Sore feet below the knees

Why do legs hurt below the knees?

You can often hear a complaint like a leg below the knee. But in most cases, no one pays special attention to such a "petty" sign, writing off their symptoms for overwork or walking on their heels. Often this kind of pain can be a sign of a more serious pathology. Therefore, one must always be critical of one's own state.

Speaking of pain in the legs below the knee, imply a pain syndrome of the shin. The shin is part of the leg from the knee joint to the foot. Anatomic shin consists of tibial and fibular bones, a large number of muscles, nerve fibers and blood vessels( arterial and venous).Accordingly, pain can occur with an organic or functional lesion of any anatomical structure of the shin.

Is there a danger?

It should immediately be noted that in some cases, shin pain can be dangerous not only for health, but also for human life. For example, pain below the knee may be a sign of deep vein thrombosis in the lower extremities, and such a condition, which is not diagnosed at the time, can lead to clotting of the thrombus and blockage of the pulmonary artery, which leads to instantaneous death of a person.

Therefore, if you suffer from pain in the legs below the knee, especially if the pain is constant and relapsing, be sure to seek medical help to find out the cause of this symptom so that the treatment can be started on time.

Pulmonary embolism
Thromboembolism of the pulmonary artery often leads to sudden death

Causes of pain

Causes of pain below the knee may be caused by the following reasons:

  • deficiency in the blood of trace elements such as calcium, magnesium, potassium( hypocalcemia, hypomagnesemia and hypokalemia), more often the cause of a decrease in the concentration of these trace elements isdiet, poor absorption in the digestive tract, leaching from the body;
  • long-term use of certain medications( diuretics, drugs that reduce cholesterol in the body, glucocorticoid hormones);
  • tonic spasm of the calf muscles, which often occurs as a result of physical overstrain, long walking, playing sports, standing on legs;
  • traumatic lesions of anatomical structures in the legs( small and tibial fractures, sprains, rupture of ligaments or muscles);
  • inflammatory muscle lesions in the leg( myositis);
  • atherosclerotic disease in the formation of plaques in the arteries below the knee( obliterating atherosclerosis);
  • thrombosis of deep veins or arteries in the legs below the knee;
  • varicose veins of the lower extremities;
  • osteoporosis;
  • for arthrosis and knee arthritis pain can be felt not only in the knee joint, but also in the legs below the knee;
  • osteomyelitis( infectious lesion of the inner part of the shin bones), often occurs in children than in adults;
  • polyneuropathy - the defeat of nerve fibers in people who suffer from diabetes, chronic alcoholics, smokers;
  • arterial disease in the legs( vasculitis, nodular periarteritis, etc.);
  • rheumatic diseases( dermatopolymiosis, lupus, etc.);
  • soft tissue compression of the lower leg;
  • lymphostasis in the vessels of the legs;
  • benign and malignant tumors of bones, muscles and other soft tissues below the knee;
  • Paget's disease;
  • metastasis of cancer of different localization into bone tissue;
  • compression of nerve fibers in osteochondrosis or intervertebral hernia of the lumbar spine.

Below we will consider frequent and at the same time dangerous causes of pain in the leg.

Lower limb variegated

You can also read:
knee pain What treatment is needed if the knee hurts from the inside

In the initial stages, leg varicose may not be accompanied by typical manifestations in the form of enlarged convoluted superficial veins and it is sometimes difficult to recognize it. The first signs of varicose veins may be:

  • sensation of heaviness in the legs;
  • swelling of the lower extremities at the end of the day;
  • monotonous dull pain in the leg, which appears after a prolonged stay in the upright position of the legs;
  • pain, heaviness and swelling pass after rest in a horizontal position, especially if the legs are put on the pillow( raise them);
  • sometimes cramps are possible.

Thrombosis of the lower leg vessels

As a rule, such conditions develop sharply and are accompanied by a pronounced clinical picture. There are features and differences between the signs of thrombosis of the arteries and veins.

Venous thrombosis

  • begins gradually( for several days);
  • there is a feeling of heaviness in the legs and a bursting pain from the outer or inner side of the shin( depending on the localization of the pathological process);
  • the limb changes color - becomes crimson red, and then cyanotic;
  • the calf considerably swells and its circumference increases;
  • pain intensifies, the patient can not step on the aching leg;
  • to the touch the foot is hot;
  • after a while( 3-4 days), if not to provide medical care, begins necrosis and gangrene of the leg.
Venous thrombosis of the foot
Venous thrombosis of lower limb

Arterial thrombosis

  • pathology develops rapidly( for several hours);
  • the first signs can be a feeling of numbness of the leg, its cold snap and a sharp pallor( blood flow stops on the arteries of the shin) or often thrombosis manifests itself in the form of sharp, severe pain below the knee;
  • if you do not take urgent measures for 2-4 hours, the limb dies( gangrene starts).

