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As the calcifications will typically resolve after a period of time, non-surgical treatment is encouraged to minimize the unpleasant symptoms and maximize the function of the affected limb. [5] Following a skeletal muscle injury, the affected limb should be immobilized with bed rest, ice therapy, compression, and elevation of the affected limb.
Associated symptoms include numbness, discoloration, pallor, and coolness in the affected lower extremity. [13] Physical examination of suspected PAES may show hypertrophy of the calf muscles, as well as diminished, unequal, or absent pulses in the lower extremity upon plantar- or dorsiflexion. [14]
Prodromal symptoms are typically fever, cough, and rhinorrhea. BACM symptoms that follow are most frequently calf pain, gait complaints, and inability to walk. [2] The condition is self-limited and full restitution can be expected. In very rare cases, however, rhabdomyolysis may develop. [1]
Muscle necrosis can occur quickly, within 3 hours of original injury in some studies. [46] Fasciotomy of the lateral compartment of the leg may lead to symptoms due to the nerves and muscles in that compartment. These may include foot drop, numbness along leg, numbness of big toe, pain, and loss of foot eversion. [11]
Muscle strain is a common cause of calf injury, which can happen from activities like running or jumping without a proper warmup. Overuse like excessive exercise without enough time for recovery ...
Intermittent claudication, also known as vascular claudication, is a symptom that describes muscle pain on mild exertion (ache, cramp, numbness or sense of fatigue), [1] classically in the calf muscle, which occurs during exercise, such as walking, and is relieved by a short period of rest.
calf muscle spasm when raising the affected leg with the foot extended Pemberton's sign: Hugh Pemberton: thoracic surgery: retrosternal mass with superior vena cava syndrome: arms elevated over head elicits facial plethora, distended neck veins and inspiratory stridor Phalen's maneuver: George S. Phalen: rheumatology, hand surgery: carpal ...
CT shows muscle oedema with preserved tissue planes (non-contrast enhancing). MRI is the exam of choice and shows increased signal on T2 weighted images within areas of muscle oedema. Contrast enhancement is helpful but must be weighed against the risk of Nephrogenic Systemic Fibrosis as many diabetics have underlying chronic kidney disease .
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