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Understand Leg Pain and Know Its Major Reasons

By Dr. Rakesh Mahajan in Institute For Bone, Joint Replacement, Orthopedics Spine & Sports Medicine

Mar 22 , 2024 | 10 min read

Pain in the leg is uncomfortable as it disrupts basic daily routines like walking, running or exercising. When persisting leg pain reasons are unknown, it can be a cause of worry. However, it's important not to jump to conclusions or make assumptions. There could be numerous explanations for leg discomfort.

Our aim in this blog is to shed light on the subject, helping you understand the potential causes and encouraging you to have informed discussions with your doctor.


Major Leg Pain Reasons or Causes

One of the primary complaints that often brings people to the doctor is leg pain. There can be a plethora of reasons behind this discomfort, such as bone conditions, injuries, muscle conditions, infections and nerve problems.

In this section we will cover each of these leg pain reasons as well as include conditions that do not fit under these umbrella categories.

Bone Conditions

Our bones are the pillars of our body and any disturbance in their health disrupts our overall well-being. Among the leg pain reasons, bone conditions account for a significant number.

Let's delve into some of these conditions:

  • Osteochondritis Dissecans: This condition affects the joints, mainly in children and adolescents. A piece of bone under the joint cartilage may come loose, resulting in discomfort and potentially obstructing joint function. The condition is often linked to high-impact activities, like running and jumping.
  • Bone Cancer: Bone cancer is one of the key symptoms of bone cancer is pain in the affected region. It may be more noticeable at night or when the bone is used, such as when walking for a tumor in a leg bone. Over time, the pain can become more constant and may worsen with activity.
  • Paget's Disease (Bone): In this disease, the body's natural process of replacing old bone tissue with new is disrupted. This leads to weaker bones that can cause discomfort, deformities and even fractures.
  • Ankylosing Spondylitis: Characterised by stiffness and pain in the lower back or hips, this condition can also lead to leg pain if inflammation spreads to other joints.
  • Legg-Calve-Perthes Disease: Mostly seen in children, this condition affects the hip joint, causing pain, swelling and an unstable sensation in the affected area.

Injuries

Another common leg pain reason is injuries. From inflammation in the knee joint to tiny breaks in the leg bones, various reasons can contribute to discomfort or pain in your legs. Let's understand these injuries in detail:

  • Knee Bursitis: This is when your knee joint becomes inflamed and causes pain, swelling and sometimes limits movement. It usually results from continuous pressure on the knee, overuse or even a sudden impact.
  • Stress Fractures: These are small cracks in the leg bones, often due to overuse or repetitive force. Activities like running long distances or frequent jumping can lead to stress fractures.
  • Tendinitis: This injury involves inflammation of a tendon, usually triggered by repetitive movements, such as when doing sports.
  • Muscle Strain: When muscle fibres are overstretched or torn due to fatigue or improper use, it can lead to muscle strain.
  • Shin Splints: This condition manifests as pain along the inner edge of your shinbone. It's typically caused by overuse of the muscle or stress on shin muscles.
  • Hamstring Injury: An injury to the muscles at the back of your thigh can cause hamstring injury resulting in pain and restricted movement. Hamstring injuries could occur due to overuse, muscle imbalance, poor flexibility, inadequate warm-up, fatigue or previous injury. Activities such as running, jumping, or kicking without proper rest increase the risk.
  • Chronic Exertional Compartment Syndrome: Characterised by leg pain, swelling and tightness often due to repetitive physical activity.
  • ACL Injury: An injury to the anterior cruciate ligament (ACL) in your knee can lead to instability and pain.
  • Torn Meniscus: A tear in the cartilage within your knee joint can cause pain, swelling and limited movement.
  • Growth Plate Fractures: These fractures occur when a child's growth plate (a layer of growing tissue near the end of their bones) is fractured. Symptoms can include pain, inability to move and swelling at the end of the bone.
  • Achilles Tendon Rupture: This injury occurs when your Achilles tendon, connecting your calf muscles to your heel bone, tears. It can cause sharp pain in the back of your ankle and lower leg, swelling near the heel and difficulty walking.

