Immediately after exercise a larger muscle bulge could be palpated in the posteromedial aspect of the affected leg. Exercise constituted a 15-minute run at the same velocity and intensity that he would normally run. All findings were negative.Īt a subsequent follow-up consultation, the individual was examined before and after exercise.
Initially the patient was examined only at rest no abnormalities were detected.Ī number of investigations including plain X-ray, blood tests, MRI, and Doppler ultrasound scan of the lower leg were carried out. His main concern was that the pain was hindering his exercise regimen and that this may force a return to his previous inactive lifestyle. Having led a sedentary lifestyle, he had initially been prompted to exercise by his GP as he was at risk of cardiovascular disease.
The patient had assumed that he was suffering from ‘shin splints’ as he had discussed his symptoms with a friend (although not with any healthcare professionals), who had experienced similar symptoms and so decided to manage the symptoms himself with ice and simple analgesics. He also experienced paraesthesia in both the affected area and the plantar aspect of his foot. Over time it remained as a dull ache for up to 30 minutes after the cessation of exercise. When the pain first began, it would be relieved immediately at rest. The longer he exercised, the worse it became. The pain commenced after 40–60 minutes of exercise. A 34-year-old male presented with a 4-week history of non-radiating, persistent ‘bursting’ pain of gradual onset in the posterior aspect of the right lower leg that occurred during exercise.
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