Severely aching legs below the knees

The legs below the knees

aching legs below the knees

The shin is part of the leg from knee to heel, the pain in which can be caused by the defeat of any of its components: muscles, tendons, ligaments, vessels, periosteum. Because the pain in the legs below the knee - a fairly common phenomenon, and they can arise for a variety of reasons. In most cases, such pain is episodic, often not requiring serious treatment and caused by excessive physical stress or micronutrient deficiency. But this problem can also arise due to injuries and illnesses.

Why do legs hurt below the knees?

Let's consider the main reasons why the legs below the knees can hurt.

Defeat of the calf muscles

In the first place - this is a great physical exertion, which can cause pain in the muscles, and sometimes severe convulsions. In addition, cramps in the gastrocnemius muscles can be caused by a deficiency in the body of certain trace elements( potassium, calcium, magnesium).These causes of pain in the muscles of the legs below the knee are quite easily amenable to elimination. More serious are the cases of the appearance in the muscles of inflammatory processes, as well as the pain caused by various injuries and strains.

Lesion of ligaments and tendons

The most common cause in this case is sprain. But variants of damage and inflammation of ligaments and tendons, usually requiring long-term treatment( for example, ruptures) are possible.

Injuries and diseases of bones and joints

This category includes dislocations, bone fractures and such diseases as arthritis, arthrosis, inflammation of the knee menisci. If the leg bone is lower than the knee, then this is an alarming symptom, because unlike muscle pains - this is usually a sign of a serious illness or injury.

Vascular and nerve damage

Venous thrombosis, varicose veins, constriction of blood vessels, jamming and nerve damage.

Other causes of

This list includes causes that are not the result of direct damage to the legs below the knees, but can cause pain in them. Such factors are violation of water-salt balance in the body, inflammation of the subcutaneous adipose tissue, radiculitis, pregnancy.

Treatment of pain in the legs below the knee

Pain can be different in type, periodicity and place of occurrence, but it is always unpleasant sensations, because if the leg is hurting below the knee, then, naturally, it has to be treated.

The easiest, resolvable problem is muscle pains or cramps. If they are the result of physical overstrain, then no specific treatment except for massage and gentle treatment is required. If the legs below the knee hurt at night, and convulsions occur, then this symptom is most likely caused by a deficiency of trace elements and requires the intake of vitamin preparations.

If the leg hurts below the knee from the front, then it most often indicates an inflammatory process in the tissues of the tendon or joints, the development of which is usually associated with sports and received with this microtrauma. With such symptoms, the most gentle regimen is prescribed, up to the application of fixative bandages, and

pain in the legs below the knees also takes painkillers and anti-inflammatory drugs.

Aching long aching in the leg below the knee is usually a symptom of the developing inflammatory process, arthrosis, arthritis, rheumatoid condition. Direct symptoms can be removed using ointments with analgesic and anti-inflammatory effect.

Given that the pain in the legs can have a wide variety of origins, in cases where acute pain does not stop more than 2-3 days, or is constantly worse, accompanied by swelling, restricts mobility, you should immediately consult a doctor and not self-medicate.

Why do the legs hurt below the knees?

The modern rhythm of life imposes a heavy imprint on a person - general body fatigue, frequent pain in the back and cervical region, and it is not surprising that the legs hurt below the knees. Excessive loads can cause not only severity and discomfort, but also swelling of the extremities.

aching legs below the knees

Why do legs hurt below the knees?

The most common cause of such painful sensations are inflammatory processes in the muscles, joints and blood vessels. Diseases of the spine can also impose an indelible imprint on the condition of the lower limbs. By the way, the first signs of varicose veins may also be unpleasant sensations in the legs below the knee. Consider some of the signs and an approximate diagnosis of the types of pain and secondary signs.

So, with severe swelling, severity and rather severe pain, one can assume a bone injury. For example, if the ankle hurts, then most often it is a consequence of a crack in the bone, thinning or stratification of bone tissue.

If the bones of the leg are below the knees( just under the knee) or at the ankle, this may be a result of the stretching of the tendon that connects the muscles and bone. Although the main tendon tissue is very firm and not very elastic, it is quite possible to damage it. In general, pain occurs when moving.

