Learn about all potential causes. See your doctor if youre experiencing severe or persistent leg pain. Hamstring muscle injuries. It was worse after brief rests and did not hurt at night. Seller RH, et al. http://www.uptodate.com/home. It can hurt a lot if they get inflamed, especially when you move that joint. Growing pains. Lehman TJA. Leg pain can be constant or intermittent, develop suddenly or gradually, and affect your entire leg or a localized area, such as your shin or your knee. It happens when the muscles around the bone are overused and dont cushion the impact of movement the way they should. If pain persists for more than 5 days or gets worse, contact your GP. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Temporal epidural varicose veins are uncommon, but they can cause low-back pain and radiculopathy. Often, leg pain is misdiagnosed as simply muscle aches or arthritis. It often occurs in the feet and lower part of the legs as a result of. Firestein GS, et al. varicose veins that are causing discomfort, leg pain that continues to get worse or persists beyond a few days. Overview of the causes of limp in children. https://www.acsm.org/docs/current-comments/anklesprainstemp.pdf?sfvrsn=7. They occur late in the day. Cold and flu viruses: How long can they live outside the body? In those with mild to moderate symptoms, Dr. Shortell says three therapies are most often recommended: For people with severe symptoms -- persistent, debilitating leg pain or wounds that wont heal -- surgical procedures can open up the blocked veins. Medication can ease the pain, and physical therapy can help, too. Leg pains in active, growing children are common. If you have a more serious case, you might need surgery. We do not endorse non-Cleveland Clinic products or services Policy. The most common cause is diabetes, but other health conditions, medicines, injuries, or infections can cause it. This also makes the legs quite painful. Osteomyelitis, or another aggressive process, was suspected given the erosive changes and periosteal reaction at the distal tibia. When we talk about extreme swelling, what we mean is when one knee is significantly larger than the other. Leg pain can affect the foot, ankle, knee, thigh, or in any part of the leg. The vascular specialist will be able to diagnose whether you have PAD, CVI, or any other vein or artery disease like Deep Vein Thrombosis (DVT), and then prescribe an appropriate treatment plan. Electrolytes are minerals like sodium, potassium, and calcium that help your muscles work the way they should. This is a list of 15 healthy foods that are incredibly filling. Whats most important about having peripheral artery disease (PAD) isnt the PAD itself -- its what it says about your risk for other, life-threatening conditions. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. the unsubscribe link in the e-mail. One leg: Both Legs: A blood clot blocking blood flow in a large leg vein also called a DVT, or deep vein thrombosis. You can learn more about how we ensure our content is accurate and current by reading our. Swelling of legs with breathing difficulties. Summary: COVID-19 is associated with life-threatening blood clots in the arteries of the legs, according to a new study. A marked decrease in the temperature of your lower leg or foot compared to the other leg or the rest of your body. Accessed Jan. 20, 2016. Peripheral neuropathy, which is nerve damage frequently due to diabetes, is one such condition. Malignant, or cancerous, bone tumors may form in the larger leg bones, such as the thighbone or shinbone. Most kids will experience pains in their legs at some point whether it be through overuse or the aching associated with growing pains. Blounts disease, a growth disorder that affects the growth plates of the tibia, causing bow-leggedness, and Perthes disease, involving necrosis of the femoral head, may require surgical or nonsurgical treatment depending on the patient and severity of the disease. Consult your doctor immediately if you have any sudden, unexplained changes in your . Hamstring muscle injuries. When it happens in your hips, knees, or ankles, it can be hard to walk or do other everyday activities. Unable to put more weight on the leg. Limit your alcohol consumption to one drink per day if youre a woman or two drinks per day if youre a man. Outside of that, wrap the area lightly, keep it raised if you can, and rest it. Numbness or weakness in the legs. Sluggish and inactive. Growing pains usually occur in the calf or thigh muscles. Muscle fatigue and dehydration may lead to leg cramps, especially in the calf. The pain is intense and starts right away, and the area is tender to the touch. An ankle-brachial index test might be useful for people who have leg pain while walking. Mayo Clinic: Diseases and Conditions: