Leg Pain (app)

Leg Pain & Injury

 

Article by
N.Stewart, J. Ferguson

Areas of Leg Pain

Leg pain and injury are extremely common. Most leg pain can occur as a result of sports injuries, work injuries or simply everyday use. Alternatively, leg pain can be referred from your lower back joints. Sciatica is a well-known source of referred leg pain. Leg pain can also be caused by blood clots (DVT’s), varicose veins or poor circulation.

How Do You Get Rid of Pain in the Leg?

It is important to make an accurate diagnosis of the cause of your leg pain or injury so that appropriate treatment can be directed at the cause. Musculoskeletal and sports injuries are optimally treated by your physiotherapist. If surgery is required your doctor or physiotherapist may recommend that you seek the advice of an orthopaedic surgeon.

Referred pain from your lower back (e.g. sciatica) is also successfully treated by your trusted spinal healthcare practitioner eg physiotherapist. In a small percentage of patients, a spinal surgeon assessment may be required to resolve your leg pain.

Blood clots and vascular disorders may require the care of your doctor or a vascular surgeon. Untreated blood clots and DVT’s can have serious adverse health outcomes including strokes or death. Prompt medical attention is strongly recommended.

Please do not delay in consulting your doctor or physiotherapist if you experience leg pain. Some leg conditions can take many months or even years to heal when the diagnosis is incorrect or treatment is neglected early.

Common Causes of Leg Pain

By Structure

Common Ankle Injuries

ankle pain
Sprained Ankles

The most common ankle injury is a sprained ankle, but ankle pain can have numerous sources.

Ankle pain that results from a traumatic injury is often a sports-related injury. But you don't necessarily have to be an athlete or even a social sportsperson to twist your ankle.

Something as simple as walking on an uneven footpath can cause a rolled ankle, resulting in an ankle sprain. Ankle injuries can potentially occur at any age. Thousands of people sprain their ankle every day around the world. Just while you've been reading this article, a few hundred people have sprained their ankle. While ankle pain can result from many ankle and foot injuries, the most common ankle injuries are sprains (low and high ankle), which involve ligaments and bones in the ankle. But you can also fracture a bone, tear muscles or over-stress a tendon when you sprain your ankle.

High ankle sprains are generally a more significant injury. These injuries require thorough assessment and treatment to avoid long-term ankle arthritis. If you can't perform a single-leg calf raise within a few days, please seek an early professional ankle assessment.

Related links:

Ankle Fractures

An ankle fracture occurs when there is a break in one or more of the bones. The most common ankle fractures are avulsion fractures of your distal fibula, which can be a side effect of an ankle sprain. These are generally less troublesome than if you experience a talar dome fracture with your actual ankle joint. Potts fracture is a significant fracture of your tibia and fibula simultaneously. All suspected fractures require medical investigation and professional management by your health professional to avoid long-term foot and ankle issues. If your healthcare professional suspects an ankle fracture, you will be referred for at least an X-ray and potentially an Orthopaedic Surgeon. Related links:

Ankle Tendinopathies

While muscle strains are more common in your legs, there are essential muscles that converge into tendons that wrap around your ankle to stabilise your ankle and foot to protect them from sprains and allow you to walk and run. These muscles and their tendon vitally provide you with a normal foot arch and avoid flat feet.

Your muscles or tendons can become injured or inflamed as a result of overuse or trauma. The inflammation is called tendonitis. They can also tear, completely rupture, or sublux out of place. Medically tendon injuries are known as tendinopathies, and at the ankle may include:

Ankle Arthritis

Your ankle pain and dysfunction can lead to degenerative conditions such as ankle osteoarthritis. While arthritis usually is a chronic deterioration of your ankle joint, it is crucial to slow ankle arthritis progression. Please seek the professional advice of your ankle and foot health practitioner, e.g. physiotherapist or podiatrist.

Biomechanical Conditions

Biomechanical disorders may result in foot deformation, painful weight-bearing and potentially nerve compression. In simple terms, this is where your foot and ankle do not have normal bone alignment and motion contr. Here are a few possible conditions related to poor ankle biomechanics.