Sore feet below the knee and if the meniscus is damaged or a kneecap injury. Or maybe a cyst or a blockage of arteries. In this case, the pain will be compressive and accompanied by a weight: these feelings arise when walking.

hurt the bones of the legs below the knees

Dysfunction of the peripheral nervous system, for example neuralgia, which affects the sciatic nerve, causes severe pain from the thigh and to the shins. Night pains are a consequence of a lack of calcium, potassium, iron or magnesium in the body. However, this is typical for children and adolescents, and in adults it is better to look for the cause in pathologies of the nervous, vascular or articular systems.

If the legs hurt below the knees with a strong and sharp pain, but at the same time there is a fever and a strong redness of the foot below the knee, this is erysipelas. When concentrating pulsating pain in the big toe, you can diagnose gout.

Treatment of

If the legs hurt below the knees, as a rule, it is impossible to make an accurate diagnosis on your own, so starting a treatment at random is at least just not serious. It is necessary to understand that the pain in the shin can be caused not just by stretching the muscles or tendons, but also a serious disease of the spine that can not be treated simply.

why the legs hurt below the knees However, if pain occurs and does not go away for a long time( in particular, more than three days) - going to the doctor is simply vital. Folk remedies in this case are useless - you can treat absolutely not what you need. After the doctor has given you an accurate diagnosis and prescribes an effective course of treatment, you can use traditional medicine as ancillary equipment, because now you know the exact diagnosis.

Sore feet below the knees - what's the reason?

Most likely, many of us had to complain to family and friends that their legs hurt below the knees. When a person is at work all day, and when he comes home, he takes off his shoes and feels that his feet just ache, hum and fall off. As a rule, discomfort in the legs occurs after a busy day as a result of excessive physical strain, in general, due to fatigue. After all, from which side you look, and almost all the weight falls on your feet, and in case of excess weight, this load increases several times, which entails an increase in leg pains below the knees.

The fact is, if before the knee pains in the legs were mostly worried about the elderly, nowadays people of quite a young age feel this discomfort more and more often. Today leg soreness is a common symptom, so many people are interested in the causes of pain in the legs below the knees. First of all, it should be noted that every day the muscles, tendons and bones of the legs of a person are under tremendous strain. This is why the appearance of edema of the lower extremities, especially in the field of ankle joints, soreness and even reaction to changes in weather conditions is observed over time.

Why do legs hurt below the knees?

Classification of the causes of leg soreness:

  • Traumatic: bone damage, cracks, stratification, thinning, stretching or rupture of tendons, displacement of the kneecap or meniscus.
  • Inflammatory processes: muscles, ligaments, synovial bags.
  • Diseases: cyst, atherosclerosis, neuralgia, sciatica, platypodia, and other diseases.

In fact, the causes of leg pain below the knees are varied. After all, not only fatigue can cause soreness. There are many diseases in which this symptom is manifested. For example, pain can occur as a result of inflammatory diseases, infectious processes, gastrointestinal tract diseases, psoriasis or rheumatoid arthritis. Also a very common cause of leg pain below the knees is the deposition of salts in the joint cavity of the lower extremities( osteoarthrosis).In such cases, there is a local occurrence of a pain symptom in the area of ​​a particular joint.

The leg bone below the knees hurts in the event of severe mechanical trauma, in which cracks, delaminations or even fractures may occur with increased brittleness of bone tissue. Strong and prolonged painful sensations are accompanied by bruises of the periosteum, while the pain in the lower leg is formed below the knee in front. A sharp pain is accompanied by damage to the tendons, through which the groups of muscles connect directly with the bones. The fact is that many people tend to have strong tendons, but they are not elastic enough, therefore, even with minor injuries, sprains can develop, accompanied by a painful syndrome that increases during walking.

The cause of pain can be the inflammatory processes of synovial bags, muscles or the tendons themselves, dislocation or displacement of the patella. Below the knees, leg muscles ache after intense physical activity during sports training. The fact is that with excessive loads in the muscle tissue accumulation of lactic acid occurs, which causes aching sensations in the calf muscles. Also, with the wrong approach to the exercise, you can get a strong sprain of the ligaments or even muscle tears, which will certainly lead to the onset of inflammation and soreness in this area.

