Leg PainThis small volume is devoted to one of the most common patient complaints encountered by practitioners of adult medicine, and one that frequently presents the initial examining physician with a diagnostic conundrum. Few internists, primary care physicians, emergency room physicians, or medical or surgical subspecialists are thoroughly familiar with the neurologic, orthopedic, immunologic, and vascular causes of leg pain, and help from the literature requires access to multiple texts from diverse medical and surgical specialties. Leg Pain brings together, in a compact and easily transportable volume, expertise from the fields of vascular surgery, neurology, orthopedics and rheumatology, to offer insights into the clinical signs and symptoms associated with leg pain of diverse origins. · Emphasizes distinguishing features of the various types of leg pain, most of which can be determined by a simple history and physical examination. · Much important data are presented in tabular form to aid in arriving at a correct diagnosis. · Contains practical illustrations including a large section showcasing normal anatomy of the lower extremity. |
Contents
1 | |
2 Pathophysiology of leg pain | 3 |
3 The initial encounter | 14 |
4 Mechanical leg pain | 21 |
5 Inflammatory leg pain | 49 |
6 Vascular leg pain | 68 |
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Common terms and phrases
abnormal acute afferent anatomy ankle ankylosing spondylitis arterial occlusion arthritis associated axon bone calf cause chronic claudication clinical colchicine collateral compression dermatome diabetes diagnosis differential distal femoral femoral nerve fibers Figure flexion foot gout herniation hyperuricemia increased infection inflammation inflammatory involved ischemia ischemic joint knee dislocation lateral leg pain lesion ligament injury limb lower extremity lumbosacral plexus mechanical medial Medical motor muscle myelin nerve root neurons neuropathic pain neuropathy nociceptive nociceptors NSAIDs obstruction occur pain syndrome palpation paresthesias patellar patients peripheral nerve peroneal phlebitis physical examination plantar plexopathy polyneuropathy popliteal popliteal fossa posterior present pressure proximal pseudogout quadriceps radiculopathy radiographs reflex Reiter’s syndrome Reprinted with permission result rupture sciatic sensation sensory septic arthritis skin soft tissue spinal cord spinal stenosis spondyloarthropathies stress fractures superficial surgery surgical swelling symptoms synovitis tendon therapy thigh thrombosis tibial trauma treatment tumor typically usually varicose veins venous weight bearing