CRPS Specialists and Others Argee: Severe Leg Pain May Signal Serious Condition

Complex regional pain syndrome (CRPS) specialists and other experts agree that leg pain, especially severe leg pain, is something of concern that requires immediate medical attention. Although some leg pain remain mysteries that are never solved, care should be taken, especially when the pain is felt suddenly and intensely. The Mayo Clinic defines leg pain as pain that originates somewhere between the pelvis and heels. However, leg pain may actually come from elsewhere, such injuries or trauma involving the spine or back, although the pain is felt in the legs. Leg pain can take the form of stabbing, tingling, sharp, dull, or aching. The pain can develop over time, come all at once, or be localized. More severe leg pain can be debilitating and affect someone’s ability to walk, put weight on the legs, or feel stable. Although some leg pain can simply be an annoyance, sometimes it may be a sign of something more serious and even life-threatening. There are many causes of leg pain, some obvious and others not so much. Leg pain may come from trauma, fractures, inflammation of tissue or structures found in the legs, or compartment syndrome, a condition that occurs when the blood supply is cut off from a section or compartment of the leg causing severe pain and inability to move the foot or ankle. Severe leg pain may also come from blood clots, and poorly controlled diabetes and other chronic illnesses, such as cancer, alcoholism, and vitamin deficiencies. Peripheral artery disease (PAD), muscle injuries, and skin abnormalities can all be causes of leg pain as well. Most people seek medical assistance after an injury or when the pain begins to interfere with everyday life. However, in certain cases, medical attention should be sought immediately. This is especially the case when the leg is warm and swollen or if the leg is pale and cool. Or, if leg pain is accompanied by episodes of muscle weakness, falling, or changes in bowel or bladder function. Children who develop leg pain and begin to limp or develop a fever should be seen by a doctor right away. The evaluation of severe leg pain should always begin with a physical exam or a visit to a CRPS pain specialist for an assessment of what may be the cause of the pain. X-rays, ultrasounds, and other tests, such as blood tests, an MRI, or a CT scan, may be necessary to determine a diagnosis. Treatment will depend on the diagnosis and should be focused on both controlling the pain and managing the underlying issue. Some instances of severe leg pain may be preventable, such as maintaining an optimal weight, avoiding being too sedentary, and exercising regularly are but a few preventive measures that can be taken. For those with chronic leg pain, advances in the management of chronic and severe leg pain are occurring routinely and relief might be in sight. It is crucial to speak with your care provider or contact a CRPS specialist to discuss some options to minimize chronic and severe leg pain.