Q. I have tightness and pain in both calves. How to get rid of this pain?

Answered by
Dr. Prathish Kumar
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on May 22, 2020 and last reviewed on: Jun 02, 2020

Hi doctor,

For the past two weeks, I have been having calf tightness in both legs. I am 22 years old and I weigh around 230 pounds. Nothing I do seems to make it go away. Three weeks ago, I went to the hospital for chest pain and they did a D-dimer and it came back negative. I feel the tightness in my lower calf and upper back of the thigh. It is in both legs but I mainly feel it in the left. It is not unbearable more of an annoyance. I have tried Epsom salt baths, Ibuprofen, etc.

Dr. Prathish Kumar

General Medicine Internal Medicine


Welcome to icliniq.com.

I see you are suffering from calf tightness and pain for the past two weeks. One reason could be due to your overweight. Other, could be blood clot formation in the veins as you are at high risk for it. Or, it could be because of salt imbalance in your body if you are not taking adequate nutrition and water.

I would like to know, do you exercise regularly or go to the gym for weight reduction? Do you take any medicines as a part of weight-reduction plan? Are you in any regular medicines for any issues like high cholesterol, diabetes, or thyroid problems? What is your job? Do you stand for long hours in a day?

Investigations to be done:

CBC (complete blood count). Free T4, TSH (thyroid-stimulating hormone). RBS (random blood sugar). Serum lipid profile. Serum potassium. Both lower limb venous Doppler.

Treatment plan:

Tablet Aceclofenac and Tizanidine 1 tablet twice daily after food for five days. Electral powder one sachet mixed with 1 liter of water to be taken frequently.

Preventive measures:

Adequately hydrate yourself. Avoid long time standing.

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