Though it's not a typical presentation at all, I'd check his pulses. Perhaps
some type of ischemic pain, or clauddication?
Renee
> Bernadette Sangeelee wrote:
>
> Can anyone help me with the following problem?
>
> Middle aged man, does football and swimming, c/o
> pressure-like sensation around his legs, along the border
> of his socks. This was about 6 years ago. His GP decided
> this was due to hid varicous veins and pt had them
> stripped. He was fine for 2 years, then developed the same
> sensation in his right leg only and on 4 areas: on the
> distal 1/4 of his lower leg, lateral side, over his tib.
> tuberosity area, over his suprapatellar area and 1/2 down
> the lateral side of his thigh. These areas are not
> affected at the same time, but when he has this sensation
> anywhere it is always accompanied with the sensation over
> the thigh area.
> There are weeks without problems, and then continuous
> discomfort for days.
> O/E: Nothing found in lumbar spine, hip, knee or
> ankle/foot. No neur. problems, very good musclepower, no
> circulation problems, no muscle wasting. Neurodynamics is
> very good.
> Please help!
>
> Bernadette Sangeelee.
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