Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Compression phlebosonography (KUS, synonym: vein compression sonography); sonography (ultrasound examination) to document and check the compressibility of the deep veins in the legs and arms) – for suspected deep … Calf Pain: Diagnostic Tests
The following symptoms and complaints may indicate calf pain: Cramp-like calf pain that occurs mainly at night. Accompanying symptoms Calf swelling Overheating of the calf Walking disorders such as limping (claudication) Warning signs (red flags) Claudication intermittens (intermittent claudication) + nocturnal bunion pain → think: critical ischemia (reduced blood flow) due to peripheral arterial occlusive … Calf Pain: Symptoms, Complaints, Signs
Medical history (history of illness) represents an important component in the diagnosis of calf pain. Family history What is the general health of your family members? Social history What is your profession? Are you exposed to harmful working substances in your profession? Current medical history/systemic medical history (somatic and psychological complaints). Where exactly is the … Calf Pain: Medical History
Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetic polyneuropathy – damage to multiple nerves (polyneuropathy) that occurs as a complication of existing diabetes mellitus. Electrolyte disorders (blood salt disorders), unspecified: Hypocalcemia (calcium deficiency). Hypomagnesemia (magnesium deficiency) Skin and subcutaneous (L00-L99) Cellulitis – acute skin infection caused by bacteria. Cardiovascular system (I00-I99) Peripheral arterial occlusive disease (pAVD) … Calf Pain: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (looking at) and palpation (feeling) of the calves. Pain provocation if deep vein thrombosis (DVT) is suspected: Calf compression pain (Meyer’s sign); positive: tenderness on the medial side of the … Calf Pain: Examination
2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: protein, glucose). Calcium, magnesium Fasting glucose (fasting blood sugar) – if diabetic neuropathy … Calf Pain: Test and Diagnosis
