This section deals with causes of pain arising from local lesions within the leg, or referred into the leg. Pain in the leg is a common complaint and the majority of cases are of vascular or orthopaedic origin. Joint problems are dealt with in the section on Joint disorders (p. 247).

Causes

Traumatic

  • Fractures

  • Dislocations

  • Crush injuries

Inflammatory

  • Rheumatoid arthritis

  • Reiter’s disease

  • Ankylosing spondylitis

Infective

  • Cellulitis

  • Septic arthritis

  • Osteomyelitis

  • Myositis

Degenerative

  • Osteoarthritis

  • Meniscal lesions

  • Baker’s cyst

Vascular

  • Intermittent claudication

  • Varicose vein

  • Deep vein thrombosis

  • Acute arterial occlusion

Neurological

  • Sciatica

  • Peripheral neuropathy

  • Neurogenic claudication

Metabolic

  • Gout/pseudogout

Neoplastic

  • Secondary deposits

  • Osteogenic sarcoma

Other

  • Cramp

  • Strenuous exercise

  • Polymyalgia rheumatica

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