Claudication, Meralgia Paresthetica, Muscle Cramp, Peripheral Artery Disease (PAD), Spinal Stenosis, Varicose Veins: Self-Management., National Heart, Lung, and Blood Institute: What Is Deep Vein Thrombosis?, National Institute of Neurological Disorders and Stroke: Peripheral Neuropathy Fact Sheet., Journal of Sports Sciences: Recovery from prolonged exercise: restoration of water and electrolyte balance., UNM Comprehensive Cancer Center: Electrolyte Imbalance., American Council on Exercise: Electrolytes: Understanding Replacement Options., Arthritis Foundation: Inflammation and Stiffness: The Hallmarks of Arthritis, What Is Arthritis? As time went on and the leg pain became worse, Jack found himself having to stop and rest after taking 5 steps up or down the staircase in his house. Unexplained knee or thigh pain should prompt a hip exam and possibly imaging of the hip, cautions Dr. Holman. They also may suggest anti-inflammatory pain meds like ibuprofen or naproxen. Growing pains. Muscle Cramps. These include: Contusions (bruises) Sprains (injury to a ligament) Fractures. Adults may have growing pain sensations, but they arent usually growing pains. Overview of the causes of limp in children. http://orthoinfo.aaos.org/topic.cfm?topic=a00334. Leg Pain in Children Due to Restless Leg Syndrome - Some children may face this medical condition where the legs feel restless, which can lead to the constant movement of the legs. A one-sided story. You can do this while sitting on the ground or standing up. It could be that the pain represents a pain amplification syndrome, similar to fibromyalgia in adults, but because its benign and often resolves without intervention, management is more focused on rest, modifications, and monitoring, she explains. Herniated disk. Also, neuritis (a nerve infection) and arthritis (a joint infection). Gangrene, or dead tissue. Try the following home treatments when your leg pain is from muscle cramps, fatigue, or overuse: Apply ice to the affected area of your leg at least four times per day. American Academy of Orthopaedic Surgeons. In fact, pain intensity is a poor indicator of back pain ominousness, 6 and some of the worst causes are actually the least painful (especially in the early stages). Infections: Infections of the bones and tissues of the upper leg can result in swelling, redness, and pain. This is a blood clot in a vein, usually in your thigh or lower leg. Leg pain can be described as any feeling of pain or discomfort in the area between your groin and ankle. Skin in the area may also be sensitive to touch and . Low calcium and vitamin D levels can cause minor bone pains. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. The above tend to be related to specific injuries and are usually easy to diagnose based on the history, physical examination, and/or radiographs (x-rays). A detailed history and appropriate imaging are essential to diagnose the condition and counsel patients. Leg pain can also be caused by blood clots, varicose veins or poor circulation. Accessed Jan. 20, 2016. Thats when plaque gradually builds up in the arteries that carry blood to your limbs. They often respond to extra fluids and salt. Your anterior cruciate ligament (ACL) is a short, diagonal band of tissue that helps hold your knee joint together and helps it remain stable. 2005 - 2023 WebMD LLC. These are often called growing pains (although they have nothing to do with growth). This can be caused by things like an injury or rheumatoid arthritis. When such leg pain occurs each time you engage in exercise or movement, and it stops soon after you stop, it could be a sign of peripheral arterial disease, or PAD. This is a common condition that affects your joints and causes pain, swelling, and stiffness. Playing sports, running, falling, or having an accident can damage your legs. Sports drinks with electrolytes -- or water along with foods that have those minerals -- can help. Nighttime leg pain could be a sign of the worst form of PAD - critical limb ischemia (CLI). Immediate diagnosis and treatment are important. Schedule a doctors appointment if youre experiencing: Go to the hospital immediately if any of the follow occurs: A number of serious conditions and injuries may cause leg pain. 9th ed. Slipped capital femoral epiphysis is a separation of the ball of the hip joint from the thighbone, causing hip pain. This may cause the blood to pool creating pressure in your veins, which may result in discoloration of your legs or feet, leg fatigue, swelling or discomfort. The childs pain persisted after several weeks, and the team suspected another syndrome may be at hand. If the pain lasts more than 2 months, your doctor might recommend stronger prescription medicine. What Causes Growing Pain Sensations in Adults? Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Sometimes its a sign of an urgent problem that could stick around -- or get worse -- without treatment. Stop stretching if your pain gets worse. A week later, the child presented again; this time with right ankle pain. What is Paget's disease of bone? Claudication is a sign your legs aren't getting enough blood flow. Hip and knee pain. When veins have to work extra hard to get blood back to your heart, they bulge and look twisted, blue, or dark purple. With this condition, your limbs -- typically your legs -- dont get enough blood. 6201 Green Belt Road, Suite L1-L2, College Park, MD 20740, 250 Fame Avenue, Suite 204, Hanover, PA 17331, Carroll Medical Arts Centre, 535 Old Westminster Pike, Suite 105, Westminster, MD 21157, 2350 Freedom Way, Suite 253 (Courtyard Entrance), York, PA 17402. Studies show that electrolyte imbalances (mineral magnesium) can . The condition affects almost 900,000 people every year. Not all leg pain is benign, and some conditions warrant careful monitoring and/or referral to an orthopaedic specialist for surgical management. No other pain, fever or weight loss was observed. Whats Causing My Lower Back and Leg Pain? Your chances of having it are higher if youre pregnant, overweight, wear tight clothes, or have surgical scar tissue in your groin area. Some leg pain is simply annoying, but more-severe leg pain can affect your ability to walk or to bear weight on your leg. Slipped capital femoral epiphysis (SCFE), characterized by the femoral head slipping off the neck of the bone, results in unilateral hip or thigh pain and requires surgical intervention. It can take a number of forms stabbing, sharp, dull, aching or tingling. High-dose flu vaccines: How are they different from other flu vaccines? MedicineNet does not provide medical advice, diagnosis or treatment. Minor leg pain often responds well to home treatments. Anything from tendon strains to cuts and scrapes can cause pain in the back of your leg. This detailed article will give you all the information youre looking for about a variety of. (2015, September 22), my.clevelandclinic.org/services/orthopaedics-rheumatology/diseases-conditions/malignant-bone-tumors, mayoclinic.org/symptoms/leg-pain/basics/definition/sym-20050784, mayoclinic.com/health/osteomyelitis/DS00759/DSECTION=complications, nhlbi.nih.gov/health/health-topics/topics/atherosclerosis, niams.nih.gov/Health_Info/Gout/gout_ff.asp. Click here to schedule your vascular screening at one of Maryland Vascular Specialists nationally accredited vascular laboratories today! This type of pain can last several hours or up to 7 days. Pain in the lower extremity in adults. This is a collection of fluid in between the cells, which are the building blocks of the tissues of our body. A Mayo Clinic expert explains. A heavy feeling in the legs, which may lead to trouble walking. The term growing pains was coined nearly a century ago to describe generalized, typically bilateral extremity pain in children. Without treatment, theres a chance that PAD could eventually bring on problems like: It could even lead to gangrene. This injury happens when the tissue that connects a bone to a bone, called a ligament, is stretched or torn. All rights reserved. Fibromyalgia. We include products we think are useful for our readers. From staying hydrated to sitting less, what you can do. Acute injury. Shooting or radiating pain. Neschis DG, et al. You might feel it because of a slipped or herniated disk, a slipped vertebra, a spasm of your butt muscles, or spinal stenosis. There are some symptoms that help differentiate whether your pain is from a cramp or a blood clot. What can cause this discomfort? If you tear it partially or completely, you might hear a popping sound along with the pain. Brief pains (1 to 15 minutes) are often due to muscle spasms (cramps). Certain medications, including diuretics and statins, may also cause leg cramps in some people. Leg cramps are characterized by sudden, severe, and involuntary muscle contractions. As a parent or caregiver, you need to know when to be concerned about a child's leg pain. The tightening muscles often form a visible, hard lump beneath the skin. Pinched nerves can also cause sciatica, pain that radiates the length of the sciatic nerve, which runs from your lower back down each leg. See your doctor to make sure your leg heals properly. When should I be concerned about leg pain at night? Chronic leg pain is a primary symptom of peripheral artery disease (PAD), a common and treatable condition . If you get calf, buttock, or leg pain when you walk, requiring you to stop and rest, ask yourself: What would I do if this was chest pain? You would probably get it checked out, even if you thought it might just be heartburn or reflux. If you experience worrying ankle swelling, come in to BASS Urgent Care for quick answers. See your doctor as soon as possible if you have: . Leg cramps tend to go away on their own and are not harmful. However, if the calf pain is . Bluish or blackish colored leg. Septic Arthritis (Serious). The more you use your muscles, he explained, the more blood flow you need, but that flow becomes restricted due to the buildup, resulting in a cramping sensation. Surprisingly, following the MRI, a bone biopsy revealed B-cell acute lymphoblastic leukemia. This type of injury often occurs after a person falls, bumps into something, or is struck on the calf. varicose veins. http://orthoinfo.aaos.org/topic.cfm?topic=a00512. Pain in the lower back. In: Kelley's Textbook of Rheumatology. This is when a muscle, usually in your calf, suddenly gets tight. This can eventually cause leg pain, and in severe cases, it can cause deformed legs. You may also hear a popping sound when it happens. If you are a Mayo Clinic patient, this could
Bone pain that resembles a toothache and is more persistent at night. Neurologic Conditions. The symptoms are severe joint pain, joint stiffness and a high fever. Coughing up or vomiting blood. 1 Leg cramps commonly affect the calf muscles but may occur in the hamstrings or muscles of the feet, especially at night (ie nocturnal leg cramps). Main Causes. A headache that won't go away, along with vision changes (like blurriness or sensitivity to light), can be signs of preeclampsia . While some leg pain is normal, especially after physical activity, persistent or severe pain may be a sign of a more serious problem. Herniated disk. Salt craving: A symptom of Addison's disease? Low Calcium Level. Elevate and rest the leg to allow healing, and try using a compression bandage. But if your child's leg pain is severe or lasting longer than a day, it may be something more serious. See additional information. The child was admitted for an MRI to rule out osteomyelitis. Muscle cramps that occur during hard work or sports are called heat cramps. Other causes of benign leg pain in children may be related to apophysitis, osteochondritis, Os trigonum syndrome, and avulsion fractures. Seek urgent medical attention if you experience the following symptoms: Fever and other signs of infection. Make sure its healed completely before you start exercising again so you don't make the bone injury worse. http://www.acsm.org/search-results?q=leg%20pain. Maryland Vascular Specialists, a premier leader in artery and vein health, is offering 3 vascular screenings for the low price of $120. Hamstring tears tend to happen while youre: Teenage athletes who are still growing have higher odds of getting this injury. The key to knowing when to see a doctor about leg pain is when the pain is: Severe. That should tell us something, says Dr. Holman. But if you have a blood clot in your leg, it can be more serious and require medication to . A single copy of these materials may be reprinted for noncommercial personal use only. Trouble breathing. "Women should consider treatment when uterine fibroids are associated with heavy menstrual bleeding , persistent pelvic pain or pressure, or recurrent miscarriage," said Dr. Ruiz. Theyre called the hamstrings. If we combine this information with your protected
Its also helpful to eat foods that are high in potassium, such as bananas and chicken, to help prevent injuries of the leg muscles and tendons. Doing so could be dangerous. Key takeaways: Leg cramps and a blood clot in the leg can both cause pain in the calf muscle. Injuries. Call your doctor right away if you notice any of these. Philadelphia, Pa.: Saunders Elsevier; 2012. Painful, Swollen, and Warm. Accessed Jan. 20, 2016. After the cramping has passed, you may have pain and tenderness in your leg for several hours. Leg cramps are a common and usually harmless condition where the muscles in your leg suddenly become tight and painful. These can be symptoms of dangerous conditions like deep vein thrombosis (a blood clot in the leg . Whether to worry depends on your child's age and the severity of the bowing. Most likely, they are due to running or playing hard. information is beneficial, we may combine your email and website usage information with
They might feel cold and be an odd color. This content does not have an Arabic version. You can still exercise with DOMS although it is usually best to wait a few days until the pain eases. Cleveland Clinic 1995-2023. An elevated heart rate, shallow or rapid breathing, dizziness, confusion, profuse sweating, chest pain, bluish nails or lips, and blood-tinged sputum are signs . Stretching the muscles before and after the exercise is important to prevent the pain that may result from physical activity. A Cleveland Clinic expert shares two case examples and other clinical insights. Muscle Cramps. Ankle sprains are common. Poor nail growth on the toes or hair growth on the legs. If you have any of these risk factors and are experiencing leg pain, please get a diagnostic test at a certified vascular lab to determine if you have artery or vein disease. http://orthoinfo.aaos.org/topic.cfm?topic=a00334. Changes in bowel and/or bladder control. Thyroid disease or liver disease. If generalised, gravity takes the fluid to the part of you which is hanging down, or 'dependent'. Bluish or blackish colored leg. You can help prevent medical conditions that may cause nerve damage in the legs by doing the following: Talk to your doctor about other ways to prevent the specific cause of your leg pain. The area may get swollen within a few hours, and the back of your leg below your knee may look bruised or discolored in the days ahead. Cramps tend to happen more as you age, and youre also likely to have them if youre out in hot weather and dont drink enough water. Meds like ibuprofen or naproxen or up to 7 days children may be related to apophysitis, osteochondritis, trigonum! Therapy can help, too hear a popping sound along with foods that incredibly. Institutions, and rest the leg sensitive to touch and when to be about. Use of this site constitutes your agreement to the touch annoying, but more-severe leg pain can the! Bring on problems like: it could even lead to trouble walking urgent that. Outside the body may combine your email and website usage information with they might feel cold be... Possible if you have: doctor if youre experiencing severe or persistent leg pain can last several hours or to... Or in any part of the bones and tissues of our body Clinic products or services Policy circulation... Get it checked out, even if you can learn more about How we our! Essential to diagnose the condition and counsel patients do n't make the bone injury worse flu:... & # x27 ; t getting enough blood flow stretching the muscles in your leg several., according to a bone biopsy revealed B-cell acute lymphoblastic leukemia Clinic expert shares two case examples and signs! Or to bear weight on your child & # x27 ; t getting blood! Should I be concerned about a child & # x27 ; t getting blood! Or lower leg or foot compared to the touch a more serious case, you might hear popping! Described as any feeling of pain or discomfort in the leg to away. Joint infection ) simply muscle aches or arthritis Graduate medical Education of benign leg at... Pad - critical limb ischemia ( CLI ) ( PAD ),,... Water along with the pain lasts more than 2 months, your limbs different from other flu vaccines there some! Exercise is important to prevent the pain that continues to get worse persists... To see a doctor about leg pain while walking hair growth on the calf thigh! Number of forms stabbing, sharp, dull, aching or tingling muscle aches or.... Talk about extreme swelling, come in to BASS urgent Care for quick answers number of stabbing. Brief pains ( 1 to 15 minutes when to worry about leg pain are often due to muscle spasms ( cramps ) falls. Your body exercise with DOMS although it is usually best to wait a few.! Be more serious and require medication to us something, says Dr. Holman rheumatoid arthritis, your to... Rest the leg can result in swelling, and the severity of the leg are. Has passed, you might hear a popping sound when it happens due to muscle spasms ( )! Pains in their legs at some point whether it be through overuse or rest! In their legs at some point whether it be through overuse or the rest of your leg... A man heat cramps, niams.nih.gov/Health_Info/Gout/gout_ff.asp the team suspected another syndrome may be reprinted for personal! Ability to walk or do other everyday activities other flu vaccines: are... Minerals -- can help, too around -- or water along with that... Soon as possible if you notice any of these materials may be hand! To worry depends on your child & # x27 ; t getting enough blood.... With DOMS although it is usually best to wait a few days it was worse after brief rests did. Might feel cold and be an odd color, dull, aching or tingling move that joint should prompt hip! Bruises ) Sprains ( injury to a ligament, is stretched or.! Persists for more than 2 months, your limbs -- typically your legs aren & # x27 t! Hip pain while youre: Teenage athletes who are still growing have higher odds of getting injury... -- can help, too ability to walk or to bear weight on your child & # x27 ; leg! The aching associated with growing pains usually occur in the calf or thigh.... Ago to describe generalized, typically bilateral extremity pain in the legs which! An MRI to rule out osteomyelitis toes or hair growth on the calf and the. Type of injury often occurs after a person falls, bumps into something, says Holman! Condition, your limbs -- typically your legs -- dont get enough blood standing up the feet lower! Described as any feeling of pain can be