Obliterating atherosclerosis

Pain in this disease is caused by a violation of the main blood flow along the arteries of the lower leg when they are damaged by atherosclerotic plaques and the narrowing of the internal lumen. Pain syndrome is characterized by intermittent claudication. Pain in the calf muscles appears when walking for long distances. She makes the patient stop and rest, after the pain subsides, the person continues his journey.

But as the disease progresses, the distances are shortened, and the pain begins to appear and at rest. Begin to develop trophic changes( chronic ulcers) on the feet, dryness and peeling of the skin, pathological changes on the nails of the lower extremities. If you do not provide qualified surgical care, then this disease can lead to tissue necrosis and gangrene of the limb.

Deficiency of microelements

Pain in the lower leg is often caused by a deficiency in the body of trace elements such as calcium, potassium and magnesium. There are many reasons for this pathological condition. Pain syndrome is characterized by painful cramps in the gastrocnemius muscles. As a rule, such cramps arise in the middle of the night and wake a sick person. They can have a tonic or clonic character. Pass themselves after a few minutes to ease the pain, patients actively massaging the leg with a spasm.

Cramps of the calf muscles
Spasms of the calf muscles indicate the deficiency of trace elements in the body

Polyneuropathy in diabetes

It is well known that diabetes is a very insidious disease that slowly and steadily affects all organs in the body, including all nerve endings.

Diabetic polyneuropathy of the lower extremities is a characteristic complication of diabetes mellitus. It often happens that with type 2 diabetes( slow and inconspicuous course) patients turn to the doctor because of pain in the legs. Such a pain has a burning character, a constant, not associated with physical exertion, is accompanied by a feeling of numbness and chillness of the legs.

Whatever the pain in the legs is below the knee, the first thing to do is to seek medical help and undergo a complete examination, because such a symptom can signal a serious illness, not just foot fatigue.

Does the leg hurt from knee to foot, what to treat?

Only a few decades ago, only elderly people were able to pay tribute to the pain in their legs. At the same time, diseases are getting younger and it's no longer a rarity when the leg hurts from the knee to the foot of the child. Often young people complain about such problems.

Possible causes of pain

If you feel discomfort in your legs, do not rush to take painkillers that can drown out the problem. After all, they can not eliminate it. If you do not want the feeling of discomfort to become your eternal companion, if you have any worries, it's better to go to a specialist.

The leg is hurt from the knee to the foot After all, if your leg hurts from knee to foot, the reasons can be as follows:

• Injury. Often, aching pain accompanied by cracks, thinning of the bones, delamination of tissues.

• Damage to tendons, their ruptures or sprains.

• Inflammatory processes. They can affect both ligaments, and synovial bags or muscles.

• Hypodynamia. Absence of activity leads to certain violations, which are accompanied by a set of weight. The joints and muscles of the legs are not ready for this.

• Blockage of arteries, varicose veins. In such cases, there is a compressive pain in the calf muscles. Atherosclerosis is accompanied by unpleasant sensations in the legs, which increase with walking.

• Knee cap or cyst damage.

• Flat feet, some diseases of the spine. These problems lead to an incorrect distribution of the load on the legs and, as a consequence, a feeling of pain.

Action tactics

To understand what should be done, when the leg is hurt from the knee to the foot, it is important to correctly establish the diagnosis. Only in this case the doctor will be able to prescribe a treatment that will not only eliminate the consequences of the illness in the form of unpleasant sensations, but also be able to cope with the cause of its appearance.

Often discomfort occurs as a result of prolonged exertion. Problems manifest as minor pain while walking. Patients tend to underestimate them, because they do not know that in most cases any discomfort is indicative of the inflammation that has begun.

Also, one of the most common causes of what hurts the leg from the knee to the foot are problems with the spine. Unpleasant sensations are amplified by squeezing the nerve roots. It can be with osteochondrosis, intervertebral hernia, spondylosis.

Sore feet, feet, knees As a rule, pain is not localized at any one point, it extends to a width of up to 15 cm. This is evidence of extensive damage to leg muscular structures. By the way, it was found that smokers complain more often that they hurt their legs, feet, knees. To establish an accurate diagnosis, it is not enough to visit one surgeon or an osteopath, sometimes a neurologist or phlebologist can determine the cause of the pain. It is also necessary to check the heart, the work of the vessels.

Atherosclerosis of the extremities

If you feel a feeling of squeezing in your legs, then you can not stand and wait for discomfort, you can not. After all, with time, severe pain begins, which does not even allow full movement. The disease is characterized by worsening of the blood flow in the arteries. Most often, atherosclerosis occurs in smokers, people suffering from diabetes mellitus, arterial hypertension. Heredity also matters.

