Sick bones of the leg 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:

  • feeling 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 resting in a horizontal position, especially if the legs are put on the pillow( raise them);
  • sometimes cramps are possible.

Thrombosis of the calf vessels

As a rule, such conditions develop acute 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 you do not 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( the 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 a deficiency of trace elements in the body

Polyneuropathy in diabetes mellitus

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 limbs 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 that needs to be done is to seek medical help and undergo a complete examination, because such a symptom can signal a serious illness, not just foot fatigue.

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, proceed acutely 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 a period of 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 shortage of any substances in the body, painful sensations in the lower extremities can 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.

Why many feet ache lower than the knee( 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 participatein 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 strengthening of 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 illness 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 tiptoe) or moving to stretch the eggs.

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 loins, 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) may 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.

Fracture of fibula

  • 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.

What if the leg bones hurt below the knee?

Margarita Filatova

You may have been injured as a result of excessive workload. When in the process of playing sports - after running, jumping, cycling, exercising on the simulators or after a long climb on the stairs - the legs hurt below the knees, the case may be in excessive load, which caused irritation or inflammation of the muscular tissues, ligaments, synovial bags. Consultation and examination with an orthopedic trauma specialist!


In general, the bones do not hurt)) Muscles or tendons ache. Can stretched?
And you can not go to the doctor?

Andrey Enyutin

as a rule such pain, at this age are associated with uncomfortable shoes.

Anastasia Demidova

Delirium..I beg your pardon..Bones can not hurt under the knees! !!!(this sensation: a little numb and relatively painful) This muscle is unequivocal..Doing sports and do not know the physiology. . it's a shame to be)) and if you have a coach or anything in this does not fumble. ..Yeah..if it is still..It's a muscle..she was hammered differently "lactic acid production" I high loads, muscle contraction is high, this muscle is more contracted, the reaction of the development of activator substances( (chemistry) - is also present in our body)..In short, the muscles also get tired. ..I advise massage of the lower can also use a contrast shower. .

Sore feet below the knees. I do not do sports. What can be the pain?


may need to check the blood vessels? Do you suffer from varicose veins?


calves feet?
so probably the muscles pulled
in a hot bath it is necessary to lie
the son at me so always does

DAMA with a dog

an arthrosis.rheumatoid arthritis.that you want

*** Blue eyes ***

Can there be problems with the veins?
Or maybe there was some kind of load( walking walked, something was raised, squatted, stood on toe socks) and your un-trained leg muscles hurt
It's one thing if it happened one day, the other thing if it's always. ..

Yuri Maksimov

The cause may be of a neurogenic nature or vascular genesis.start with an ultrasound of the veins and consult a vascular surgeon or neurologist.

Albina Tsarbaeva

have a drink of vitamins where there is magnesium and eventually will pass, I was helped very much by the convulsions in the legs. ..
Good luck, you do not feel ill)))

SladkAi Santa

Because the sport is not zaimayse

Moon wolf

From the fact that you do not exercise sports, the muscles dry, certain pains arise because of a lack of static tension, the tendons are squandered, they need to be loaded, otherwise they are reflected.
I could still assume that this is Schlätter's disease or a fatigue fracture in the points of bone growth, but if you do not go in for sports, this is highly unlikely.

Problems with the lumbosacral spine, varicose veins, pinched nerves, mechanical injuries of ligaments and tendons are just a small part of the possible causes of sharp or aching pain under the knee.
Every person complains of painful symptoms in the complex knee joint: from time to time every person complains of: patients of orthopedists, traumatologists, manual therapists and, of course, osteopaths become those who lead an active lifestyle, and those who became "victims" of hypodynamia. A person constantly presents knee joints with new requirements, which he is not always able to fulfill - which leads to various violations. Often, when a patient complains that his leg is hurting under the knee when walking, it is enough for him to simply change his shoes - more comfortable, broad or low.
Acute pain below the knee is usually associated with lesions:
* tendons that serve as a connecting element between the bone and the muscles.
* Tendons very strong, but not too elastic, so "afraid" of stretching;
* ligaments that connect the bones;
* meniscus - cushioning pads, which can break when exposed to excessive loads;
* patella, the fracture of which also causes severe pain under the knee;
* knee joint dislocation;
* bone injury: if the bone is lower than the knee, the cause may lie in the detachment of
* thin bone film( periosteum).
When in the process of playing sports - after running, jumping, cycling, exercising on the simulators or after a long climb on the stairs - the legs hurt below the knees, the case may be in excessive load, which caused irritation or inflammation of the muscular tissues, ligaments, synovialbags( bursitis).To get rid of the pain and strengthen the muscles, it is enough to pass a treatment course in the osteopathic center, where an experienced specialist will identify the cause of discomfort, help to repair damaged tissues, and also give practical recommendations to avoid a repetition of the situation in the future.
If an 11-15-year-old boy complains that he often hurts below the knee - in front of him, the doctor can diagnose the disease Osgood-Schlätter disease.
Obesity is a disease that leads to a wide variety of negative consequences and can also cause pain in the legs below the knee. In this case, in order to get rid of painful symptoms, you must first conquer excess weight. The osteopath, unlike the traumatologist, is looking for the cause of the pain not only in the joint itself, but in the whole body, which explains the effectiveness of osteopathic treatment.
Swelling and pain in the leg below the knee can be a consequence of the cyst, which in turn can be formed due to arthritis, which should be paid attention.
Disturbances in the hip joint or nerve entrapment can also cause pain under the knee joint - in this case, a complex treatment is required, which can not do without the help of an osteopath.


can pull a muscle or
just do not have to walk on his heels. ..

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