Muscle Conditions

The human body is intricate, and sometimes leg pain reasons can be traced back to conditions affecting our muscles. A few muscle-related conditions that can cause leg pain include myositis, dermatomyositis, statins (effects of cholesterol medicines) and polymyositis.

  • Myositis: This condition represents inflammation of the muscles leading to symptoms like weakness, cramps and stiffness. If you're experiencing continual muscle weakness coupled with leg pain, myositis could be a possible reason. Treatment often includes medications like corticosteroids and physical therapy.
  • Dermatomyositis: Closely related to Myositis, Dermatomyositis also causes muscle inflammation but with an additional symptom - a distinctive skin rash. This might not directly cause leg pain but adds to the overall discomfort and hampers mobility. Like Myositis, treatment often involves corticosteroids and physical therapy.
  • Statins: While statins are widely used to control cholesterol levels, they can sometimes lead to muscle-related side effects such as myopathy. Symptoms can manifest as muscle pain, weakness or tenderness in different parts of the body including legs. If you're on statin therapy and encounter such symptoms, it's important to consult your doctor right away.
  • Polymyositis: This is another type of inflammatory myopathy causing muscle weakness and inflammation that can affect your day-to-day activities like climbing stairs or lifting objects due to associated leg pain. Here too, corticosteroids and physical therapy form part of the treatment protocol.

Infections

In our daily lives, we often face various health issues, with leg pain being a common ailment. There are numerous leg pain reasons, one of them being infections. Certain infections can lead to discomfort and pain in the legs, and it's essential to understand a few specific conditions related to this.

  • Osteomyelitis: This condition denotes an infection in the bone which can cause leg pain. Besides pain, symptoms might include swelling, redness and warmth in the affected area. Treatment often necessitates the use of antibiotics or sometimes, surgical intervention.
  • Cellulitis: This bacterial skin infection presents as redness, swelling, tenderness and warmth in the affected part of the body. It can also be a cause of leg pain. Antibiotic treatment is usually applied to manage it.
  • Septic Arthritis: In this instance, an infection occurs in a joint leading to severe pain, swelling, redness and limited movement. Treatment involves antibiotics or drainage procedures.

Nerve Problems

Nerve-related issues are significant contributors to leg pain. Understanding these conditions can help identify leg pain reasons and determine the right course of action.

  • Peripheral Neuropathy: One of the major leg pain reasons is peripheral neuropathy. This type of nerve damage, which affects the areas outside your brain and spinal cord, is frequently triggered by diabetes, trauma or exposure to certain toxins. Common symptoms include numbness, a tingling sensation or pain in your legs and feet.
  • Herniated Disk: A herniated disk can also lead to nerve-based leg pain. This happens when the soft inner portion of a spinal disk protrudes through a crack in its tough exterior, compressing the nerves in the spine and resulting in leg pain. You might experience symptoms such as numbness or weakness in your legs.
  • Sciatica: Another familiar cause of nerve-related leg pain is sciatica. Resulting from inflammation or injury to the sciatic nerve, this condition brings about a radiating pain that extends from your lower back down your leg. Sharp pain, muscle weakness, numbness and tingling are typical symptoms.
  • Spinal Stenosis: Spinal stenosis entails a narrowing of your spinal canal which can exert pressure on your spinal cord or nerves, causing leg pain, weakness, cramping or tingling sensations. This condition is often linked with osteoarthritis and tends to affect people over 50 years old.
  • Meralgia Paresthetica: This condition occurs when there's compression of the lateral femoral cutaneous nerve in your thigh, leading to meralgia paresthetica. Symptoms include an achy or burning pain in the outer thigh area along with coldness and buzzing sensations.

Other Reasons for Leg Pain

Leg pain can stem from diverse reasons. Understanding the potential causes can help you manage your discomfort and take effective steps towards your well-being. Let's examine some common but often overlooked leg pain reasons.

