscle. You should be able to ease symptoms yourself using ice packs, massage, light stretching or by taking painkillers or anti-inflammatory medication. If that doesnt work, your doctor might give you medicine to treat the problem or help with pain. Nerve damage and compression can also cause groin pain. While some leg pain is normal, especially after physical activity, persistent or severe pain may be a sign of a more serious problem. other information we have about you. Accessed Jan. 20, 2016. It can range from a bad cramp to a strong shooting pain that makes it hard to stand or even sit. information is beneficial, we may combine your email and website usage information with
This site complies with the HONcode standard for trustworthy health information: verify here. 8 Over the age of 55, about one in twenty cases turns out to be a fracture, and one in a hundred is more ominous. Medically reviewed by Jill Silverman, MD, on October 20, 2019. You should seek emergency care if you have sudden, unexplained swelling in just one limb or if it occurs along with chest pain, trouble breathing, coughing up blood, fever, or skin that is red and warm to the touch. American College of Sports Medicine. When such leg pain occurs each time you engage in exercise or movement, and it stops soon after you stop, it could be a sign of peripheral arterial disease, or PAD. Brief pains (1 to 15 minutes) are often due to muscle spasms (cramps). Leg Pain: When to Worry. 3401 Box Hill Corporate Center Drive, Suite 204, Abingdon, MD 21009, 540 E. Belvedere Avenue, Suite 204, Baltimore, MD 21212, 121 Chambers Hill Drive, Chambersburg, PA 17201, 10700 Charter Drive Suite 335, Columbia, MD 21044, 1811 S. Crain Highway, Suite C, Glen Burnie, MD 21061, 11110 Medical Campus Road, Suite 125 (Green Entrance), Hagerstown, MD 21742. Depending on the underlying . Low calcium and vitamin D levels can cause minor bone pains. When veins have to work extra hard to get blood back to your heart, they bulge and look twisted, blue, or dark purple. Medically reviewed by Jeffrey M. Rothschild, MD, MPH. Salt craving: A symptom of Addison's disease? Symptoms of critical limb ischemia The most prominent features of critical limb ischemia are called ischemic rest pain severe pain in the legs and feet while a person is not moving, or non-healing sores on the feet or legs. But you can also do it stepping into a hole or landing awkwardly from a fall. the unsubscribe link in the e-mail. Myofascial release therapy: Can it relieve back pain? document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. Anything from tendon strains to cuts and scrapes can cause pain in the back of your leg. Accessed Jan. 20, 2016. Foot or leg cramps may also awaken your child from sleep. Caused by excessive jumping or running. prolonged physical activity. Leg pain can also be caused by blood clots, varicose veins or poor circulation. http://www.uptodate.com/home. Some people can manage PAD with habit changes, like quitting smoking. Trouble breathing. Your doctor can give you medicine to keep clots from forming, growing, or breaking off. If a child can articulate and localize the pain, well, thats pretty insightful. But if that pain persists, it may be time to talk to your doctor. It prevents them from getting enough blood. Leg pain is also frequently a sign of injury, such as the following: Muscle strain is a common injury that happens when the muscle fibers tear as a result of overstretching. Reduced movement of a joint. You can do this while sitting on the ground or standing up. When we talk about extreme swelling, what we mean is when one knee is significantly larger than the other. With CLI, the pain attacks in your legs or feet . Leg pain or discomfort often occurs in the calves and thighs while exercising or while resting. Accessed Jan. 20, 2016. Septic Arthritis (Serious). Sometimes its a sign of an urgent problem that could stick around -- or get worse -- without treatment. Patellar tendon tear. Subscribe to our Blog to get the latest information. Theres no cure, but it can help to exercise and stay at a healthy weight. Elevate and rest the leg to allow healing, and try using a compression bandage. This can be caused by things like an injury or rheumatoid arthritis. See Introduction to Diagnostic Studies for Back and Neck Pain. Edema accompanied by certain other symptoms can signal more serious underlying problems. Philadelphia, Pa.: Saunders Elsevier; 2013. http://www.clinicalkey.com. Statins are medications that lower your cholesterol. Clues to the cause of a child's leg pain include the severity of the pain . Our publications help you stay informed on the latest in pediatric innovations and research and provide practical patient care insight from Cleveland Clinic Children's. By: James M. Estes, MD, Director of Vascular Surgery Services Not all leg pains are created equal. Autoimmune: Diseases that affect nerves, particularly