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  1. #1
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    Re: unilateral leg pain: Only walking up hill

    if it is vascular, pain should disappear on rest, ask for the nature of pain if he says it is a dead feeling of leg- which correlates with vascular problem. I had similar patient which was treated with loads of spinal flexion ex.s. My first guess would be stenotic or treat as you find.


  2. #2
    KiwiDPT
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    Re: unilateral leg pain: Only walking up hill

    No offense to GP's but just cause he/she says it is not significant on the test does not mean it is not a significant problem functionally. Do your own tests. Check ankle/brachial index, rubor of dependency etc. What does his left lower leg look like? Any differences vs right ie Atrophy, dermalogical changes (edema, Hemosiderin staining, hairloss). As stated earlier if the pt rest and it gets better that would be a big telltale. Good luck


  3. #3
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    Re: unilateral leg pain: Only walking up hill

    More testing and assessment would be great to discover an appropriate diagnosis.

    It is never harmful to run through the various tests, and there is no reason they can not be done on subsequent visits. Preparing thoroughly beforehand to quickly and effectively run through them would rule out various possibilities.

    Regards



 
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