Knee and Calf Discomfort: Potential Vascular Issues - Cardiology

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Discomfort in the inner knee and lower leg?


Hello, doctor.
Over the past year, I have had to sit for long periods due to my studies.
The previous year, because of my part-time job, I had to stand for at least two days a week for 6 to 8 hours.
After a long-haul flight (about 10 hours) back home at the beginning of this year, I noticed that my calves were prone to swelling.
In mid-August, I accidentally fell down about three steps and injured both of my knees.
Since then, when sitting, I experience tingling and a slight burning sensation in the muscles above my knees (mostly on the inner side), and my calves feel somewhat swollen.
Sometimes, after standing or walking for too long, I also feel a burning sensation near my knees.
However, the tingling and swelling while sitting improve slightly with massage above the knees (the area where I feel tingling) and massage of the calves.
Recently, I feel that the symptoms have worsened, and I have a sensation of poor blood circulation.
Could you please tell me what might be causing this? Could it be deep vein thrombosis?

Mìmì, 20~29 year old female. Ask Date: 2016/10/30

Dr. He Dongjin reply Cardiology


Hello, it seems more like a case of tendinitis near the knee rather than deep vein thrombosis.
If you still feel unwell, it is advisable to visit the outpatient clinic for further examination.
Changhua Hospital cares about you.

Reply Date: 2016/10/30

More Info


Based on your description, it sounds like you are experiencing discomfort in your knee and calf, which has been exacerbated by prolonged sitting, standing for extended periods, and a recent fall. The symptoms you describe, including swelling in the calf, a burning sensation around the knee, and numbness, could potentially indicate several underlying issues, including vascular problems such as deep vein thrombosis (DVT), as well as musculoskeletal injuries related to your fall.


Potential Causes of Your Symptoms
1. Deep Vein Thrombosis (DVT): Given your history of prolonged sitting, especially during long flights, you may be at risk for DVT. DVT occurs when a blood clot forms in a deep vein, usually in the legs. Symptoms can include swelling, pain, and a feeling of heaviness in the affected leg. The burning sensation and numbness you are experiencing could also be related to vascular issues, particularly if blood flow is compromised.

2. Musculoskeletal Injury: The fall you experienced could have caused soft tissue injuries or even minor fractures that may not be immediately apparent. Injuries to the ligaments, tendons, or muscles around the knee can lead to swelling and discomfort. The burning sensation and numbness could be due to nerve irritation or compression resulting from swelling or inflammation in the area.

3. Postural Issues: Sitting for long periods can lead to poor circulation and muscle stiffness. This can contribute to feelings of heaviness and discomfort in the legs. Additionally, standing for long hours can cause muscle fatigue and strain, leading to similar symptoms.

4. Nerve Compression: The symptoms of numbness and burning in the knee area could also indicate nerve compression, possibly from swelling or tightness in the surrounding muscles or tissues.


Recommendations for Management
1. Seek Medical Evaluation: Given the potential seriousness of DVT, it is crucial to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an ultrasound, to check for blood clots.

2. Movement and Exercise: If you are cleared by a physician, incorporating regular movement into your routine can help improve circulation. Simple exercises like ankle pumps, calf raises, and gentle stretching can be beneficial. If sitting for long periods, take breaks to stand up, stretch, and walk around.

3. Compression Stockings: Wearing compression stockings can help improve blood flow in the legs and reduce swelling. These are particularly useful if you have to sit or stand for extended periods.

4. Pain Management: Over-the-counter pain relievers, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), may help alleviate discomfort. However, consult with a healthcare provider before starting any medication, especially if you have allergies or other health conditions.

5. Physical Therapy: If musculoskeletal injury is suspected, a physical therapist can provide targeted exercises to strengthen the muscles around the knee and improve flexibility, which may alleviate some of your symptoms.

6. Monitor Symptoms: Keep track of your symptoms, including any changes in swelling, pain intensity, or new symptoms. If you notice worsening symptoms, such as increased swelling, redness, or warmth in the calf, seek immediate medical attention.


Conclusion
Your symptoms warrant careful consideration, especially given the risk factors associated with DVT and the potential for musculoskeletal injury. It is essential to seek a professional evaluation to determine the underlying cause of your discomfort and to receive appropriate treatment. Early intervention can significantly improve your outcomes and help you return to your normal activities without pain or discomfort.

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