The legs below the knees are very painful for obesity and human hypodynamia. The fact is that nature does not calculate an excessive increase in body weight in two, or even three times. Therefore, the joints and bones of the legs, especially below the knees, experience a very heavy load as a result of which the accelerated processes of destruction of articular surfaces arise, which, in turn, leads to inflammatory processes and painful sensations.

Diseases accompanied by painful leg syndrome below the knee

Atherosclerosis of the lower extremities

There are times when a person's leg muscles are constantly hurting below the knee, often cramps occur, especially at night or while walking the stairs. In this situation, it is possible to assume that the problem lies in the deposition of cholesterol in the blood vessels of the limbs and the formation of cholesterol plaques. Also a feature that indicates atherosclerotic changes in the vessels are always cold feet at any time of year despite the temperature of the environment. Moreover, in representatives of the stronger sex, there may be a cessation of hair growth and various violations of sexual functions.

In case of detection of this problem, it is necessary to take measures and not to ignore it, because cholesterolemia can lead to much more serious diseases, such as cerebral stroke or myocardial infarction. A number of examinations should be performed, the list of which must include angiography and ultrasound examination. Experts on the results of the tests will clarify the diagnosis and prescribe the necessary treatment in order to alleviate the general condition and prevent pain in the legs.


This is an inflammation of the tissues of the arteries. Usually, when this disease occurs, people complain of a sharp pain in the area of ​​the feet or calf muscles. A characteristic feature is that the legs below the knees strongly hurt not in the evening, as with normal fatigue, but only after a while after the start of walking. Sometimes it's enough to pass just fifty or a hundred steps to feel a sharp pain in your legs. Very often there is even numbness of the legs below the knees. In a similar situation it is necessary to have a little rest, to stop, and it is desirable and to sit down. Unfortunately, such actions will ease the condition of a sick person only for a short period, after which the pain in the legs will return again.

If such symptoms occur, you should immediately seek help from a vascular surgeon who will prescribe a comprehensive examination( includes mandatory examinations: contrast angiography, ultrasound examination and an expanded blood test) to identify the causes of the disease and prescribe the necessary treatment.

After completion of all procedures, the specialist puts the final diagnosis and appoints the optimal treatment that will reduce the degree of manifestation of the pain syndrome. But the fact is that this disease is very unpredictable and if you have severe pain you need to call an ambulance immediately, because it may be that you will have to resort to surgery, perhaps even immediate.

Arthritis and arthrosis

These diseases are also very common nowadays. Their characteristic signs are the manifestation of sharp pain in the joints during movement, and still there is a meteorological dependence, which manifests itself in the "twisting" of the joints of the legs when the weather conditions change. People who suffer from these diseases can not only walk, but also simply during the standing of the leg below the knees greatly hurt.

For specification and statement of the diagnosis it is necessary to address to the doctor-rheumatologist who after inspection, will appoint or install a correct course of treatment.


If the knee pains in the legs are pulsating, strong and manifest in the calf muscles, then it is worth suspecting a disease such as thrombophlebitis. In addition, redness and swelling, burning sensation appear in the calf area, the veins of the legs are modified and become dense with time. It sometimes happens that the left leg hurts below the knee or the right leg. This is observed in the unilateral flow of the process.

Treatment in such situations should appoint angiosurgeon - a doctor who specializes in the treatment of vascular diseases. Depending on the risk of separation of the formed thrombus and the degree of neglect of the disease, treatment is appointed either conservatively or surgically performed.


A bone loss below the knees may well be a sign of a disease such as osteoporosis. This disease occurs when there is a lack of( for various reasons) in the body of an important macroelement - calcium. With this disease, pain manifests itself in an acute form, very often you can see the appearance of muscle spasms. As a rule, most often osteoporosis affects women after forty years. The risk group includes ladies with blond hair, skin and blue eyes.

This disease causes a huge number of different negative consequences, so you need to urgently consult specialists for optimal treatment, with which you can get rid of the pain in front from below the knee, or at least reduce the degree of its manifestation.


This disease is also a very common cause of the manifestation of a painful leg syndrome. The most characteristic sign of flatfoot is the very rapid appearance of a feeling of fatigue when walking, and when the disease develops, painful sensations appear in the area of ​​the feet and shins.

Treat flatfoot necessarily. It is necessary to consult an orthopedist, he will appoint and show special exercises and pick up orthopedic insoles for shoes. Women who suffer from this disease should not wear tight and narrow shoes or high heels.

