Pain in the posterior right calf and discomfort in the wrist?
Hello, doctor.
Last month, due to a confirmed diagnosis, I spent nearly a week lying on a recliner or sitting.
Since then, I have experienced pain when pressing on the back of my right calf (which is not present now).
I can squat down and stand up without any issues, but if I squat for too long and then stand up, I feel significant pain in my right leg (which causes pain when straightening the calf).
Pressing down on the top of my foot or lifting it also causes discomfort.
Generally, I have no major issues walking, just a slight pain at most, and I can go up and down stairs without problems.
Recently, I started experiencing pain when pressing on the junction of my right arm and wrist (the back of my hand).
Currently, there is no pain there, but pressing near the wrist on the palm side close to the arm causes discomfort.
Using my wrist also feels uncomfortable with a slight pain sensation.
My left wrist also feels a bit strange and uncomfortable, almost like it’s tingling, but not too bad.
If I use my hand continuously, it becomes more uncomfortable, but resting it alleviates the issues with my leg.
The leg problems have been ongoing since the beginning of the month, while the wrist issues have only started in the past few days.
Could you please advise what might be wrong? Which specialty should I consult?
Nìmíng, 20~29 year old female. Ask Date: 2022/07/20
Dr. Hong Weibin reply Neurology
Hello: It may be due to prolonged rest, which has caused the muscles to become tight and stiff.
You can start by consulting a rehabilitation specialist or a physical therapist for assistance in relaxing the tight muscles, and then gradually increase your activity level, which should help improve the condition.
Reply Date: 2022/07/20
More Info
Based on your description of the symptoms, it seems that you are experiencing pain in both your right leg and wrist, which has developed after a period of inactivity due to illness. This situation raises several important considerations regarding the potential underlying causes of your pain and when to seek medical attention.
Firstly, the pain in your right calf, particularly when standing up after squatting, could be related to muscle strain or tightness. Prolonged inactivity can lead to muscle stiffness and discomfort, especially if you have not been engaging in regular movement or exercise. This is often seen in individuals who have been sedentary for an extended period. The fact that you mentioned the pain is not constant and only occurs under specific conditions (like standing after squatting) suggests that it may be related to muscle fatigue or overuse rather than a serious underlying condition.
On the other hand, the discomfort in your wrists, particularly at the junction where the hand meets the arm, could indicate a few different issues. One possibility is tendinitis, which is inflammation of the tendons that can occur due to repetitive motion or strain. Given that you mentioned discomfort when using your wrist, this could be a sign of overuse, especially if you have been using your hands more than usual during your recovery period. The sensation of "tingling" or "numbness" in your left wrist could also suggest some degree of nerve involvement, possibly due to compression or irritation of the nerves in the wrist area.
In terms of when to seek care from a neurologist, it is advisable to consider the following factors:
1. Duration and Severity of Symptoms: If your symptoms persist for more than a few weeks or worsen over time, it would be prudent to seek medical advice. Persistent pain that interferes with daily activities or sleep should not be ignored.
2. Neurological Symptoms: If you experience additional symptoms such as numbness, tingling, weakness, or loss of coordination in your legs or arms, it would be essential to consult a neurologist. These could indicate a more serious condition that requires further evaluation.
3. Impact on Daily Life: If the pain is affecting your ability to perform daily tasks, such as walking, climbing stairs, or using your hands, it is advisable to seek medical attention sooner rather than later.
4. Response to Home Care: If you have tried rest, ice, compression, and elevation (RICE) for your leg pain and have not seen improvement, or if your wrist pain persists despite modifying activities, it may be time to consult a healthcare professional.
In terms of which specialist to see, starting with a primary care physician or an orthopedic specialist could be beneficial. They can perform a physical examination, assess your symptoms, and determine if further imaging or referral to a neurologist is necessary. If nerve involvement is suspected, a neurologist can conduct specific tests to evaluate nerve function and determine the appropriate treatment.
In summary, while your symptoms may be related to muscle strain or overuse due to inactivity, it is essential to monitor their progression. If you experience persistent pain, neurological symptoms, or significant impact on your daily life, seeking medical attention is warranted. Early intervention can help prevent further complications and facilitate a more effective recovery.
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