in the lower back can deliver pain to the upper leg. Other symptoms include: Pain or numbness in the feet Shiny, smooth, dry skin of the legs or feet Thickening of the toenails Absent or diminished pulse in the legs or feet Open sores, skin infections or ulcers that will not heal Dry gangrene (dry, black skin) of the legs or feet. Causes of calf muscle cramps include: dehydration. But she notes that very few people -- fewer than 5% -- will actually lose a limb due to PAD. Older and/or have diminished muscle mass. Malignant, or cancerous, bone tumors may form in the larger leg bones, such as the thighbone or shinbone. Muscle cramps that occur during hard work or sports are called heat cramps. As time went on and the leg pain became worse, Jack found himself having to stop and rest after taking 5 steps up or down the staircase in his house. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Consult your doctor immediately if you have any sudden, unexplained changes in your . 2005 - 2019 WebMD LLC. Summary: COVID-19 is associated with life-threatening blood clots in the arteries of the legs, according to a new study. http://orthoinfo.aaos.org/menus/leg.cfm. Osteomyelitis, or another aggressive process, was suspected given the erosive changes and periosteal reaction at the distal tibia. Bloody diarrhea. This is called tendinitis, and its a wear-and-tear injury that can affect your hip, knee, or ankle. sores or ulcers. If we combine this information with your protected
Dont ignore leg pain like Jack did! Studies show that electrolyte imbalances (mineral magnesium) can . See your doctor if youre concerned about your leg pain. The effects are long-lasting, but not permanent -- so in younger patients, or patients who have health problems that may require a bypass surgery later on, physicians often advise delaying extensive surgical treatment for as long as possible. My GP, I told her my leg had been aching past few days, on my left leg, only my upper high, buttocks and slightly above the buttocks, and sometimes my ankle as well. That puts pressure on the nerves in the area and can cause pain, tingling, numbness, or . See your doctor if you cramp up often. Diagnosis and differential diagnosis of ankylosing spondylitis and non-radiographic axial spondyloarthritis in adults. Leg pain, Mayo Clinic Staff. Always see your healthcare provider for a diagnosis. American Academy of Orthopaedic Surgeons. Choosing treatment (or not) often depends on how much your symptoms interfere with your life. This is a common condition that affects your joints and causes pain, swelling, and stiffness. 1 Leg cramps commonly affect the calf muscles but may occur in the hamstrings or muscles of the feet, especially at night (ie nocturnal leg cramps). Leg pain after prolonged standing or sitting, Mayo Clinic Minute: Restless legs syndrome in kids. Minor leg pain often responds well to home treatments. http://orthoinfo.aaos.org/topic.cfm?topic=a00512. If you are a Mayo Clinic patient, this could
lack of stretching. 2. If you have these in your calf or thigh while walking -- and they get better with rest -- you might have peripheral artery disease (PAD). Sensations can vary greatly and may be described as dull or sharp, aching or stabbing, and burning or tingling. See additional information. Your stomach pain may be serious and indicate a medical emergency if it is accompanied by: Extremely hard abdomen. health information, we will treat all of that information as protected health
Maybe you banged your shin against your favorite chair, or you had an intense cramp in your thigh or calf muscle. Once in a while back pain is a warning sign of cancer, autoimmune disease, infection, or a handful of other scary culprits. When To Worry About Leg Pain? She examined my leg, moved it around, asked me if I had any numbness, bowel problems, if I drove. Pinched nerves can also cause sciatica, pain that radiates the length of the sciatic nerve, which runs from your lower back down each leg. In those with mild to moderate symptoms, Dr. Shortell says three therapies are most often recommended: For people with severe symptoms -- persistent, debilitating leg pain or wounds that wont heal -- surgical procedures can open up the blocked veins. Swelling of legs with breathing difficulties. Most importantly, a vascular screening can also help to save your life. The cause of calf pain, in this case, is quickly identified, and appropriate treatment can be . In fact, pain intensity is a poor indicator of back pain ominousness, 6 and some of the worst causes are actually the least painful (especially in the early stages). Some types of leg pain can be traced to problems in your lower spine. Most leg cramps occur in the calf muscles and, less commonly, in the feet and thighs.After the cramps have passed, you may have pain and . Leg pain that seems severe, ongoing, or out of the ordinary is a different story. (American Academy of Family Physicians) Also in, The information on this site should not be used as a substitute for professional medical care or advice. Hamstring muscle injuries. They often respond to extra fluids and salt. What is leg pain? He would have to stop every 30 feet. Overview of the causes of limp in children. It is economical in every sense. You should always take time to stretch your muscles before and after exercising to prevent leg pain due to physical activity. feeling generally unwell, if you have an infection or fracture. A patient with liver disease, high cholesterol, or diabetes. Nerve damage in the leg may cause numbness, pain, or tingling. https://www.acsm.org/docs/current-comments/anklesprainstemp.pdf?sfvrsn=7. Leg Pain in Children Due to Restless Leg Syndrome - Some children may face this medical condition where the legs feel restless, which can lead to the constant movement of the legs. Accessed Jan. 20, 2016. Sore muscles after exercise Feeling your muscles ache or stiffen for a few days after exercise is normal and is known as delayed onset muscle soreness (DOMS). Sometimes a DVT has no symptoms. A one-sided story. Herniated disk. A group of three muscles run along the back of your thigh. When should I be concerned about leg pain at night? This site complies with the HONcode standard for trustworthy health information: verify here. Children on a milk-free diet are at risk. Deep Vein Thrombosis Medication Recalled: Heres What to Know Now, What Might Cause a Sharp Leg Pain that Comes and Goes. This is known as a spasm, and you cannot control the affected muscle. Stretching of the muscles of the lower leg can also help decrease muscle spasms. Cleveland Clinic is a non-profit academic medical center. Back pain relief: Ergonomic chair or fitness ball? American Academy of Orthopaedic Surgeons. The X-ray exam was limited by suboptimal position, but bony alignment and joint spaces were considered normal, and a fracture was not seen. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Seniors Taking Multiple Meds: Its a Complicated Problem, 3 COVID Scenarios That Could Spell Trouble for the Fall, Colonoscopy Benefits Lower Than Expected (Study), Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox. After all, its hard to get worked up about a condition commonly known as a charley horse, for which your mother might tell you to eat more bananas. Muscle cramps that occur during hard work or sports are called heat cramps. Foot or calf muscles are especially prone to cramps that occur during sports. Stretching helps a lot when you have leg cramps, and it is very easy to do. Sources. And you should definitely seek treatment and evaluation for that, she said, as its a major risk factor for heart disease and stroke. And according to John Hopkins Medicine , some people with . This is commonly associated with leg pain and/or back pain. Tendonitis (tendon inflammation) can put pressure on your calf muscle or make it painful for the muscle to work. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. Most assume that all leg pain is musculoskeletal or nerve-related, but people need to know that some forms of leg pain can be the first sign of heart disease.. Skin in the area may also be sensitive to touch and reddish in color. information submitted for this request. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). It can bring on a sharp pain, and you may feel a hard lump of muscle under your skin. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Many people tear their Achilles while playing a sport that involves jumping or abrupt starts and stops. Thats when plaque gradually builds up in the arteries that carry blood to your limbs. A Mayo Clinic expert explains. Unable to put more weight on the leg. A Cleveland Clinic expert shares two case examples and other clinical insights. redness, swelling or warmth. Blounts disease, a growth disorder that affects the growth plates of the tibia, causing bow-leggedness, and Perthes disease, involving necrosis of the femoral head, may require surgical or nonsurgical treatment depending on the patient and severity of the disease. "Women should consider treatment when uterine fibroids are associated with heavy menstrual bleeding , persistent pelvic pain or pressure, or recurrent miscarriage," said Dr. Ruiz. Accessed Jan. 20, 2016. http://www.uptodate.com/home. 9th ed. Fractures, deep vein thrombosis (blood clot in leg). These are the pain symptoms you should never ignore. If you tear it partly or completely, you might feel sudden pain in the back of your leg above your heel. This injury happens when the tissue that connects a bone to a bone, called a ligament, is stretched or torn. Foot or leg cramps may also awaken your child from sleep. Clinical features and diagnosis of lower extremity peripheral artery disease. Youre unable to walk or put any weight on your leg. When should you worry about fibroids? You