Diseases in the lumbar region of the

Very often there are also cases when there is a constant soreness in the legs, and no pathological changes can be detected directly in the lower extremities. Then you need to pay attention to the region of the lower back and already there to look for the cause of the painful sensations in the knee, shin or foot. Similar signs, as a rule, appear at a radiculitis or lumboishialgia - an inflammation or irritation of nervous roots of a lumbar department of a backbone. Depending on the localization process hurts the right leg below the knee or left.

Severe pain, hyperemia of the skin in the shin area and an increase in local body temperature are symptoms of erysipelas. This disease causes pain below the knees in the front.

Gout causes severe pain in the big toes, which are of a pulsating nature. In adolescents, pain in the legs can occur during the course of infectious processes in other organs. For example, with chronic tonsillitis with purulent plugs, it often happens that the leg hurts below the knee in front and in the bones.

The main methods of diagnosis in diseases of the feet

Why the legs below the knee ache( bones in the front, joints, muscles)

Many patients suffering from severe pain in the lower parts of the legs( from the knee) are familiar with physiotherapy practice firsthand,especially athletes and those who participate in sporting events. The questions why this happens to them are clear. Its cause may be one of the local structures in the calf or lower leg, or, it can be transmitted from other sources( eg, lower back, knee or ankle).

Sudden pain in the calf muscles often occurs in athletes and people participating in high-speed sports, which provide changes in the direction of movement and those that include rapid acceleration and deceleration( such as tennis, football and basketball).The most likely cause is a bruise usually occurs as a result of a collision with hard objects( football boots).

The gradual increase in shin pain( under the knees) often occurs in patients engaging in sports or activities that involve high running loads, often in combination with a small foot biomechanics.

There are many other causes of pain in the lower legs, some of which happen suddenly for a particular incident, others, develop gradually over time. Pain in the calves( veins) that occurs due to a serious disease such as DVT( deep vein thrombosis), especially in patients with swelling, fever, changes in color of the affected limb - an occasion to visit the doctor( especially when there are risk factors, such as a recent oral contraceptive course or a recent surgery).

Below are some of the most common causes of pain in the lower legs with a brief description of each condition that will help in diagnosis. The states were grouped for ease of use in accordance with the sudden or gradual onset of it and the commonness or less prevalence of problems.

Sudden severe pain below the knee in front in the lower leg and behind

Bruised bone injury( tibia) - trauma resulting from direct contact with a rigid object. Symptoms: pain in front below the knee when touching the affected area, bruises and swelling that may appear immediately after the injury or in a few days.

Rupture of the gastrocnemius muscle or deep gastrocnemius muscle( soleus), usually occurs after sudden movement, acceleration. Symptoms: localized pain in the back of the tibia, when touching the affected area and lifting the heel from the ground.

Contusion of the gastrocnemius muscle - bruises, pain to the touch, which is enhanced by lifting the heel( rising on tiptoe) or moving to the calf.

A painful, involuntary contraction of the calf muscles can occur suddenly and stop you from continuing your activity. Sometimes the leg is reduced at night. To ease the condition, you can gently stretch the muscle, for example, immediately quickly pull the big toe on yourself and keep it in this position for a while.

What happens less often

Pain radiated to the shin

The shin pain sometimes comes from another source, for example, the lower back or knee and is often associated with symptom problems higher or lower( for example, severe pain or stiffness in the lower back, in the areagroin, thigh, knee, ankle or foot).May be accompanied by loss of movement in these areas, and in some cases with tingling and numbness in the affected leg.

Fracture of the tibia

Cracks in the tibia( tibia) can occur due to an ankle, a fall from the height, or force on the front of the shin. Pain is usually severe and often leads to inability to keep body weight. Deformities of the bone can be seen and often there is a significant swelling. Pain, as a rule, increases when the affected area is touched. Sometimes there is a tingling or numbness in the lower leg, ankle, foot.

Fracture of the fibula

  • To which doctor should I contact

A fracture in the outer lower leg bones is often found in combination with an ankle injury, falling from a height or by force on the outside of the shin. The pain is heavy, increasing if touched. In some cases, bone deformities and swelling can be seen. The leg may feel drowsy and tingle.

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