Differential Diagnosis of Lower Leg Pain

Conclusion

Lower leg pain can be divided into calf pain and shin pain. Thus, locating your pain is the first thing doctors will do to diagnose your problem. If you have calf pain, the more likely problems are related to tendons or muscles. If you have shin pain, there’s a wide range of diagnoses, including vascular issues, stress fractures, and even a life-threatening condition known as chronic exertional compartment syndrome.

In both cases, the diagnosis takes into consideration three steps. The first step is creating a medical history. In this step, patients must be very specific in describing their symptoms and answering any questions. The second step is performing a physical exam, which involves inspection, palpation, tendon reflex tests, and various maneuvers. In this step, patients should follow the instructions and collaborate with the doctor to facilitate the diagnosis. The third step is performing lab tests and imaging studies, which are sometimes required, and sometimes not. In this step, patients need to do the studies promptly and return to the doctor as soon as possible to avoid delaying the diagnosis.

A final word about dull pain in your lower leg. If you can’t locate lower leg pain in your shin or your calves, and it feels dull and challenging to pinpoint, one of the diagnostic possibilities is a bone-related problem, but it can also be a nerve-related issue. Thus, the most likely studies a doctor will perform include an X-ray scan and a complete assessment of tendon reflexes.

References

https://www.verywellhealth.com/causes-of-calf-pain-and-treatment-options-2549387

https://orthoinfo.aaos.org/en/diseases–conditions/shin-splints/