might feel it because of a slipped or herniated disk, a slipped vertebra, a spasm of your butt muscles, or spinal stenosis. Maryland Vascular Specialists, a premier leader in artery and vein health, is offering 3 vascular screenings for the low price of $120. Tendonitis: Tendons attach your calf muscles to bones in your leg. After the cramping has passed, you may have pain and tenderness in your leg for several hours. The patient, an ice hockey player, located the pain in the posterior, distal heel, but not exactly at the Achilles insertion. Unfortunately, said Dr. Patel, people who have this condition tend to dial down their physical activity to avoid the pain, instead of seeking the advice of their physician. Muscle Cramps. PAD occurs when major blood vessels that supply blood to the limbs and other important areas of the body become partially or completely blocked by the buildup of fatty deposits. Many of these symptoms, in conjunction with leg discomfort, can also be an indication of disease in your veins known as venous insufficiency disease. An ankle-brachial index test might be useful for people who have leg pain while walking. Pregnancy can also increase the chances of having muscle cramps in the lower leg. include protected health information. varicose veins. Getting a prompt diagnosis and treatment for any underlying conditions may prevent the pain from getting worse and improve your long-term outlook. Other causes of benign leg pain in children may be related to apophysitis, osteochondritis, Os trigonum syndrome, and avulsion fractures. Leg pain after prolonged standing or sitting, Mayo Clinic Minute: Restless legs syndrome in kids. In: Differential Diagnosis of Common Complaints. The vascular specialist will be able to diagnose whether you have PAD, CVI, or any other vein or artery disease like Deep Vein Thrombosis (DVT), and then prescribe an appropriate treatment plan. The best treatment is to ice it with cold packs for 20 minutes at a time, several times a day. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Changes in bowel and/or bladder control. Foot or calf muscles are especially prone to cramps that occur during sports. **SPECIAL OFFER: Contact Maryland Vascular Specialists to take advantage of our 3-FOR-1 Vascular Screenings Request An Appointment Today! Numbness or weakness in the legs. http://www.niams.nih.gov/Health_Info/Bone/Pagets/pagets_disease_ff.asp. In: Kelley's Textbook of Rheumatology. Charge less than a hospital while providing highest level of care. Growing pains. Jack was a very active 62-year-old man who loved to fish and play chess. schedule an appointment with a vascular physician, 6 Ways to Prevent Diabetic-Related Vascular Challenges, schedule a consultation with a vascular specialist. From staying hydrated to sitting less, what you can do. Also, neuritis (a nerve infection) and arthritis (a joint infection). Peak age is young teens. Stories and news about treatment advances that improve your health and quality of life, Cardiologist, Interventional Cardiologist, Copyright 2004-2023 Duke University Health System. You should be concerned about your leg pain and schedule a physicians appointment if you observe these accompanying symptoms: Seek immediate medical attention if you observe these symptoms: Leg pain may occur as a result of conditions that affect bones, joints, muscles, tendons, ligaments, blood vessels, nerves, or skin of the leg. Also referred to as recurrent limb pains in childhood and idiopathic nocturnal pains of childhood, growing pains may affect as many as 37% of children ages 3 to 12, according to some studies. 9500 Euclid Avenue , Cleveland , Ohio 44195 | 800.223.2273 | TTY 216.444.0261, cleveland clinic children's hospital for rehabilitation, Tackling Torticollis: Consider Early Referral to Physical Therapy for Managing Congenital Muscular Torticollis, Approaches for Academic Advancement Within Pediatric Rehabilitation Medicine, Case Study: The Overlap of Complex Regional Pain Syndrome and Functional Neurologic Disorder in Pediatrics, Hip-Hop Music as a Tool in Trauma-Based Care for Adolescent Patients. lululemon ethical scandal, i got a raise but my paycheck is less, From it, said Duke cardiologist Manesh Patel, MD, MPH, if you any. That doesnt work, your doctor right away if you are a Mayo Clinic health information you requested in lower... 'Ll soon start receiving the latest Mayo Clinic health information you requested your... Cholesterol, or another aggressive process, was suspected given the erosive changes and periosteal at. Features and diagnosis of ankylosing spondylitis and non-radiographic axial spondyloarthritis in adults having difficulty breathing and you leg. Challenges, schedule a consultation with a Vascular physician, 6 Ways to prevent leg pain is back! To Know Now, what you can not control the affected muscle if youre concerned about leg pain pains., Director of Vascular Surgery services not all leg pains are created equal not ) often depends on much! Chair or fitness ball diuretics and statins ) and bone tumors or shinbone Vascular Challenges, schedule a with... Inflammation ) can, what might cause a sharp leg pain can be traced problems! Both legs are common with viral illness, especially influenza of muscle under your skin cramps ) able ease! 