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Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
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Exertional Leg Pain.

Sathish Rajasekaran1, Jonathan T Finnoff2

  • 1Department of Orthopaedics and Rehabilitation, University of Iowa Sports Medicine, 2701 Prairie Meadow Drive, Iowa City, IA 52242, USA; Division of Physical Medicine and Rehabilitation, University of Alberta, 10230 111 Avenue Northwest, Edmonton, AB T5G 0B7, Canada.

Physical Medicine and Rehabilitation Clinics of North America
|December 1, 2015
PubMed
Summary
This summary is machine-generated.

Exertional leg pain in runners has many causes. This review covers common conditions like medial tibial stress syndrome and compartment syndrome, emphasizing diagnosis through history, physical exam, and testing.

Keywords:
Athletic injuriesCompartment syndromesIliac arteryLeg injuriesMedial tibial stress syndromeNerve compression syndromesPopliteal arteryStress fractures

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Vascular Surgery

Background:

  • Exertional leg pain is prevalent in athletes and the general population.
  • A wide range of pathologies can cause exertional leg pain, complicating diagnosis.
  • Common causes include stress injuries, compartment syndromes, and nerve entrapments.

Purpose of the Study:

  • To provide a comprehensive overview of common causes of exertional leg pain.
  • To detail the incidence, anatomy, pathophysiology, and clinical presentation of these conditions.
  • To outline diagnostic evaluation and management strategies for exertional leg pain.

Main Methods:

  • Literature review focusing on common exertional leg pain etiologies.
  • Synthesis of information on incidence, anatomy, and pathophysiology.
  • Description of clinical presentation, diagnostic approaches, and treatment options.

Main Results:

  • Identified key conditions: medial tibial stress syndrome, tibial bone stress injury, chronic exertional compartment syndrome, arterial endofibrosis, popliteal artery entrapment syndrome, and common peroneal, superficial peroneal, and saphenous nerve entrapments.
  • Highlighted the importance of a detailed history and physical examination.
  • Emphasized the role of appropriate diagnostic testing in confirming diagnoses.

Conclusions:

  • Accurate diagnosis of exertional leg pain requires a systematic approach.
  • Thorough patient evaluation, including history and physical, is crucial.
  • Appropriate diagnostic testing and management are essential for successful outcomes.