To determine the disease can usual blood biochemistry, it is judged by the level of cholesterol. In addition to painful sensations, cramps that occur during physical activity should be alerted.

Treatment of atherosclerosis

The leg from knee to foot aches, treatment In the first stages of the development of the disease symptoms are manifested only with spasms of the vessels. But over time and in a relaxed state, people feel that the leg is hurting from the knee to the foot.

Treatment may include droppers with the drug "Ilomedin", "Actovegin", also recommend the funds "Cardiomagnolo", "Vazilip".Doctors at such disease advise to start to move more. If an attack of pain occurs while walking, then you must wait until it passes, and then continue to walk, but at a slower pace. It is important to follow a diet with low cholesterol, to give up fatty meat, egg yolks, sausages, smoked products. Use preferably unrefined and unrefined vegetable oil. It promotes the "resorption" of existing atherosclerotic plaques.

If you have a leg from knee to foot due to atherosclerosis, it's up to the expert to decide what to treat. He can prescribe the sequestrants of bile acids - they are designed to normalize the level of cholesterol. These can be preparations "Quantanan", "Questran", "Kolestid".Also, funds can be allocated "Zokor", "Lipostat", "Choletar".With diabetes, fibrates are prescribed - preparations "Clofibrate", "Bezafibrate".They lower the level of triglycerides in the blood.

If medications do not help, then surgeons will come to the rescue.

Varicose veins

The leg is hurt from the knee to the foot, what to do Often, the cause of pain in the lower leg is a thrombosis of the vessels. Blood clots in the veins lead to stagnation and overstretch of the walls of the vessels. In such cases, the leg hurts from knee to foot all the time. Discomfort intensifies toward evening after exercise. The pain is aching in this case.

This condition is quite dangerous, because clots can migrate. They can move to the arteries of the lungs or the brain. This can cause strokes or thromboembolism of the pulmonary arteries.

Methods of treatment of varices

Even with the appearance of the initial stages of the disease, it can not be left without attention. If you have a genetic predisposition to the development of the disease, then a phlebologist should be examined every 2 years. At the same time, ultrasound examination of veins is mandatory.

It is important not to forget about the need for compression therapy. Under the influence of compression, the diameter of the veins decreases, reflux can pass, and the speed of blood flow can increase. Also, medicines are used that increase the tone of the veins, improve the permeability of capillaries. It can be such means as "Routine", "Venarus", "Endotelon", "Escuzan", "Vazobral", "Glivenol" and the like.

The main treatment is to conduct phlebectomy. This is an operation during which the problematic veins are removed. Laser coagulation is also possible. With this minimally invasive method, you can get rid of problems without incisions. Staying in a hospital is not required.

Also without incisions, treatment can be performed using radio frequency coagulation. This method allows eliminating reflux in small or large subcutaneous veins without surgery. The procedure is performed under local anesthesia with ultrasound control of the process.

One of the modern methods is sclerotherapy. This is the gluing of veins with the help of a special drug that is injected into a vein.

Inflammatory processes of

As a result of increased loads on the legs and a combination of a number of unfavorable factors, a person may encounter what the leg hurts from the knee to the foot when walking, running and even at rest. This can be caused by arthritis, bursitis, tendititis, osteomyelitis, fasciitis. Each of the diseases can even lead to a limitation of the person's mobility.

The leg is hurt from the knee to the foot, than to treat Only a specialist can diagnose and select a treatment regimen. These diseases are accompanied by pain, swelling, sometimes the affected areas turn red, local hyperthermia appears.

Treatment of inflammatory processes of

Before starting treatment of pain in the joints, which causes discomfort to spread from the foot to the knee, it is important to establish the true problem.

Often, edema resulting from bursitis can spread to the leg muscles, causing pain and a feeling of heaviness. To establish the diagnosis it is possible at visual survey on a bulging round swelling. It is confirmed by ultrasound. For treatment appoint non-steroidal anti-inflammatory, painkillers, for example, the drug "Ibuprofen" or "Codeine."

The various arthritis that affects the joint can also cause the leg to ache from the knee to the foot. What to do in this situation, you need to deal with a specialist. After all, discomfort, as a rule, occurs immediately in two legs. For treatment, the same analgesic and anti-inflammatory drugs are often used. High efficiency is shown by physiotherapeutic procedures, restoration of cartilage by means of laser and HILT-therapy.

Injuries and Surge

aching leg from knee to foot when walkingAny overload of joints and leg muscles, their excessive stretching, and even more so, blows, do not always pass without a trace. Various lesions are often complicated by the onset of inflammatory processes. If you have after the load, and the more trauma hurt the leg from the knee to the foot, than do not choose to treat yourself. Having silenced at any time the aching sensations, later you can face more serious problems.

