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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain At The Back Of The Knee Radiating Down The Calf?

Intense throbbing pain in the back of my knee radiating down calf. Very sore after being in a bent position from sitting. Pain keeps me up at night. Ice helps; alieve and ibuprofen do not. I am 47 yrs old and take Aromidase daily for bresat cancer. Only trauma I can think of is walking several miles in Philadelphia where the sidewalks are brick. Should I call my family GP or go to ER and have it scanned for blot clot?
Mon, 23 Dec 2019
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General Surgeon,  's  Response
Hi,

Yes, it may be deep vein thrombosis or so called DVT although this is not very likely. I means that clot is formed inside the big leg vessel. So you need to do Doppler ultrasound to rule this.

Vein thrombosis which is manifested with unilateral swelling of the leg, pain in calf and lividity of the skin. Some conditions such as pregnancy, obesity and recent surgery may increase the risk of it.

This may be serious if blood clot travels to heart and lungs so it should be ruled out as soon as possible and then appropriate treatment can be started.

In most cases it include strict resting heparin infusions and aspirin. More invasive procedures are rarely required.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Iven Romic Rommstein, General Surgeon
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What Causes Pain At The Back Of The Knee Radiating Down The Calf?

Hi, Yes, it may be deep vein thrombosis or so called DVT although this is not very likely. I means that clot is formed inside the big leg vessel. So you need to do Doppler ultrasound to rule this. Vein thrombosis which is manifested with unilateral swelling of the leg, pain in calf and lividity of the skin. Some conditions such as pregnancy, obesity and recent surgery may increase the risk of it. This may be serious if blood clot travels to heart and lungs so it should be ruled out as soon as possible and then appropriate treatment can be started. In most cases it include strict resting heparin infusions and aspirin. More invasive procedures are rarely required. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Iven Romic Rommstein, General Surgeon