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Less common causes include:

Slipped capital femoral epiphysis -- usually seen in boys and overweight children between 11 and 15 years old, this refers to a separation of the ball of the hip joint from the thigh bone. It causes pain and growth abnormalities. Legg-Calve-Perthes disease -- poor blood flow to the hip that may stop or slow the normal growth of the leg. This condition usually affects boys between 4 and 10 years old. Benign tumors or cysts of the femur or tibia (osteoid ostioma). Malignant bone tumors (osteosarcoma, Ewing sarcoma). Drugs such as allopurinol and corticosteroids. Sciatic nerve pain (radiating pain down the leg) caused by a slipped disk in the back. Home Care

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Apply ice for up to 15 minutes. Do this 4 times per day, more often for the first few days. Gently stretch and massage cramping muscles. Take over-the-counter pain medications like acetaminophen or ibuprofen. For leg pain caused by varicose veins, leg elevation and compression with elastic bandages or support hose can help.

For leg pain caused by nerve disorders or claudication, control diabetes, eliminate alcohol and tobacco, and avoid ill-fitting shoes.

The painful leg is swollen or red. You have a fever. Your pain worsens when walking or exercising and improves with rest. The leg is black and blue. The leg is cold and pale. You are on medications that may be causing leg pain. DO NOT stop or change any of your usual medications without talking to your doctor. Self-care steps do not help. What to expect at your health care provider's office

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Your health care provider will perform a physical examination, with careful attention to your legs, feet, thighs, hips, back, knees, and ankles.

Where exactly is your pain? Do you have pain in one or both legs? How would you describe the pain? Dull and aching? Sharp and stabbing? Do you consider it to be severe? Is the pain worse at any particular time of day, like in the morning or at night? What makes the pain feel worse? For example, does exercise or long periods of standing worsen your pain? Does anything make your pain feel better like elevating your legs? Do you have any other symptoms like numbness or tingling? Back pain? A fever? Weakness? The following diagnostic tests may be performed:

Duplex Doppler/ultrasound exam to look for a blood clot X-ray of your back or legs MRI if a malignant tumor is suspected Bone biopsy if tumor is seen on MRI which may be malignant

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Bone scan Blood tests for specific diseases Arteriogram to check blood flow Treatment depends on the cause. Medications may include pain medicines, anti-inflammatory drugs (NSAIDs), anticoagulants (blood thinners) such as Coumadin if there is a blood clot, and others. Cellulitis and osteomyelitis are each treated with antibiotics. Osteomyelitis will require extended use of antibiotics.

For some causes of leg pain, physical therapy may be recommended by your doctor. If you have a blocked artery, inserting a balloon catheter into the artery to improve blood flow may be advised.