Leg Pain; FDL; Kink-Ease; 121.1

[title size=”1″ content_align=”left” style_type=”single” sep_color=”” class=”” id=””]Question[/title][testimonials design=”classic” backgroundcolor=”” textcolor=”” class=”” id=””][testimonial name=”” avatar=”male” image=”” image_border_radius=”” company=”” link=”” target=”_self”]I am a 57-year-old female, and last night I was laying on the couch and had this deep pain in the back of my left leg. I propped my leg up, but it did not help. The discomfort continued throughout the night and prevented me from sleeping. I did have Morton’s Neuroma years ago. Could this have something to do with the effects I am experiencing now?[/testimonial][/testimonials][separator style_type=”none” top_margin=”” bottom_margin=”20″ sep_color=”” icon=”” width=”” class=”” id=””][title size=”1″ content_align=”left” style_type=”single” sep_color=”” class=”” id=””]Answer[/title][testimonials design=”classic” backgroundcolor=”” textcolor=”” class=”” id=””][testimonial name=”” avatar=”male” image=”” image_border_radius=”” company=”” link=”” target=”_self”]There is actually a tendonitis that will cause this. The muscle is called the Flexor Digitorum Longus, and beside that, is the Tibial nerve. That nerve will cause pain in the calf. It will go all the way down to the arch of the foot. When you go to stand up, it will get a little bit better, but it will be worse when you have your weight off of it.

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]

David S Klein, MD

David S. Klein, MD, FACA, FACPM was born in Washington, DC, and was raised in Chevy Chase, Maryland. He completed his undergraduate education at the University of Maryland with degrees in Chemistry and Psychology. Medical School was completed at the University of Maryland at Baltimore, followed by Internship in General Surgery at the University of North Carolina and Residency in Anesthesiology at the Duke University, Durham, North Carolina. Dr Klein has been practicing medicine since 1983, concentrating in Pain Medicine, Minimally Invasive Medicine and Surgery, and Neuroendocrinology. Earning Board Certification in Anesthesiology, Dr. Klein was elected Fellow in the American College of Anesthesiology, and he was elected Fellow in the American College of Pain Medicine. He is currently an adjunct Associate Professor at the University of Central Florida, School of Medicine. He has focused his private practice on treating patients with hormone imbalance issues, nutritional deficiency related medical problems as well as pain related issues and impairment. With a highly-complex, CLIA licensed laboratory in-house, he has been able to provide rapid-turn around analysis efficiently and cost-effectively. Lecturing extensively nationally as well as internationally, Dr. Klein has authored many articles on topics relating to pain, injury and nutritionally modulated illness. His radio show, “Pain Free Living,” received top ratings during the 6 years it was on the air. Currently practicing in Longwood, Florida, Dr. Klein practices entirely in the office setting.

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