I have been having pain in my legs for
over a month. It started out worse in the
left leg, but now it is worse in the right
leg with almost no pain in the left. It
is worse at night and at rest. It is in
several locations; the calf(most common),
the knee, the thigh, the butt and the
ankle. It also ranges in pain; a dull ache
like a growing pain, a sore pain like
muscle aches, cramping, sharp, and
sometimes a heat with small sharp pricks
or pinches. My feet and hands tingle
often, too. There is no swelling. It
sometimes goes away for a few days then
returns. Some other symptoms i have that
may or may not be related are mild chest
pain, some arm pain, back pain(around
shoulder blades) a need to cough but
cannot cough without forcing it, and tight
pinching sensations going from my clavicle
to shoulder to up my neck(seldomly). but
the leg pain is the worst. 2 weeks ago
drs. in the e.r. gave me blood tests(pt,
ptt, d-dimer) and lung scan and a CT chest
angiography to rule out a pulmonary
embolism(i had trouble breathing at the
time, they said i had pnuemonia/pluerisy).
i am worried it could have to do with
blood clots...but did the angiography rule
that out? what else could it be?
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DoctorAnswer
Doctor Answer
Joined: 19 Dec 2005 Posts: 16777211
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General Q&A Answer A83 Posted: 01-06-06 15:37pm
It seems that your doctors doubt that deep
vein thrombosis in your legs, complicated
with pulmonary embolism, has caused your
condition. PT's, PTT's and D-Dimer's are
used for detecting deep vein thrombosis,
while CT-angiography is used to detect
thrombo-embolism in the lungs. Thrombosis
of the leg vein accompanies swelling of
the affected leg, which isn’t your case.
If there isn’t thrombosis, you can
request an X-ray examination of the lumbar
vertebral column to look for spondylotic
changes of the vertebrae and/or
intervertebral disks. These, however,
aren’t expected at your age.
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