Muscle lesions are characterized by the fact that at first the pain is localized on the inner side of the tibia, slightly above the ankle. When you try to turn the foot or stand on tiptoe, it increases. When the muscles are stretched, the shin appears to be heavy, swollen. At palpation there is a marked soreness, it increases with movements. Sensations usually occur after excessive exercise, often they appear only after 12 or even 24 hours.

If you feel a sharp pain localizing in the back of the shin with a muscle strain, like a strong blow, you can assume a muscle rupture. At the same time, the tendon is partially and sometimes completely detached from them.

Also, pain can occur due to inflammation of the ligaments, damage to the Achilles tendon and other problems. It can also occur as a result of a fracture of the bones of the lower leg. Each of the conditions requires consultation with the surgeon and choosing an individual treatment regimen.

Action tactics for mechanical damage

If you have stretched ligaments, broken your leg or overstretched your muscles, you should go to a doctor. Only he is able to determine the true cause of the problems. So, with bruises, it is often enough to apply cold and tightly bandage the affected area.

When stretching ligaments, dislocations or muscle rupture, it is important to immobilize the patient. Often a plaster bandage is applied to the lower leg. It is also mandatory for fracture. In this case, the patient is forbidden to climb to his feet. Drug treatment is the taking of painkillers. The preparation "Paracetamol", "Ibuprofen" can be prescribed.

If the Achilles tendon is damaged, then two joints are immobilized - the ankle and knee joint. Attack on the injured leg is prohibited.

Foot pain from knee to foot: causes and treatment

Thrombosis of the vessels of the legs below the knee

Such pathologies develop in a short time, they flow sharply and are accompanied by pronounced external signs. The disease can be with a blockage of veins or arteries. The states are different in many ways.

With venous thrombosis, symptoms develop gradually over several days. They show up with heaviness in the legs and with a bursting pain. Its localization can be both from the outside, and the inner region of the shin. The leg begins to swell, redness occurs. In the place of pathology, the temperature in the leg rises, it becomes hot to the touch. After a while, redness is replaced by a cyanotic shade. Painful sensations in the patient are strong, it is impossible for him to step on the affected leg. After three or four days, necrosis of the tissues and gangrene of the foot begins. Therefore, timely medical assistance is needed to avoid being left without a lower limb.

Arterial thrombosis develops transiently. For a couple of hours the foot begins to grow dull and cold. Because of the lack of blood supply to the tissues, the color of the shin becomes white. There may also be a sudden acute pain below the knee to the foot.

In the absence of first aid doctors, for two to four hours, the leg dies due to tissue necrosis.

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Deficiency of minerals( trace elements)

If there is a lack of any substances in the body, painful sensations in the lower limbs may develop. The reasons for this are different. Perhaps the bones lack calcium. Symptoms can be cramps in the muscles of the calves, which occur at night. Because of this, a person wakes up, the pain prevents him from sleeping. The attack can last several minutes, then go by yourself. Usually a person starts to massage a diseased site in order to ease his condition.

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This disease can be a consequence of the effect on the body of diabetes, which affects not only all organs( tissues, bones), but also nerve endings. Sometimes diabetes is diagnosed because of pain in the legs below the knees. This is typical of the second type of disease. Thus there are such signs:

  • burning pain in the legs;
  • numbness of legs and cold limb syndrome;
  • pain is permanent and does not depend on physical activity and workload.
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Obliterating atherosclerosis

This disease disrupts the main blood flow in the lower leg due to the narrowing of the lumen of the vessels. The causes of this are atherosclerotic plaques. Because of this, the patient has pain below the knee to the foot with intermittent claudication. Usually it is typical for long walking for long distances. After rest, the pain syndrome passes. If you do not take measures and the disease will progress, the pain will intensify and appear even at rest. Trophic changes occur on the legs( ulcers occur).The skin begins to peel off, it becomes very dry. Also, the nails on the legs are involved in the pathology process. This disease can also lead to the death of the limb due to tissue necrosis and gangrene

If the leg is painful under the knee, then immediately consult a doctor. The specialist will appoint the necessary examination and prescribe the treatment.

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

Most likely, many of us had to complain to relatives 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 elderly people, 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 causes of leg soreness:

  • Traumatic: bone damage, cracks, stratification, thinning, stretching or rupture of tendons, displacement of the patella 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.

Bone of the leg below the knees hurts in the event of severe mechanical trauma, which may cause cracks, delaminations or even fractures 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.

Strongly hurt legs below the knees for obesity and hypodynamia rights. 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 these 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 prescribes 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 such a disease 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 diagnostic methods for leg diseases

Why the legs below the knee hurt heavily( 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 not by hearsay,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 shin and behind

Shin 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 the tiptoes) or moving to the calf's sprain.

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 attack, a fall from the height, or force impact on the front of the tibia. 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.

Fibular fracture

  • To which doctor should

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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