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Aetiologies of Leg Pain among Patients Presenting to a Vascular Surgery Clinic
Author(s):
1. Zia Ur Rehman: Section of Vascular Surgery, Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan
2. Muhammad Anees: Section of Vascular Surgery, Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan
3. Amna Riaz Khan: Section of Vascular Surgery, Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan
4. Hafsa Shaikh: Section of Vascular Surgery, Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan
5. Nadeem Ahmed Siddiqui: Section of Vascular Surgery, Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan
6. Fareed Ahmed Shaikh: Section of Vascular Surgery, Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan
Abstract:
Objective: To determine the frequency and pattern of di erent aetiologies of leg pain among patients visiting vascular surgery clinics. Study Design: Cross-sectional study. Place and Duration of the Study: Vascular Surgery Clinics of the Aga Khan University Hospital, Karachi, Pakistan, between February 2021 and June 2023. Methodology: This study examined patients presenting with leg pain for the rst time at vascular surgery clinics. The socio-demographic and clinical data including the clinical symptoms, physical examination ndings, and management of leg pain were noted using a specially designed proforma. Results: In a total of 142 patients (200 limbs), 82 (57.7%) were females and 60 (42.3%) were males, with a mean age of 46.8 ± 15.1 years. The patients' mean body mass index (BMI) was 30.2 ± 7.9 kg/m2. Ninety-one (64.1%) patients had a predominantly standing job compared to 51 (35.9%) patients who had a predominantly sitting job. The most common aetiology of leg pain was chronic venous insu ciency (CVI), diagnosed in 107 (53.5%) patients, followed by neurogenic pain [41 (20.5%)], musculoskeletal pain including knee osteoarthritis [30 (15.0%)], and arterial insu ciency [22 (11.0%)]. Conclusion: CVI followed by neuropathic pain was the leading cause of leg pain in vascular surgery clinics at a tertiary care hospital.
Page(s): 817-821
Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 34, Issue: 7, Year: 2024
Keywords:
Leg pain , Musculoskeletal pain , Neuralgia , Vascular surgery , Arterial insu ciency , Chronic venous insu ciency
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