Which department should I consult for leg pain?
You should see an orthopedic specialist or a neurologist for your symptoms.
Joan, 40~49 year old female. Ask Date: 2020/12/01
Dr. Chen Bozhang reply Family Medicine
Hello! It is recommended to consult with a family medicine clinic first.
Thank you!
Reply Date: 2020/12/01
More Info
When experiencing leg pain and cramps, especially when the discomfort has progressed from lower back pain to pain in the thigh and calf, it is essential to consult the right specialist for an accurate diagnosis and effective treatment. In your case, the most appropriate specialists to consider would be a physiatrist (also known as a rehabilitation physician) or an orthopedic surgeon.
A physiatrist specializes in physical medicine and rehabilitation, focusing on restoring function and improving quality of life for patients with musculoskeletal issues. They can assess your symptoms, conduct a thorough examination, and recommend a treatment plan that may include physical therapy, medications, or other non-invasive interventions.
On the other hand, an orthopedic surgeon specializes in the diagnosis and treatment of musculoskeletal disorders, including bones, joints, ligaments, tendons, and muscles. If your leg pain is due to structural issues, such as a herniated disc in your lower back affecting the nerves that innervate your leg, an orthopedic surgeon can provide surgical options if necessary.
In addition to these specialists, you might also consider seeing a neurologist if there are concerns about nerve involvement, especially if you experience symptoms like numbness, tingling, or weakness in addition to pain and cramps. A neurologist can evaluate for conditions like sciatica or peripheral neuropathy, which can contribute to leg pain.
When you visit a specialist, be prepared to discuss your symptoms in detail, including when they started, their intensity, any activities that exacerbate or relieve the pain, and any other relevant medical history. Diagnostic tests such as X-rays, MRIs, or nerve conduction studies may be recommended based on your symptoms to identify the underlying cause of your pain.
In the meantime, there are some self-care measures you can take to alleviate your symptoms. Stretching exercises can help relieve muscle cramps, and applying heat or cold packs to the affected areas may provide temporary relief. Over-the-counter pain relievers, such as ibuprofen or naproxen, can also help manage pain and inflammation, but it's essential to consult with a healthcare provider before starting any new medication, especially if you have underlying health conditions or are taking other medications.
In summary, for leg pain and cramps, start by consulting a physiatrist or orthopedic surgeon. If necessary, they may refer you to a neurologist for further evaluation. Early intervention is key to managing your symptoms effectively and preventing further complications.
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