  • Vascular Causes: Any clot in your lower limb vessels can lead to leg pain. It needs urgent management.
  • Night Leg Cramps: Do you often feel a sudden pain in your calf muscles at night? That's usually the result of muscle contractions often referred to as 'Night Leg Cramps'. To alleviate this, try stretching and massaging the area experiencing discomfort.
  • Baker Cyst: This is a fluid-filled swelling that occurs behind the knee and could be another reason for leg pain. The discomfort intensifies when bending or straightening the leg.
  • Restless Legs Syndrome: If you often have this irresistible urge to move your legs due to some uncomfortable sensations, especially during nights or when inactive, you might be experiencing ‘Restless Legs Syndrome’. While restless leg syndrome doesn't conventionally cause pain, it produces uncomfortable sensations such as creeping, crawling, tingling or itching deep within the legs.
  • Growing Pains: Common in children, causing leg discomfort or pain typically in the evening or at night and often affecting both legs.
  • Electrolyte Imbalance (Calcium or Potassium): Our body needs essential minerals like calcium and potassium for normal functioning. A drop in these can lead to muscle weakness, cramps or even numbness in the legs.
  • Low Levels of Vitamins (Vitamin D): Vitamin D plays an important role in our body's health. Inadequate levels of this vitamin can contribute to muscle weakness and associated leg pain.
  • Lymphodema: Lymphodema is due to blockage of lower limb lymphatics due to infection or filaciasis infection leads to chronic leg pain.


When to See a Doctor?

Experiencing leg pain can sometimes be a sign of an underlying health issue. While we might dismiss it as fatigue or overexertion, it's important to remember that our bodies communicate to us through such signals. When you notice persistent leg pain, it's an indication that your body might need medical attention.

Seeing a doctor is crucial because they can help you understand the possible leg pain reasons and guide you towards the right course of action. Not only will this provide relief, it will also ensure that any potential health problems are detected at an early stage. Early detection often leads to more effective treatment and could potentially prevent further complications.

Being proactive about your health involves taking certain precautions. Let’s touch upon the importance of taking necessary measures:

  • Precautions for Leg Pain: It's important to take care of our legs as they bear the weight of our entire body and contribute significantly towards mobility. Regular exercise, a balanced diet and adequate rest can go a long way in maintaining good leg health.
  • Importance of Timely Diagnosis and Treatment: It cannot be stressed enough how routine check-ups and timely diagnosis are key to managing any health condition effectively. In case there is a serious underlying problem causing your leg pain, timely treatment can improve the prognosis dramatically.


Conclusion

In conclusion, remember not to ignore symptoms like leg pain. It could be an early warning sign of a serious condition and understanding the various leg pain reasons can aid in seeking timely medical intervention.

At BLK Max Hospital, our experts are ever-ready to help you navigate through your health concerns. Get in touch with us today to take the first step towards better health.


Frequently Asked Questions

1. Are arthritis and joint disorders linked to leg pain?

Yes, arthritis and other joint disorders often result in leg pain. Swelling and tenderness around the joints can lead to discomfort and stiffness, which are common leg pain reasons.

2. What is Deep Vein Thrombosis (DVT), and can it cause leg pain?

Deep Vein Thrombosis (DVT) is a condition where a blood clot forms in your deep veins, usually in the legs. This clot can cause swelling and pain in the affected leg.

3. What diagnostic tests are used to identify the cause of leg pain?

Doctors often use X-rays, MRI scans, ultrasound and blood tests to diagnose the cause of leg pain.

4. What medications are prescribed for arthritis-related leg pain?

Nonsteroidal anti-inflammatory drugs (NSAIDs), steroids and disease-modifying antirheumatic drugs (DMARDs) are commonly prescribed for arthritis-related leg pain. However, it is best to consult your doctor about information regarding medications.

5. Are there lifestyle changes that can alleviate leg pain?

Absolutely! Regular exercise, maintaining a healthy weight, stretching regularly, using supportive shoes and taking frequent breaks from prolonged sitting or standing can help mitigate leg pain.

6. Is leg pain more common in certain age groups?

Leg pain can occur at any age but is often more prevalent in elderly people due to wear and tear on the joints over time.

7. Can leg pain be a side effect of certain medications?

Yes, certain medicines may have side effects that include muscle weakness or bone discomfort leading to leg pain.