There are a couple of things you need to concern yourself with. More than likely, what we are dealing with is something simple, which is a tendonitis of that muscle called the FDL. The FDL stretches when you stand on your forefoot. When you are standing up, it usually passively stretches, so it is rarely a problem when standing. But when you are not bearing weight on your feet, like at night when you are going to bed, then the muscle will go into spasm.
This is a common problem. The tibial nerve is immediately adjacent to where this muscle attaches on what is called the tibial plateau. That can sometimes cause these referred pains which are sometimes difficult for a doctor to figure out. But the most likely possibility is this FDL.
The reason I asked your age is because sometimes a deep venous thrombophlebitis can occur in those taking birth control pills.
If you see these in a smoker in their 20s, I’d be asking you about that. But, for the most part, in your age group it is going to end up being this type of tendonitis.
The way that you treat this is simple. You use an anti-inflammatory. My favorite one for this is Aleve–three in the morning, and two in the evening, should take care of the problem. Since most of the discomfort occurs at night time, topical anti-inflammatories before bed are helpful as well. My favorite is a product that I make here, called Kink-Ease. Why? Because it’s inexpensive and it works. You just apply it behind the knee.
If you want to spend extra money, you can go ahead and get pharmaceuticals like Voltaren gel, or Pennsaid creams. These are effective as well, they just cost a couple hundred bucks instead of 30.[/testimonial][/testimonials][separator style_type=”shadow” top_margin=”35″ bottom_margin=”35″ sep_color=”#8e8e8e” icon=”fa-share-alt” width=”” class=”” id=””][button link=”http://www.stages-of-life.com/kink-ease-msm-salve-6-oz-tube-270.html” color=”blue” size=”medium” type=”3d” shape=”” target=”_self” title=”Buy now” gradient_colors=”|” gradient_hover_colors=”|” accent_color=”” accent_hover_color=”” bevel_color=”” border_width=”1px” shadow=”” icon=”” icon_position=”left” icon_divider=”no” modal=”” animation_type=”0″ animation_direction=”left” animation_speed=”1″ alignment=”center” class=”” id=””]Buy Now[/button]