Muscle Injuries

Nerve-Related Ankle Pain

Children & Youth Conditions

Systemic Conditions that may cause Ankle Pain

Soft Tissue Inflammation

Other Useful Information

Sources of Calf Pain

The most common sources of leg pain include a calf muscle strain (torn calf), Achilles tendinopathy and leg cramps.

calf injury

Other sources of calf pain can include the following:

Calf Muscle Strain

Other Muscular Conditions

Achilles Injuries

Shin Pain

Systemic Conditions

Neurological Conditions

Common Causes - Knee Pain

Knee pain can have many origins from local injury, referred pain, biomechanical issues and systemic issues. While knee pain can appear simple to the untrained eye, a thorough assessment is often required to ascertain the origin of your symptoms. The good news is that once a definitive diagnosis is determined, most knee pain quickly resolves with the correct treatment and rehabilitation.

Knee Ligament Injuries

Knee Meniscus Injuries

Kneecap Pain

Knee Arthritis

Knee Tendon Injuries

Muscle Injuries

Knee Bursitis

Children’s Knee Conditions

Other Knee-Related Conditions

Knee Surgery

For specific information regarding your knee pain, please seek the assistance of a healthcare professional with a particular interest in knee condition, such as your physiotherapist.

Common Causes of Hip & Groin Pain

General Information

Hip Joint Pain

Lateral Hip Pain

Adductor-related Groin Pain

Pubic-related Groin Pain

Inguinal-related Groin Pain

  • Inguinal hernia
  • Sportsman's hernia

Iliopsoas-related Groin Pain

  • Hip Flexor Strain

Other Muscle-related Pain

Systemic Diseases

Referred Sources

Hip Surgery

Hip Pain Treatment

A thorough analysis of WHY you are suffering hip pain from a movement, posture, or a control aspect, is vital to solving your hip pain. Only an accurate diagnosis of the source of your hip pain can solve the pain, quickly improve your day to day function, prevent a future recurrence,  or improve your athletic performance. The first choice of short-term therapy has been symptomatic hip treatment. This approach could include local chemical modalities such as cortisone injections or painkillers. Ice or heat could also assist along with some gentle stretching or exercise. However, persisting hip problems will require additional investigations to assess your joint integrity or range of motion, muscle length, strength, endurance, power, contraction timing and dynamic stability control. You should consult a healthcare practitioner who has a particular interest in hip pain and injury management, to thoroughly assess your hip, groin, pelvis, lower limb and spine. Due to the kinetic chain, they all have an impact, especially at the high athletic performance end. A quality practitioner will specifically educate you regarding your condition and combine with exercise and manual therapy as per the Clinical Practice Guidelines. (Cibulka et al., 2017) Hip pain education should also include teaching you specific activity modification, individualised exercises, weight-loss advice (if required), and methods to unload any arthritic joints. Recent research evidence-backed approaches have modernised physiotherapy treatment approaches to effectively managing hip pain. Together with a thorough hip assessment, your hip treatment can progress quickly to restore you to a pain-free hip and perform your regular sport or daily activities in the shortest time possible. For specific rehabilitation advice regarding your hip pain, seek the professional advice of high quality and up-to-date physiotherapist experienced in the assessment, treatment, prevention and optimisation of hip pain and related conditions. After assessing you, they will individually prescribe therapeutic activities based on your specific needs for daily living, values, and functional activities or point you in the direction of the most suitable healthcare practitioner for you and your hip condition.

Hip Pain Treatment Options

Your hip physiotherapist may consider an extensive range of treatment options including manual joint therapy to improve your joint mobility, muscle stretches or supportive taping. Your physiotherapist is also likely to add strengthening and joint control exercises as they deem appropriate for your specific functional and sporting needs. Please click the links below for more information about some of the conventional hip treatments that your physiotherapist may recommend or utilise for your hip pain.
Physio Works...