What Causes Severe Pain In Right Leg At Evening?

Posted on Tue, 12 Jul 2016

Question: I HAVE SEVERE PAIN IN MY RIGHT LEG WHICH ONLY STARTS IN THE EVENING. during THE DAY THERE IS NO PAIN. I HAVE JUST TAKEN AN OXYCONTIN TABLET IN HOPES OF GETTING SOME SLEEP

Answered by Dr. Naval Mendiratta (26 minutes later)

Brief Answer:
Pain localization

Detailed Answer:
good evening

thank you for writing on health care magic

I would like to ask you a few queries to localize where exactly is the pain coming from...

1. can you tell me the location of your pain.. is it below knee or above knee or calf or back of thigh?

2. any stiffness associated In the calf muscle?

3. does the pain go off when you rest in the night?

4. any backache associated?

5. any history of smoking?

do let me know these queries.. would guide you further here.. need to localize the pain for exact cause.. and then we can treat the same

regards
Dr naval

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naval Mendiratta (5 hours later)

the pain is mostly in upper thigh but does go into front lower leg. The front calf is also stiff Does not go away at night. Just woke up with the pain again but it will subside as I go through the day and walk around.
There is no back pain. I haven't smoked in 40 years.
Right now it hurts severely.
I go to an exercise class 3 x a week for core and weight training. Going this morning hoping it will help the pain

Answered by Dr. Naval Mendiratta (4 hours later)

Brief Answer:
Nerve Pain

Detailed Answer:
Good evening..

Thank you for your reply

Well, this sort of pain does look like nerve pain..which is radiating from the back and going down till your leg...

Most of these nerve roots do have origin from the spine..There is a chance you may not have the back pain but still the nerve is getting compressed from somewhere.

What I would suggest is..When you go for exercise, ask them to do your SLR( Straight LEg Raising Test)...Like raising the leg up( when you are on your back) and checking how much is the angle. Anything less than 60 is significant

Secondly..I would suggest you try Tablet PRegabalin 75 mg....It should work in your case

LAstly..Once we have the SLR test done, it will help us localize your pain...So we can plan for an MRI of the spine or Nerve conduction test...which will help us conclude the final diagnosis...

Hope the information was useful

DO update me once you have the test done

REgards
Dr Naval

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Naval Mendiratta (42 hours later)

Had an x-ray nothing there. Still in pain. Did the SLR can raise the leg almost to 90 degree angle, Some pain in lower back now too.
Just got up severe pain in front lower leg. Doctor said maybe sciatica, prescribed flexerill and Naprosyn. Took 2x now .
Will get better as day goes on then start up at night.
Living with it now hoping it will just go away on its own

Answered by Dr. Naval Mendiratta (8 hours later)

Brief Answer:
Low backache

Detailed Answer:
Good evening

Well, yes it does look like nerve compression only. X RAy wont pick up the soft tissues or nerve compression. An MRI of the spine would be helpful to determine how severe the compression is...

Well, Flexeril and Naprosyn wont be helpful in the long run. They are just gonna provide you with temporary relief, but wont eliminate the etiology associated. So we need to get an MRI of the spine and maybe an injection of the joint would be helpful. Plus continue with your exercises. You can ask the trainer to help you with muscle strengthening exercises of the lower back

Hope the information was useful

Do let me know for more queries

Regards
Dr Naval

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar