A Not So Simple Case Of Chronic Leg Pain

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

A Not So Simple Case Of Chronic Leg Pain - Page #1

Author: Calvin Luu, DO Co Author #1: Joshua Blomgren, DO Senior Editor: Siobhan Statuta, MD, FAMSSM Editor: Heather Rainey, MD Patient Presentation: A 22 year old male presented with a five year history of chronic exertional bilateral leg pain. History: This young patient was diagnosed with chronic exertional compartment syndrome of the left leg in March 2019. At that time, he could only walk 20 minutes before developing pain and muscular bulging of his left shin. He underwent anterior and lateral compartment fasciotomy of the left leg and was noted to have two fascial herniations similar to those noted pre-operatively. Similar symptoms then developed in the right leg and compartment pressure testing was performed. Pressures were greater than 50mmHg in the anterior and lateral compartments after five minutes of walking. In February 2020, he underwent a four compartment fasciotomy of the right leg. Post-operative physical therapy was cut short by the COVID-19 pandemic and symptoms continued despite surgical release. At that time, symptoms were occurring in both legs after 10 minutes of walking or five minutes of running. Physical Exam: The patient walked with a non-antalgic gait. Well-healed surgical scars were noted on bilateral lower extremities. The right anterior lower leg had an apparent fascial herniation, with some tenderness to palpation at distal anterior and medial tibia. Range of motion of bilateral lower extremities revealed pain-free dorsiflexion to 25 degrees, plantarflexion to 50 degrees, inversion to 20 degrees, eversion to 5 degrees. On strength testing, there was 5/5 resisted plantarflexion, dorsiflexion, inversion, eversion, great toe flexion and extension, all without pain. Sensation was intact bilaterally. Patellar and Achilles reflexes were 2+ and symmetric. Dorsalis pedis and posterior tibial pulses were 2+ bilaterally. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC