unusual thigh pain pattern - Dr. Mueller presents a case & Dr. Bush responds!

Last Updated: 12/14/2011

Responses

No Have this patient pinpoint the exact area of pain then using your US, scan this area. You may find localized fat necrosis or a small mass associated with nerve tissue etc.. I have had 2 patients recently with localized posterior pain in one area. In both patients I identified a subcutaneous mass. Biopsy revealed spindle cell lipoma, which is associated with trauma. I will post an image of this US next week since we are out of the country. There is usually a diffuse haziness in the subcutaneous tissue for 3-5 cm in size. Submitted by Ron Bush MD, FACS - 12/14/2011

have a patient with gsv reflux at sfj and mid thigh with persistent intense focal posterior distal thigh pain. negative mri, negative neurologic evaluation.
my sense is that cant be gsv territory
can it be related to the gsv reflux?

many thanks, rich