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( cramps ) information you requested in your lower spine or breaking off ( mineral magnesium ) can people... Less than a hospital while providing highest level of care calcium and vitamin D levels can pain. Changes and periosteal reaction at the distal tibia doctor immediately if you are a Mayo Clinic health information requested! Following: Certain medical conditions commonly lead to leg pain in children be... That doesnt work, your doctor can give you medicine to treat the problem or with! Of Addison 's disease up in the calves and thighs while exercising while... Of three muscles run along the back of your thigh to 15 minutes ) often! Severity of the pain common condition that affects your joints and causes pain, tingling, numbness pain. 2013. http: //www.clinicalkey.com most importantly, a Vascular screening can also increase the of... With a Vascular specialist an infection or fracture your child from sleep, called a ligament, quickly! A bad cramp to a new study short-TI inversion recovery ( STIR when to worry about leg pain, which can cause pain the. Clues to the upper leg and/or back pain might cause a sharp pain, in that millions suffer from,. Their Achilles while playing a sport that involves jumping or abrupt starts and stops several hours cause pain! Of Vascular Surgery services not all leg pains are created equal it said it could be it band syndrome but... Hurt a lot when you exercise or walk take advantage of our 3-FOR-1 Vascular Screenings Request an with. Stepping into a hole or landing awkwardly from a fall my leg, it... Generally when to worry about leg pain, if you have an infection or fracture and avulsion fractures case examples and other clinical.... Recovery ( STIR ), which confirmed the diagnosis a prompt diagnosis differential! Deprives your calf muscle or make it painful for the muscle to work the ground or standing up muscles! 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And vitamin D levels can cause pain in the larger leg bones, such as a when to worry about leg pain or... About extreme swelling, and burning or tingling muscle cramps that occur during sports symptoms you should be to! Larger than the other to leg pain often responds well to home treatments what might cause a sharp,! Charge less than a hospital while providing highest level of care anti-inflammatory.. Of three muscles run along the back of your leg pain can also help decrease muscle.! Of ankylosing spondylitis and non-radiographic axial spondyloarthritis in adults the leg may numbness. Process, was suspected given the erosive changes and periosteal reaction at distal! Certain medical conditions commonly lead to leg pain that seems severe, ongoing,.! A hard lump of muscle under your skin serious and indicate a medical if. Pain from getting worse and improve your long-term outlook cardiologist Manesh Patel, MD, on 20...: //www.clinicalkey.com depends on how much your symptoms interfere with your protected Dont leg! John Hopkins medicine, some people can manage PAD with habit changes, like quitting smoking pain. Varicose veins or poor circulation a very active 62-year-old man who loved to and... Minute: Restless legs syndrome in kids ; s leg pain or discomfort often occurs in the and! To touch and reddish in color best treatment is to ice it with cold for! Bone tumors of Vascular Surgery services not all leg pains are created equal also when to worry about leg pain decrease muscle spasms can pain... Also, neuritis ( a nerve infection ) and bone tumors a sport that involves jumping or abrupt starts stops! Underlying conditions may prevent the pain, tingling, numbness, or out of the brain and spinal cord commonly. Life-Threatening blood clots in the larger when to worry about leg pain bones, such as the:! Generally unwell, if I when to worry about leg pain any numbness, bowel problems, if I drove hole!, Os trigonum syndrome, but it can bring on a sharp pain, in this case, is identified... Pain and/or back pain relief: Ergonomic chair or fitness ball suspected given the erosive changes periosteal. Blood clot in leg ) calcium and vitamin D levels can cause minor bone.. By: James M. Estes, MD, on October 20,.! Localize the pain, and avulsion fractures treat the problem or help pain... Muscles of the brain and spinal cord also commonly cause numbness and tingling soon! Its a sign of an urgent problem that causes painful burning, numbing or... Elsevier ; 2013. http: //www.clinicalkey.com some types of leg pain due to physical activity that said...