Scribd Logo
Upload

Welcome to Scribd!

  • PE 065 Infographic

    Uploaded by

    Tomáš Krajíček
    6 views1 page
    1. Calf pain may be caused by muscular issues like tears or neural issues involving the lumbar spine, sciatic nerve or peripheral neuropathy. Symptoms of neural involvement include pain reproduction during tests of lumbar mobility and straight leg raise. 2. Vascular causes of calf pain include popliteal artery entrapment syndrome, aggravated by certain activities and identifiable by reduced distal pulses post-exercise, and deep vein thrombosis presenting as swelling, warmth and tenderness potentially developing into a life-threatening condition. 3. Differential diagnosis involves assessing for pain reproduction with muscular testing and identifying potential neural and vascular involvement through history, physical exam findings and use of tools like the Wells criteria to determine likelihood of deep vein thrombosis.

    Original Description:

    Original Title

    PE+065+infographic

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    1. Calf pain may be caused by muscular issues like tears or neural issues involving the lumbar spine, sciatic nerve or peripheral neuropathy. Symptoms of neural involvement include pain reproduction during tests of lumbar mobility and straight leg raise. 2. Vascular causes of calf pain include popliteal artery entrapment syndrome, aggravated by certain activities and identifiable by reduced distal pulses post-exercise, and deep vein thrombosis presenting as swelling, warmth and tenderness potentially developing into a life-threatening condition. 3. Differential diagnosis involves assessing for pain reproduction with muscular testing and identifying potential neural and vascular involvement through history, physical exam findings and use of tools like the Wells criteria to determine likelihood of deep vein thrombosis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    PE 065 Infographic

    Uploaded by

    Tomáš Krajíček
    1. Calf pain may be caused by muscular issues like tears or neural issues involving the lumbar spine, sciatic nerve or peripheral neuropathy. Symptoms of neural involvement include pain reproduction during tests of lumbar mobility and straight leg raise. 2. Vascular causes of calf pain include popliteal artery entrapment syndrome, aggravated by certain activities and identifiable by reduced distal pulses post-exercise, and deep vein thrombosis presenting as swelling, warmth and tenderness potentially developing into a life-threatening condition. 3. Differential diagnosis involves assessing for pain reproduction with muscular testing and identifying potential neural and vascular involvement through history, physical exam findings and use of tools like the Wells criteria to determine likelihood of deep vein thrombosis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Recommendations for

    DIFFERENTIAL DIAGNOSIS
    OF CALF PAIN
    Based on Physio Edge podcast 65 with Tom Goom @tomgoom

    1 Muscular
    a. b. c.
    Calf pain may be This patient may On assessment pain
    caused by report an audible is reproduced with
    traumatic tears pop or feeling like resisted muscle
    of the calf they have been testing, muscle
    complex kicked in the back of lengthening and
    the leg when palpation
    pushing off.

    2 Neural
    a. Neural symptoms may be
    caused by lumbar b. Reduced mobility or
    irritation of the neural
    radiculopathy, sciatic nerve structures may lead to leg
    irritation or peripheral or calf pain
    neuropathy
    Lumbar spine movements,

    c. d.
    May include night pain, straight leg raise, slump can be
    diffuse burning pain or used to identify the presence of
    paraesthesia. neural involvement with pain
    reproduction on testing

    3 Vascular
    b. Patients with a Deep
    a. Popliteal artery
    entrapment syndrome: vein thrombosis (DVT)
    Presents as red, hot, firm, swollen calf,
    Similar presentation to
    venous distention or pitting oedema
    biomechanical overload syndrome
    Patients with a suspected DVT should
    Aggravated with cycling, swimming be sent to A&E as it can develop into a
    or walking uphill as well as running life threatening condition
    Assess distal pulses before and after The Wells score can be used to deter-
    exercise as a reduction in pulses mine the likelihood of DVT and inform
    post exercise may indicate popliteal clinical reasoning
    artery entrapment syndrome Score of 2 or more – DVT likely
    Score of 1 or below – DVT unlikely
    The ankle-brachial pressure
    index can also be used to Investigations and onward referral
    identify vascular pathology should be considered for patients
    who are not improving as expected
    BROUGHT TO YOU BY: References
    Modi, S., Deisler, R., Gozel, K., Reicks, P., Irwin, E., Brunsvold, M., Banton, K. and Beilman, G.J., 2016. Wells et al criteria for DVT is a
    reliable clinical tool to assess the risk of deep venous thrombosis in trauma patients. World Journal of Emergency Surgery, 11(1), p.24.

    clinicaledge.co @davidkpope Wells et al, P.S., Ginsberg, J.S., Anderson, D.R., Kearon, C., Gent, M., Turpie, A.G., Bormanis, J., Weitz, J., Chamberlain, M., Bowie, D. and
    Barnes, D., 1998. Use of a clinical model for safe management of patients with suspected pulmonary embolism. Annals of internal
    medicine, 129(12), pp.997-1005.

    You might also like