Causes of Painful Legs other than Varicose Veins

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Causes of Painful Legs other than Varicose Veins

A common presentation of varicose veins is heaviness and aching in the lower limbs, specifically below the knee and ankles. Some have a throbbing sensation around the area where the varicose veins. Most people feel they are carrying a dead weight in their legs.


What happens if you do not have varicose veins either on the skin or even internally on ultrasound. What could be causing the pain? (Remember this is not acute pain which comes on immediately – This tends to be more long standing)


Other common causes include:


  • Bakers Cyst – Behind the knees
  • Muscle injuries – Rarely on both legs
  • Tight muscles – Some are predisposed to this due to lack of movement
  • Poly myalgia Rheumatica – Usually global and not only the legs
  • Lipidema – Can have very sensitive legs to touch
  • Referred pain from the back – Often a more electrical type of pain rather than nagging
  • Hip or knee joint problems – Again a very different type of pain and often isolated to the region of the joint
  • Osteoarthritis or other arthritic forms
  • Achilles’ tendon injuries – Rarely bilateral
  • Peripheral arterial disease – Pain worse on movement and better after rest

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