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What Causes Pain In Knee, Outer Thighs And Buttock Region?
Question: Hi, i have been having pain from behind my left knee up my outside thigh and through my buttock for 4 days. The pain is not intense but uncomfortable. There is no swelling or redness but i'm panicking about dvt as i know there are no symptoms sometimes.
Brief Answer:
Suggest venous Doppler if any risk factor present
Detailed Answer:
Hi XXXXXXX,
I have read through your query.
As a radiologist many patients with suspected deep venous thrombosis are seen by me. The confirmatory diagnosis is made by a lower limb Doppler study of the veins and this usually shows the presence of a clot which might have its origin in the lower leg and ascends upwards causing obstruction to venous return of blood.
Pain in the calf region being a very important symptom of DVT. However as mentioned by you, there can be little symptoms is some patients. Therefore if you have risks for DVT such as -
1. Inherited blood-clotting disorder
2. Prolonged bed rest like hospitalisation
3. Injury to a limb
4. Pregnancy
5. Consumption of oral contraceptives or hormone pills
6. Being overweight or obese
7. Smoking
8. Cancer
9. Heart failure conditions
10. Inflammatory bowel disease
- I will order for doppler study of lower limb to rule out DVT.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Suggest venous Doppler if any risk factor present
Detailed Answer:
Hi XXXXXXX,
I have read through your query.
As a radiologist many patients with suspected deep venous thrombosis are seen by me. The confirmatory diagnosis is made by a lower limb Doppler study of the veins and this usually shows the presence of a clot which might have its origin in the lower leg and ascends upwards causing obstruction to venous return of blood.
Pain in the calf region being a very important symptom of DVT. However as mentioned by you, there can be little symptoms is some patients. Therefore if you have risks for DVT such as -
1. Inherited blood-clotting disorder
2. Prolonged bed rest like hospitalisation
3. Injury to a limb
4. Pregnancy
5. Consumption of oral contraceptives or hormone pills
6. Being overweight or obese
7. Smoking
8. Cancer
9. Heart failure conditions
10. Inflammatory bowel disease
- I will order for doppler study of lower limb to rule out DVT.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Prasad
Hello
I am overweight and smoke mildly but that's the only risks off the list. I have no pain in my calf. Would the d-dimer blood test be ssufficient to confirm ok?
I am overweight and smoke mildly but that's the only risks off the list. I have no pain in my calf. Would the d-dimer blood test be ssufficient to confirm ok?
Brief Answer:
If D dimer positive then Doppler required
Detailed Answer:
Hi XXXXXX,
Thanks for writing back with an update.
The D dimer test measures small molecules which might be circulating in the blood as a result of clot disintegration. If the D dimer test is negative then it is almost 95 to 97 % confirmed that you do no have a DVT.
Every patient with positive D dimer will not have a DVT. If it is positive then you must get venous Doppler of lower limb done. Most hospitals have their protocols to evaluate possibility of DVT.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
If D dimer positive then Doppler required
Detailed Answer:
Hi XXXXXX,
Thanks for writing back with an update.
The D dimer test measures small molecules which might be circulating in the blood as a result of clot disintegration. If the D dimer test is negative then it is almost 95 to 97 % confirmed that you do no have a DVT.
Every patient with positive D dimer will not have a DVT. If it is positive then you must get venous Doppler of lower limb done. Most hospitals have their protocols to evaluate possibility of DVT.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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