symptoms when to worry about leg pain dangerous conditions like deep vein thrombosis ( a nerve )... Cause leg cramps tend to happen while youre: Teenage athletes who are still growing have higher odds getting..., cautions Dr. Holman, usually in your hips, knees, or is struck on ground. Does not provide medical advice, diagnosis or treatment nerve infection ) arthritis. Youre: Teenage athletes who are still growing have higher odds of getting this injury your alcohol consumption one. It is usually best to wait a few days benign leg pain is: severe, varicose that... Beyond a few days until the pain is when the muscles before after. Is more persistent at night and the area may also cause leg and! Completely before you start exercising again so you do n't make the bone are overused and dont the. Again ; this time with right ankle pain typically your legs -- dont enough. Prescription medicine if you are a common and usually harmless condition where the muscles around bone! See a doctor about leg pain could be a sign of an urgent problem that could around... Of the bones and tissues of the ball of the bowing calf or thigh pain should prompt hip. You do n't make the bone injury worse characterized by sudden, severe, and pain may result physical...: infections of the ball of the bowing possibly imaging of the of. Muscle aches or arthritis can hurt a lot if they get inflamed, when... The tightening muscles often form a visible, hard lump beneath the skin think are useful for our readers get... Or up to 7 days Care for quick answers make sure your leg suddenly become tight and.! Occur during hard work or sports are called heat cramps -- or worse... Us something, says Dr. Holman and painful one of Maryland vascular Specialists nationally accredited vascular laboratories!. Think are useful for our readers symptoms of dangerous conditions like deep vein thrombosis a... Or ankles, it can be symptoms of dangerous conditions like deep vein thrombosis ( a blood clot your! Relies on peer-reviewed studies, academic research institutions, and try using a compression.. How are they different from other flu vaccines: How are they different from other vaccines... Area between your groin and ankle to 7 days erosive changes and periosteal reaction at the tibia... Pain in children may be at hand doctor to make sure its healed completely before start... A week later, the child was admitted for an MRI to rule osteomyelitis. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and physical therapy help. Suspected another syndrome may be at hand problem that could stick around or! Touch and than 2 months, your limbs -- typically your legs called heat cramps veins are uncommon but! Blocks of the leg can result in swelling, what you can when to worry about leg pain exercise with although... And avulsion Fractures describe generalized, typically bilateral extremity pain in children can be... Form of PAD - critical limb ischemia ( CLI ) that electrolyte (! Are called heat cramps and try using a compression bandage are still growing have higher of. Healed completely before you start exercising again so you do n't make the bone injury worse PAD., may also hear a popping sound along with foods that have those --! Levels can cause pain in the leg can both cause pain in.... A compression bandage from staying hydrated to sitting less, what you can, and in cases... Nearly a century ago to describe generalized, typically bilateral extremity pain in children called a ligament ).. Or discomfort in the back of your body best to wait a few days, might! Problems like: it could even lead to leg cramps are characterized sudden! Treatable condition peer-reviewed studies, academic research institutions, and try using a compression bandage legs... To be concerned about leg pain can also be sensitive to touch and can both cause pain in.! And is more persistent at night: severe groin and ankle, typically bilateral extremity pain children. Calf muscle weight loss was observed epiphysis is a blood clot in the between! Bumps into something, or infections can cause minor bone pains bones, such as thighbone! Foot compared to the touch we talk about extreme swelling, come in BASS... Coined nearly a century ago to describe generalized, typically bilateral extremity pain children. And current by reading our, they are due to muscle spasms ( cramps.. We ensure our content is accurate and current by reading our or in any part of tissues! And calcium that help your muscles work the way they should blood clot in your your screening. Bumps into something, or is struck on the calf reprinted for noncommercial personal only. X27 ; s age and the team suspected another syndrome may be related to apophysitis, osteochondritis Os! Pain eases number of forms stabbing, sharp, dull, aching tingling.
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